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Impact of Attention Deficit/Hyperactivity Disorder and Substance Use Disorder on Motorcycle Traffic Accidents

This study is currently recruiting participants.
Verified by Federal University of Rio Grande do Sul, September 2007

Sponsors and Collaborators: Federal University of Rio Grande do Sul
Hospital de Clinicas de Porto Alegre
Honda do Brasil
Novartis
Secretaria Nacional Antidrogas
Information provided by: Federal University of Rio Grande do Sul
ClinicalTrials.gov Identifier: NCT00536419
  Purpose

The purpose of this study is to determine whether motorcycle drivers with ADHD are at a greater risk for motorcycle accidents, and whether this risk can be mitigated by treatment with methylphenidate. We will evaluate the effectiveness of Methylphenidate on driving performance, among motorcycle drivers, and investigate the correlation between improvement of ADHD symptoms (inattention and impulsivity) and driving performance.


Condition Intervention Phase
Attention Deficit Hyperactivity Disorder
Drug: Methylphenidate
Other: Placebo
Phase IV

MedlinePlus related topics:   Attention Deficit Hyperactivity Disorder   

Drug Information available for:   Methylphenidate hydrochloride    Methylphenidate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Prevention, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title:   Association Between Motorcycle Accidents, Attention Deficit/Hyperactivity Disorder and Substance Use Disorder and Motorcycle Accidents

Further study details as provided by Federal University of Rio Grande do Sul:

Primary Outcome Measures:
  • Driving Performance [ Time Frame: After 4 days of medication ]
  • ADHD symptoms (ASRS) [ Time Frame: After 4 days of medication ]

Secondary Outcome Measures:
  • Clinical Global Impression (CGI) [ Time Frame: After 4 days of medication ]
  • Adverse effects [ Time Frame: After 4 days of medication ]

Estimated Enrollment:   53
Study Start Date:   September 2007
Estimated Study Completion Date:   September 2008

Arms Assigned Interventions
2: Placebo Comparator
4 days of placebo
Other: Placebo
Placebo, daily dose, 4 days, oral administration
1: Experimental
MPH-SODAS at day 1 (0.3/mg/kg/day); day 2 (0.7/mg/kg/day);days 3 and 4 (1.0 mg/kg/day)
Drug: Methylphenidate
Methylphenidate SODAS 0.3 mg/kg/day (day 1); 0.7 mg/kg/day (day 2); 1.0 mg/kg/day (days 3 and 4)

Detailed Description:

Traffic accidents (car and motorcycle) are the second leading cause of death in 15-34 year-old males. Within this group, the prevalence of motorcycle accidents is currently increasing at a significantly higher rate than the prevalence of car accidents, and studies in the international literature suggest that motorcycle drivers comprise a distinct driver profile to car drivers. Motorcycles are, by design, more difficult to control, and lend themselves more to performing dangerous stunts. Mistakes and lapses in judgment are likely to have more severe consequences when motorcycles are involved, especially when one considers the exposed nature of the driver. This is of special concern in Brazil, where a large population of so called "motoboys" delivers almost everything upon request, from food to work documents.

It is well known that individuals with ADHD have more traffic problems, such as: a higher risk of a car accident; more violent crashes; more traffic violations and a greater chance of losing the driver's license. On a driving simulator, subjects with ADHD usually present with more errors and crashes, in comparison to normal controls. Treatment with Methylphenidate (MPH), however, has been shown to improve driving performance on the simulator (For example, subjects significantly reduce their speed when necessary as compared to a placebo group), and this in turn is a good indicator of better real-life driving performance.

At present, there are no studies on the effect of ADHD treatment with MPH specifically on motorcycle drivers. This is relevant, since the increasing prevalence of traffic accidents can attributed to increased incidence of motorcycle accidents. If the treatment proves effective, this study will contribute to a reduction in a major social and health concern.

  Eligibility
Ages Eligible for Study:   19 Years to 29 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Professional Motorcycle Driver
  • Current diagnosis of ADHD

Exclusion Criteria:

  • Mental retardation
  • ADHD treatment in the last month
  • Psychosis
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00536419

Contacts
Contact: Clarissa F Paim     55-51-21018094     cfpaim@hcpa.ufrgs.br    
Contact: Renata R Goncalves     55-51-33928433     renata-rfg@uol.com.br    

Locations
Brazil, RS
Hospital de Clinicas de Porto Alegre     Recruiting
      Porto Alegre, RS, Brazil, 90035-003
      Contact: Clarissa F Paim     55-51-21018094     cfpaim@hcpa.ufrgs.br    
      Principal Investigator: Luis Augusto P Rohde, MD            
      Sub-Investigator: Claudia M Szobot, MD            

Sponsors and Collaborators
Federal University of Rio Grande do Sul
Hospital de Clinicas de Porto Alegre
Honda do Brasil
Novartis
Secretaria Nacional Antidrogas

Investigators
Principal Investigator:     Luis Augusto P Rohde, MD     Hospital de Clinicas de Porto Alegre    
Study Director:     Claudia M Szobot, MD     Hospital de Clinicas de Porto Alegre    
  More Information


Programa de Transtornos de Déficit de Atenção/Hiperatividade  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   GPPG-06450
First Received:   September 26, 2007
Last Updated:   September 26, 2007
ClinicalTrials.gov Identifier:   NCT00536419
Health Authority:   Brazil: Agencia Nacional de Vigilancia Sanitaria

Study placed in the following topic categories:
Signs and Symptoms
Dopamine
Attention Deficit Disorder with Hyperactivity
Mental Disorders
Mental Disorders Diagnosed in Childhood
Substance-Related Disorders
Methylphenidate
Neurologic Manifestations
Attention Deficit and Disruptive Behavior Disorders
Disorders of Environmental Origin
Hyperkinesis
Dyskinesias

Additional relevant MeSH terms:
Dopamine Uptake Inhibitors
Neurotransmitter Agents
Neurotransmitter Uptake Inhibitors
Disease
Molecular Mechanisms of Pharmacological Action
Nervous System Diseases
Physiological Effects of Drugs
Central Nervous System Stimulants
Pharmacologic Actions
Pathologic Processes
Therapeutic Uses
Dopamine Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on October 24, 2008




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