Methylphenidate in ADHD With Trichotillomania
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Purpose
This study will evaluate the safety and effectiveness of methylphenidate in treating attention deficit hyperactivity disorder (ADHD) in children with both ADHD and trichotillomania.
Trichotillomania is an impulse control disorder. There is growing evidences of the involvement of dopaminergic neurotransmission in the pathophysiology of trichotillomania. Reported increase in the prevalence of ADHD among patients with impulse control disorders, such as pathological gambling as well as trichotillomania, may result from the overlapping pathophisiological background. It is hypothesized that in cases of ADHD comorbid with trichotillomania methtylphenidate treatment will exhibit beneficial effects in both the ADHD and the hair pulling.
| Condition | Intervention | Phase |
|---|---|---|
|
ADHD Trichotillomania |
Drug: Methylphenidate |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Methylphenidate Treatment of Children and Adolescents Diagnosed With ADHD and Its Influence on Comorbid Trichotillomania |
- Clinicial administered Massachusetts General Hospital Hair Pulling Scale for trichotillomania [ Time Frame: First 6 weeks of treatment ]
- Clinicial administered ADHD Rating Scale Clinical Global Impressions (CGI) scale for ADHD severity Weekly spontaneous self report of side effects [ Time Frame: Within the first 6 weeks of treatment ]
| Estimated Enrollment: | 30 |
| Study Start Date: | October 2007 |
| Estimated Study Completion Date: | October 2009 |
-
Drug: Methylphenidate
Thirty children and adolescents aged 6-18 years, diagnosed with ADHD and trichotillomania, will receive MPH monotherapy treatment for a period of 12 weeks, targeting both ADHD and trichotillomania symptoms as rated by the ADHD- rating scale (ADHD-RS) and by the Massachusetts General Hospital Hair Pulling Scale and Clinical Global Impression-Severity (CGI) scale. The rating scales will be assessed at baseline and at the endpoint (after 12 weeks).The side effects will be monitored via weekly spontaneous self reports by each participant. All results will be expressed as mean ±SD. Student's paired t-test and ANOVA test will be used as appropriate.
Eligibility| Ages Eligible for Study: | 6 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- DSM-IV Diagnosis of trichotillomania
- DSM-IV diagnosis of ADHD
- Has not taken stimulants or alpha-adrenergic medications for more than 2 weeks prior to entering the study.
Exclusion Criteria:
- History of moderate or severe adverse event, related to MPH
- History of any psychotic disorder
- Current drug abuse, acute psychotic or affective disorder
Contacts and Locations| Contact: Pavel Golubchik, M.D. | +972-3-925-8270 | pgolubchik@clalit.org.il |
| Israel | |
| Geha Mental Health Center | Recruiting |
| Petah Tikva, Israel, 49100 | |
| Principal Investigator: | Pavel Golubchik, M.D. | Geha Mental Health Center |
More Information
No publications provided by Geha Mental Health Center
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00552266 History of Changes |
| Other Study ID Numbers: | Pavel1, GMHC2 |
| Study First Received: | October 31, 2007 |
| Last Updated: | October 31, 2007 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Geha Mental Health Center:
|
Methylphenidate Trichotillomania Attention deficit |
Additional relevant MeSH terms:
|
Trichotillomania Attention Deficit Disorder with Hyperactivity Impulse Control Disorders Mental Disorders Attention Deficit and Disruptive Behavior Disorders Mental Disorders Diagnosed in Childhood Methylphenidate Dopamine Uptake Inhibitors Dopamine Agents |
Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Neurotransmitter Uptake Inhibitors Physiological Effects of Drugs Central Nervous System Stimulants Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013