Transcranial Magnetic Stimulation in Children With Attention Deficit Hyperactivity Disorder (ADHD). A Safety Study
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Purpose
Low frequency repetitive Transcranial Magnetic Stimulation(rTMS) is a safe and tolerable procedure in children with Attention Deficit Hyperactivity Disorder(ADHD); it also could be a complement to the treatment of patients with poor symptomatic control to conventional treatment.
| Condition | Intervention | Phase |
|---|---|---|
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Attention Deficit Hyperactivity Disorder |
Device: Transcranial Magnetic Stimulation |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Therapy With rTMS in Children With Attention Deficit and Hyperactivity Disorder. Phase 1 Study. |
- Incidence of adverse events [ Time Frame: week 1,during treatment ] [ Designated as safety issue: Yes ]
- EEG changes in epileptiform or basal activity after treatment compared with the baseline [ Time Frame: last day of treatment ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 20 |
| Study Start Date: | April 2009 |
| Estimated Study Completion Date: | April 2010 |
| Estimated Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Transcranial magnetic stimulation
There are evidences that rTMS has a modulating effect in cortical and subcortical neural networks, reinforcing or depressing synaptic activity by mean of long term potentiation or depression like mechanism. Depression is the most study neuropsychiatric condition in which rTMS is useful as a therapeutic option; but in other diseases such as ADHD there are many pathophysiological elements that make it very likely that rTMS could be useful for symptomatic treatment modulating activity in prefrontal and basal ganglia neuronal networks.
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Device: Transcranial Magnetic Stimulation
rTMS will be administered in one daily session during 5 consecutive days of 1 Hz, 90% of motor threshold for a total of 1500 stimuli. The stimulation will be focal over left dorsolateral-prefrontal cortex(F3, from the international 10-20 system)
Other Name: Repetitive Transcranial Magnetic Stimulation(rTMS)
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Detailed Description:
Attention Deficit Hyperactivity Disorder is a common disorder in the infancy; the majority of ADHD have good clinical response to amphetamines alone or in association with antiepileptic drugs. It is described that some patients(10-30%) with ADHD do not respond to conventional pharmacological and psycho- pedagogical treatment; in those patients non invasive brain stimulation methods could be a supplementary option for symptomatic control. There are not many published papers describing the effects of rTMS in persons younger than 18 years; so the first step to extent its use in pediatric population should be to obtain evidences about its tolerance and safety.
Eligibility| Ages Eligible for Study: | 7 Years to 12 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Ages eligible for Study: 7years to 12 years
- Genders Eligible for Study: Both
Exclusion Criteria:
- History of convulsions
- Co-morbidity with other psychiatric or neurologic disease
Contacts and Locations| Contact: Lázaro Gómez, MD | 53 7 2715353 ext 50 | lazarog@neuro.ciren.cu |
| Cuba | |
| International Center for Neurological Restoration | Recruiting |
| Havana, Cuba, 11300 | |
| Contact: Lázaro Gómez, MD 53 7 2715353 ext 50 lazarog@neuro.ciren.cu | |
| Principal Investigator: Lázaro Gómez, MD | |
| Principal Investigator: | Lázaro Gómez, MD | International Center of Neurological Restoration |
More Information
No publications provided
| Responsible Party: | Lázaro Gómez Fernández, MD, International Center for Neurological Restoration |
| ClinicalTrials.gov Identifier: | NCT01052064 History of Changes |
| Other Study ID Numbers: | rTMS-09.01-ADHD |
| Study First Received: | January 18, 2010 |
| Last Updated: | January 19, 2010 |
| Health Authority: | Cuba: Ministry of Public Health |
Keywords provided by International Center for Neurological Restoration, Cuba:
|
Children ADHD rTMS Safety |
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 |
ClinicalTrials.gov processed this record on May 16, 2013