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Preschool Supplement to Clonidine in ADHD (Kiddie-CAT) (kiddie-CAT)
This study has been completed.
Sponsored by: National Institute of Neurological Disorders and Stroke (NINDS)
Information provided by: National Institute of Neurological Disorders and Stroke (NINDS)
ClinicalTrials.gov Identifier: NCT00414921
  Purpose

The purpose of this study is to evaluate the safety and efficacy of two medications——clonidine and methylphenidate——alone or in combination to treat attention deficit hyperactivity disorder in children ages 4 through 6.


Condition Intervention Phase
Attention Deficit Hyperactivity Disorder
Drug: clonidine
Drug: methylphenidate
Other: placebo
Phase II

MedlinePlus related topics: Attention Deficit Hyperactivity Disorder Dietary Supplements
Drug Information available for: Methylphenidate hydrochloride Methylphenidate Clonidine Clonidine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Preschool Supplement to Clonidine in ADHD (Kiddie-CAT)

Further study details as provided by National Institute of Neurological Disorders and Stroke (NINDS):

Primary Outcome Measures:
  • change in score on the Conners Abbreviated Symptom Questionnaire for Teachers (ASQ-T) [ Time Frame: at 16 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • the ASQ-Parent (ASQ-P) and Child Global Assessment Scales (C-GAS). Adverse events were monitored using AE logs, the Pittsburgh Side Effects Rating Scale, vital signs and electrocardiograms. [ Time Frame: at 16 weeks ] [ Designated as safety issue: No ]

Enrollment: 30
Study Start Date: September 2003
Study Completion Date: June 2007
Arms Assigned Interventions
1: Active Comparator
clonidine
Drug: clonidine
Clonidine is FDA-approved for the treatment of hypertension in adults
2: Active Comparator
methylphenidate
Drug: methylphenidate
Methylphenidate is known to safely and effectively treat many ADHD symptoms.
3: Active Comparator
methylphenidate and clonidine
Drug: clonidine
Clonidine is FDA-approved for the treatment of hypertension in adults
Drug: methylphenidate
Methylphenidate is known to safely and effectively treat many ADHD symptoms.
4: Placebo Comparator Other: placebo
inactive substance

Detailed Description:

Attention deficit hyperactivity disorder (ADHD) is a disease characterized by one or more symptoms of hyperactivity, impulsivity, or inattention that interfere with school, home, work, or social settings. ADHD does not have clear physical signs that can be seen in an x-ray or a lab test. The disorder only can be identified by looking for certain behaviors, which vary from person to person.

This trial will compare the benefits and side effects of two medications——clonidine and methylphenidate (MPH)——used alone or in combination to treat ADHD in children. MPH is approved by the Food and Drug Administration (FDA) for the treatment of ADHD symptoms in children, and clonidine is FDA-approved for the treatment of hypertension in adults. Stimulant medications such as MPH are known to safely and effectively treat many ADHD symptoms. Such medicines, however, do not cure the condition or improve all ADHD symptoms, and the long-term effectiveness of these medications is not well-known.

In this study, participants will be randomly selected to receive one of four treatments: 1) clonidine; 2) MPH; 3) clonidine and MPH; or 4) a placebo (an inactive substance). Participation in the study is about 16 weeks, and includes a baseline screening and 5 evaluation visits to assess attention, hyperactivity, overall improvement and general functioning, medication side effects, blood pressure, pulse, and weight.

  Eligibility

Ages Eligible for Study:   4 Years to 6 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Child with ADHD
  • Child ages 4 through 6
  • Child attending a structured preschool or daycare

Exclusion Criteria:

  • Presence of a tic disorder of any kind or a known active heart disease for which it would be unsafe to use the study drugs
  • Presence of pervasive developmental disorder, autism, mental retardation, or serious psychiatric illness
  • Child not attending a structured preschool or daycare
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00414921

Locations
United States, New York
University of Rochester Medical Center, Department of Neurology, 919 Westfall Road, Building C
Rochester, New York, United States, 14618
United States, Ohio
University of Cincinnati, Department of Psychiatry, 231 Albert Sabin Way, M: 0559
Cincinnati, Ohio, United States, 45267-0559
United States, Pennsylvania
Western Psychiatric Institute and Clinic, ADD Program, 3811 Ohara Street
Pittsburgh, Pennsylvania, United States, 15213
Sponsors and Collaborators
Investigators
Principal Investigator: Floyd Randy Sallee, MD/PhD University of Cincinnati
Principal Investigator: Oscar Bukstein, MD Western Psychiatric Institute and Clinic
Principal Investigator: Donna Palumbo, PhD University of Rochester
Principal Investigator: William Pelham, PhD SUNY Buffalo
  More Information

Responsible Party: University of Cincinnati School of Medicine ( Floyd R. Sallee, M.D., Ph.D., Professor )
Study ID Numbers: R01NS39087_kiddie-CAT
Study First Received: December 21, 2006
Last Updated: December 6, 2007
ClinicalTrials.gov Identifier: NCT00414921  
Health Authority: United States: Federal Government;   United States: University of Cincinnati IRB

Keywords provided by National Institute of Neurological Disorders and Stroke (NINDS):
Attention deficit hyperactivity disorder
ADHD
clonidine
methylphenidate
MPH

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

Additional relevant MeSH terms:
Dopamine Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Sympatholytics
Neurotransmitter Agents
Adrenergic alpha-Agonists
Adrenergic Agents
Molecular Mechanisms of Pharmacological Action
Nervous System Diseases
Physiological Effects of Drugs
Central Nervous System Stimulants
Cardiovascular Agents
Antihypertensive Agents
Adrenergic Agonists
Pharmacologic Actions
Autonomic Agents
Sensory System Agents
Therapeutic Uses
Dopamine Agents
Analgesics
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 16, 2009