Atomoxetine for Treating Attention Deficit Hyperactivity Disorder in Young Children
Recruitment status was Active, not recruiting
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Purpose
This study will evaluate the effectiveness of atomoxetine in reducing the symptoms of attention deficit hyperactivity disorder (ADHD) in young children.
| Condition | Intervention | Phase |
|---|---|---|
|
Attention Deficit Disorder With Hyperactivity |
Drug: Atomoxetine Drug: Placebo Behavioral: Parent Training |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Pharmacological Treatment of ADHD in Young Children |
- ADHD-IV Rating Scale total score [ Time Frame: Measured at Week 8 ] [ Designated as safety issue: No ]
- Conners Parent Rating Scale & Conners Teacher Rating Scale [ Time Frame: Measured at Week 8 ] [ Designated as safety issue: No ]
- ADHD-IV Teacher [ Time Frame: Measured at Week 8 ] [ Designated as safety issue: No ]
- CGI-I and CGI-S and CGAS [ Time Frame: Measured at Week 8 ] [ Designated as safety issue: No ]
- Emotional Expression Scale for Children [ Time Frame: Measured at Week 8 ] [ Designated as safety issue: No ]
- Parent Stress Index [ Time Frame: Measured at Week 8 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 96 |
| Study Start Date: | October 2005 |
| Estimated Study Completion Date: | February 2009 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: Atomoxetine
Participants will receive atomoxetine for 8 weeks.
Other Name: Strattera
Behavioral: Parent Training
All children will receive parent training for the duration of the study.
|
| Placebo Comparator: 2 |
Drug: Placebo
Participants will receive placebo for 8 weeks.
Behavioral: Parent Training
All children will receive parent training for the duration of the study.
|
Detailed Description:
Attention deficit hyperactivity disorder (ADHD) is one of the most common mental disorders in children. Children with ADHD often have impaired functioning in home and school and usually experience difficulty relating to peers. If left untreated, the disorder can have long-term adverse effects into adolescence and adulthood. Atomoxetine is a selective noradrenergic reuptake inhibitor that is FDA-approved for the treatment of ADHD in children, adolescents, and adults. Unlike most other medications for ADHD, atomoxetine is not a stimulant. Studies have shown that atomoxetine is effective in treating ADHD, but more information is needed on its effectiveness in young children. This study will evaluate the effectiveness of atomoxetine in reducing the symptoms of ADHD in young children.
Participants in this double-blind study will be randomly assigned to receive either atomoxetine or placebo for 8 weeks. In addition, all children will receive parent training for the duration of the study. For the first 5 weeks, participants will report to the study site weekly for assessments of ADHD symptoms. Study visits will occur every other week for the remainder of the study.
Eligibility| Ages Eligible for Study: | 5 Years to 6 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Parent and child must be English speaking
- Child has been living with parent/guardian for at least six months
- Meets criteria for ADHD on the DISC, on clinical interview, and on clinical consensus conference
- ADHD is primary disorder with symptoms present for at least 9 months
- ADHD-IV-RS score that is at least 1.5 standard deviations above age and sex norms
- Score of 55 or below on the Children's Global Assessment Scale
- Score of 4 or greater on the Clinical Global Impression Scale
- Estimated IQ of 70 or greater
- Currently participating in school at least 2 half-days per week
- Able to identify a teacher who can make valid assessments
- Patient and parent are able to attend regular study visits
Exclusion Criteria:
- Currently taking other psychotropic medications or other medications with effects on the central nervous system
- Currently being treated effectively with atomoxetine
- Major medical conditions that might interfere with study medications
- History of or current clinically significant kidney illness
- Evidence of adjustment disorder, autism, psychosis, bipolar disorder, suicide ideations, or any other psychiatric disorder requiring treatment with additional psychotropic medication
- History of physical, sexual, or emotional abuse impacting clinical presentation
- Prior failure to respond to an adequate trial of atomoxetine
Contacts and Locations| United States, Nebraska | |
| University of Nebraska Medical Center | |
| Omaha, Nebraska, United States, 68198 | |
| United States, New York | |
| New York State Psychiatric Institute | |
| New York, New York, United States, 10032 | |
| United States, North Carolina | |
| Duke University Medical Center | |
| Durham, North Carolina, United States, 27705 | |
| Principal Investigator: | Christopher J. Kratochvil, MD | University of Nebraska |
More Information
No publications provided
| Responsible Party: | Christopher J. Kratochvil, MD, University of Nebraska Medical Center |
| ClinicalTrials.gov Identifier: | NCT00254462 History of Changes |
| Other Study ID Numbers: | K23 MH66127, DDTR BK-TKND |
| Study First Received: | November 14, 2005 |
| Last Updated: | August 28, 2008 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Institute of Mental Health (NIMH):
|
ADHD Atomoxetine |
Additional relevant MeSH terms:
|
Attention Deficit Disorder with Hyperactivity Hyperkinesis Attention Deficit and Disruptive Behavior Disorders Mental Disorders Diagnosed in Childhood Mental Disorders Dyskinesias Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
Atomoxetine Adrenergic Uptake Inhibitors Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Neurotransmitter Uptake Inhibitors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 16, 2013