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Attentin® in Children and Adolescents With ADHD - A Non-interventional Study

Completed
Conditions
Attention Deficit Hyperactivity Disorder
Registration Number
NCT02801604
Lead Sponsor
Medice Arzneimittel Pütter GmbH & Co KG
Brief Summary

The practicality of most ADHD medications is not or only moderately examined under long term routine conditions. Therefore, in this multi-centre, multi-national prospective non-interventional study, a recommended follow-up time of 12 months will investigate the course of the therapy in children and adolescents with ADHD with prior MPH treatment and their medication change to dexamfetamine in several European countries under daily routine.

It consists of a baseline visit under MPH or another ADHD drug therapy, a change to dexamfetamine, the prospective description of the titration phase and a 12 month maintenance phase. Data on the use of dexamfetamine in routine clinical practice will be collected to describe how dexamfetamine is prescribed, titrated and used in the population of ADHD patients and how these factors influence the general intensity of ADHD and safety events. This study will collect real world data of dexamfetamine and compare descriptively the general intensity of ADHD according to ADHD classification and the impairment due to ADHD under therapy with dexamfetamine to the general intensity of ADHD according to ADHD classification and the impairment due to ADHD under the prior therapy with MPH. Furthermore the utilization of dexamfetamine will be assessed with regards to treatment persistence, compliance, proportion of patients discontinuing treatment and reason for discontinuation. Due to the fact that patients will be treated according to local medical practice it is possible that medication will be changed during the observation period.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Age ≥ 6 to 17.11 years
  • Current MPH therapy insufficient
  • ADHD was classified according to a validated classification system (e.g. DSM or ICD-10)
  • No contraindication against dexamfetamine
Exclusion Criteria
  • Contraindication against dexamfetamine

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ADHD classificationbaseline until 1st follow-up visit after 6 months

change from baseline under MPH therapy to the 1st follow-up visit after 6 months under dexamfetamine, assessment by ADHD Rating Scale IV

Secondary Outcome Measures
NameTimeMethod
ADHD classification subgroup: Agebaseline until 1st follow-up visit after 6 months

change from baseline to 1st follow-up in subgroup of age in years

ADHD classification subgroup: Dose under MPH therapybaseline until 1st follow-up visit after 6 months

change from baseline to 1st follow-up in subgroup of MPH dose in mg

ADHD classification subgroup: Dose under dexamfetamine therapybaseline until 1st follow-up visit after 6 months

change from baseline to 1st follow-up in subgroup of dexamfetamine dose in mg

ADHD classification subgroup: Baseline ADHD classificationbaseline until 1st follow-up visit after 6 months

change from baseline to 1st follow-up in subgroup baseline ADHD classification, assessment by ADHD Rating Scale IV

Dose-response relationship between dose under dexamfetamine and ADHD classification at 1st follow-upat 1st follow-up visit, 6 months after baseline
ADHD classification change from baseline to titration and from baseline to 2nd follow-up after 1 year under dexamfetaminebaseline until 2nd follow-up visit after 1 year of examination

Assessment by ADHD Rating Scale IV

Subscales hyperactivity/impulsivitybaseline until 2nd follow-up visit after 1 year of examination

Assessment by ADHD Rating Scale IV

Subscales inattentionbaseline until 2nd follow-up visit after 1 year of examination

Assessment by ADHD Rating Scale IV

Response rate, relative reduction in ADHD classification from baseline to 1st follow-up of 30% or morebaseline until1st follow-up visit after 6 months
Overall impairment of the patient's everyday life and disability due to ADHD concerning home lifebaseline until 2nd follow-up visit after 1 year of examination

Assessment for home life

Overall impairment of the patient's everyday life and disability due to ADHD concerning friendshipsbaseline until 2nd follow-up visit after 1 year of examination

Assessment for friendships

Overall impairment of the patient's everyday life and disability due to ADHD concerning classroom learningbaseline until 2nd follow-up visit after 1 year of examination

Assessment for classroom learning

Overall impairment of the patient's everyday life and disability due to ADHD concerning leisure activitiesbaseline until 2nd follow-up visit after 1 year of examination

Assessment for leisure activities

Compliance of last MPH intakebaseline

estimated in per cent

Compliance of last ADHD medication intake (other than MPH)baseline

estimated in per cent

Compliance of dexamfetamine intaketitration until 2nd follow-up visit after 1 year of examination

estimated in per cent

Adverse Drug Reactions under ADHD medication, assessment of blood pressure in mmHgbaseline until 2nd follow-up visit after 1 year of examination

Assessment of vital parameter: blood pressure in mmHg

Adverse Drug Reactions under ADHD medication, assessment of pulse in beats/minbaseline until 2nd follow-up visit after 1 year of examination

Assessment of vital parameter: pulse in beats/min

Adverse Drug Reactions under ADHD medication, assessment of weight in kgbaseline until 2nd follow-up visit after 1 year of examination

Assessment of vital parameter: weight in kg

Adverse Drug Reactions under ADHD medication, assessment of height in cmbaseline until 2nd follow-up visit after 1 year of examination

Assessment of vital parameter: height in cm

Trial Locations

Locations (1)

Child and Adolescent Psychiatry, University of Medicine

🇩🇪

Mainz, Germany

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