Cost-Effectiveness Study Of The Treatment Of Attention Deficit/Hyperactivity Disorder In Brazil

This study is currently recruiting participants.
Verified August 2011 by Hospital de Clinicas de Porto Alegre
Sponsor:
Collaborator:
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Information provided by:
Hospital de Clinicas de Porto Alegre
ClinicalTrials.gov Identifier:
NCT01228604
First received: October 22, 2010
Last updated: August 3, 2011
Last verified: August 2011
  Purpose

This study is an open-label, 6 month trial, of immediate release methylphenidate (MPH-IR) for children with ADHD aimed at assessing whether the observable behavioral changes seen during treatment are associated with potentially more stable underlying modifications in brain functioning and/or neuropsychological processes. Children with ADHD will be further classified according to reading skills, and treatment effects on reading ability will also be evaluated. Additionally, this will be the first Brazilian study to assess the cost-effectiveness of the treatment of ADHD


Condition Intervention Phase
Attention-deficit/Hyperactivity Disorder
Drug: methylphenidate (Ritalin®)
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: COST-EFFECTIVENESS STUDY OF THE TREATMENT OF ATTENTION DEFICIT/HYPERACTIVITY DISORDER IN BRAZIL

Resource links provided by NLM:


Further study details as provided by Hospital de Clinicas de Porto Alegre:

Primary Outcome Measures:
  • Assessment of the cost-effectiveness of the main pharmacological strategy used for treatment of ADHD in Brazil [ Time Frame: The final outcome will be after 12 months of follow-up of the subject ] [ Designated as safety issue: No ]
    After 12 months of treatment, participants will be recontacted for the final assessment related to the cost-effectiveness measures of the treatment.


Estimated Enrollment: 50
Study Start Date: December 2010
Estimated Study Completion Date: December 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: methylphenidate (Ritalin®)
    The scheme provides for initial dose of 0.3 mg / kg / day, with an average dose of 1mg/kg/day. The increases will be made considering the presentation of the drug (10mg), which allows increments of 5mg or 10mg, which will be made in clinical review, as the clinical symptoms, including increasing the dose until there is more room for improvement or there is presence of significant adverse effects, all the patients with indication of treatment will be assessed before the use of medication, 15 days, 30 days, 3 and 6 months after the start,
  Eligibility

Ages Eligible for Study:   8 Years to 10 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

The study will include 50 boys aged 8 to 10 years old, regularly enrolled in local schools and directed to the research through advertisement in the media, contact with schools or directly referred to the Attention Deficit/Hyperactivity Program (ProDAH/HCPA) by primary care services for assessment and treatment. Only children with a primary diagnosis of ADHD or with the comorbidity ADHD + dyslexia will be included. Only drug-naïve subjects will be apt to participate in the study

Exclusion Criteria:

Children who fit into one or more of the following conditions will not be considered eligible to take part in the study: (1) they are outside the age range specified; (2) they are not regularly enrolled and attending school; (3) they have a history of prior or current treatment with psychoactive drugs; (4) they are mentally retarded (Overall IQ<80); (5) they have a main diagnosis differing from ADHD, including children with other psychiatric or neurological diagnoses

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01228604

Contacts
Contact: Luis Rohde, Doctor 55-5133598094 larohde@hcpa.ufrgs.br

Locations
Brazil
Hospital de Clinicas de Porto Alegre Recruiting
Porto Alegre, Rio Grande do Sul, Brazil, 90035903
Contact: Luis Rohde, MD, PhD     =55-5133598094     larohde@hcpa.ufrgs.br    
Sponsors and Collaborators
Hospital de Clinicas de Porto Alegre
Conselho Nacional de Desenvolvimento Científico e Tecnológico
  More Information

Additional Information:
No publications provided

Responsible Party: Luiz Augusto Paim Rohde, Hospital de Clínicas de Porto Alegre
ClinicalTrials.gov Identifier: NCT01228604     History of Changes
Other Study ID Numbers: 100021
Study First Received: October 22, 2010
Last Updated: August 3, 2011
Health Authority: Brazil: National Committee of Ethics in Research
Brazil: National Health Surveillance Agency
Brazil: Ministry of Health

Keywords provided by Hospital de Clinicas de Porto Alegre:
open label
Ritalin®
ADHD

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
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 16, 2013