Preschool Supplement to Clonidine in ADHD (Kiddie-CAT)

Phase 2

Completed

• Conditions: Attention Deficit Hyperactivity Disorder
• Interventions: Other: placebo; Drug: clonidine; Drug: methylphenidate

• Registration Number: NCT00414921
• Lead Sponsor: University of Cincinnati

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of two medications--clonidine and methylphenidate--alone or in combination to treat attention deficit hyperactivity disorder in children ages 4 through 6.

Detailed Description

Attention deficit hyperactivity disorder (ADHD) is a disease characterized by one or more symptoms of hyperactivity, impulsivity, or inattention that interfere with school, home, work, or social settings. ADHD does not have clear physical signs that can be seen in an x-ray or a lab test. The disorder only can be identified by looking for certain behaviors, which vary from person to person.

This trial will compare the benefits and side effects of two medications--clonidine and methylphenidate (MPH)--used alone or in combination to treat ADHD in children. MPH is approved by the Food and Drug Administration (FDA) for the treatment of ADHD symptoms in children, and clonidine is FDA-approved for the treatment of hypertension in adults. Stimulant medications such as MPH are known to safely and effectively treat many ADHD symptoms. Such medicines, however, do not cure the condition or improve all ADHD symptoms, and the long-term effectiveness of these medications is not well-known.

In this study, participants will be randomly selected to receive one of four treatments: 1) clonidine; 2) MPH; 3) clonidine and MPH; or 4) a placebo (an inactive substance). Participation in the study is about 16 weeks, and includes a baseline screening and 5 evaluation visits to assess attention, hyperactivity, overall improvement and general functioning, medication side effects, blood pressure, pulse, and weight.

Study Timeline

• Study Start: 2003-09
• Study First Submitted: 2006-12-21
• Study First Submitted QC: 2006-12-21
• Study First Posted: 2006-12-22
• Study Completion: 2007-06
• Status Verified: 2007-12
• Last Update Submitted: 2009-05-20
• Last Update Posted: 2009-05-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Child with ADHD
• Child ages 4 through 6
• Child attending a structured preschool or daycare

Exclusion Criteria

• Presence of a tic disorder of any kind or a known active heart disease for which it would be unsafe to use the study drugs
• Presence of pervasive developmental disorder, autism, mental retardation, or serious psychiatric illness
• Child not attending a structured preschool or daycare

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
4	placebo	-
1	clonidine	clonidine
2	methylphenidate	methylphenidate
3	clonidine	methylphenidate and clonidine
3	methylphenidate	methylphenidate and clonidine

Primary Outcome Measures

Name	Time	Method
change in score on the Conners Abbreviated Symptom Questionnaire for Teachers (ASQ-T)	at 16 weeks

Secondary Outcome Measures

Name	Time	Method
the ASQ-Parent (ASQ-P) and Child Global Assessment Scales (C-GAS). Adverse events were monitored using AE logs, the Pittsburgh Side Effects Rating Scale, vital signs and electrocardiograms.	at 16 weeks

Trial Locations

Locations (3)

Western Psychiatric Institute and Clinic, ADD Program, 3811 Ohara Street; 🇺🇸 Pittsburgh, Pennsylvania, United States

University of Rochester Medical Center, Department of Neurology, 919 Westfall Road, Building C; 🇺🇸 Rochester, New York, United States

University of Cincinnati, Department of Psychiatry, 231 Albert Sabin Way, M: 0559; 🇺🇸 Cincinnati, Ohio, United States