UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035417
Receipt number R000040178
Scientific Title The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).
Date of disclosure of the study information 2018/12/31
Last modified on 2022/07/09 14:39:19

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Basic information

Public title

The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).

Acronym

The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).

Scientific Title

The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).

Scientific Title:Acronym

The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).

Region

Japan


Condition

Condition

Attention deficit / hyperactivity disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

This study aims to predict effects and side effects before administration of anti-multi-atomic atomoxetine and methylphenidate by Near-Infrared Spectroscopy (NIRS) and / or gene polymorphism.
Methylphenidate (Concerta) and atomoxetine (Strattera) are approved domestically as a treatment drug for Attention Deficit / Hyperactivity Disorder (ADHD), but in both drugs, there are 30 to 40% of ineffective cases.Particularly in atomoxetine, taking into consideration the features such as requiring 4 to 6 weeks until adequate effect appears from the start of administration, its research value is high if its effect / side effect can be predicted before use.Moreover, if it can contribute to the elucidation of the mechanism of medicine from cerebral blood flow measured by gene polymorphism and NIRS, it also has high research value.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Prefrontal cortical activity by NIRS measurement and ADHD-RS(children), CAARS(adults) at baseline and 8 weeks after drug administration.

Key secondary outcomes

Polymorphisms of CYP2D6, DAT and NET


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The 8 weeks administration of atimoxetine (start with dose of 0.5-0.8mg/kg, and increase to 1.0-1.2, 1.5-1.8mg/kg every 2 weeks. In the case with adverse effect or sufficient effect, continue the same dose. If the side effect was severe, change the drug to methylphenidate).

Interventions/Control_2

If the effect of atomoxetine is inadequate (ADHD - RS is 20 points or more and ADHD - RS improvement is less than 40%), or if it is forced to change to another drug due to side effects, we have a 2 week wash out period. And then, 8 weeks of methylphenidate administration (starting amount is 18 mg, increase to 36, 54 mg every 2 weeks, if the side effect is present or the effect is sufficient, continue with the same amount. If the side effect is severe, medication is aborted and the study ends).

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

6 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

ADHD

Key exclusion criteria

other drugs

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Atsunori
Middle name
Last name SUGIMOTO

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Community Psychiatric Medicine

Zip code

9518510

Address

757, Asahimachi-dori-ichibancho, Chuo-ku, Niigata City, Niigata Pref.

TEL

+81-25-227-2213

Email

sugimoto-pedpsy@umin.ac.jp


Public contact

Name of contact person

1st name Atsunori
Middle name
Last name SUGIMOTO

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Community Psychiatric Medicine

Zip code

9518510

Address

757, Asahimachi-dori-ichibancho, Chuo-ku, Niigata City, Niigata Pref.

TEL

+81-25-227-2213

Homepage URL


Email

sugimoto-pedpsy@umin.ac.jp


Sponsor or person

Institute

Department of Community Psychiatric Medicine, Niigata University Graduate School of Medical and Dental Sciences

Institute

Department

Personal name



Funding Source

Organization

Department of Community Psychiatric Medicine, Niigata University Graduate School of Medical and Dental Sciences

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Genetic Ethics Review Committee of Niigata University School of Medicine

Address

757, Asahimachi-dori-ichibancho, Chuo-ku, Niigata City, Niigata Pref.

Tel

+81-25-227-2625

Email

ethics@adm.niigata-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 12 Month 31 Day


Related information

URL releasing protocol

https://doi.org/10.3389/fnhum.2021.755025

Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.3389/fnhum.2021.755025

Number of participants that the trial has enrolled

31

Results

See the article.

Results date posted

2022 Year 07 Month 09 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

See the article.

Participant flow

See the article.

Adverse events

See the article.

Outcome measures

See the article.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 01 Month 05 Day

Date of IRB

2012 Year 01 Month 24 Day

Anticipated trial start date

2012 Year 01 Month 24 Day

Last follow-up date

2017 Year 01 Month 23 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 12 Month 31 Day

Last modified on

2022 Year 07 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040178


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name