Attention Deficit Hyperactivity DisorderAttentionNCT02801604
Attentin® in Children and Adolescents With ADHD - A Non-interventional Study
An observational study of Attention Deficit Hyperactivity Disorder, run by Medice Arzneimittel Pütter GmbH & Co KG at 1 site in Germany.
Trial summary
The practicality of most ADHD medications is not or only moderately examined under long term routine conditions. Therefore, in this multi-centre, multi-national prospective non-interventional study, a recommended follow-up time of 12 months will investigate the course of the therapy in children and adolescents with… Read more about this study
- Who is it for?
- Ages 6 years to 215 months
- Conditions the study is for
- Attention Deficit Hyperactivity Disorder
- How many people
- 150 participants
- Where
- 1 siteGermany
- Study dates
- Jun 2016to Dec 2019
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 years to 215 months
- All sexes
- No healthy volunteers
- Child
Study population: Children and adolescents (Age ≥ 6 to 17.11 years) with ADHD, who were treated with methylphenidate (MPH) in the past and, when response to previous MPH treatment is considered clinically inadequate, will be treated with dexamfetamine in this non-interventional study. ADHD was classified according to a classification system of the DSM or ICD and the patient should have no contraindication against dexamfetamine.
Who may be able to join
- Age ≥ 6 to 17.11 years
- Current MPH therapy insufficient
- ADHD was classified according to a validated classification system (e.g. DSM or ICD-10)
- No contraindication against dexamfetamine
Who cannot join
- Contraindication against dexamfetamine
Trial locations and contacts
1 site in 1 country.
About this study
The practicality of most ADHD medications is not or only moderately examined under long term routine conditions. Therefore, in this multi-centre, multi-national prospective non-interventional study, a recommended follow-up time of 12 months will investigate the course of the therapy in children and adolescents with ADHD with prior MPH treatment and their medication change to dexamfetamine in several European countries under daily routine.
It consists of a baseline visit under MPH or another ADHD drug therapy, a change to dexamfetamine, the prospective description of the titration phase and a 12 month maintenance phase. Data on the use of dexamfetamine in routine clinical practice will be collected to describe how dexamfetamine is prescribed, titrated and used in the population of ADHD patients and how these factors influence the general intensity of ADHD and safety events. This study will collect real world data of dexamfetamine and compare descriptively the general intensity of ADHD according to ADHD classification and the impairment due to ADHD under therapy with dexamfetamine to the general intensity of ADHD according to ADHD classification and the impairment due to ADHD under the prior therapy with MPH. Furthermore the utilization of dexamfetamine will be assessed with regards to treatment persistence, compliance, proportion of patients discontinuing treatment and reason for discontinuation. Due to the fact that patients will be treated according to local medical practice it is possible that medication will be changed during the observation period.
- Conditions
- Attention Deficit Hyperactivity Disorder
- Medical subject headings
- Attention Deficit Disorder with Hyperactivity
What is being measured
The primary outcome is the main question the study is designed to answer.
ADHD classification
change from baseline under MPH therapy to the 1st follow-up visit after 6 months under dexamfetamine, assessment by ADHD Rating Scale IV
Measured: baseline until 1st follow-up visit after 6 months
Secondary outcomes (20)
ADHD classification subgroup: Age
change from baseline to 1st follow-up in subgroup of age in years
Measured: baseline until 1st follow-up visit after 6 months
ADHD classification subgroup: Dose under MPH therapy
change from baseline to 1st follow-up in subgroup of MPH dose in mg
Measured: baseline until 1st follow-up visit after 6 months
ADHD classification subgroup: Dose under dexamfetamine therapy
change from baseline to 1st follow-up in subgroup of dexamfetamine dose in mg
Measured: baseline until 1st follow-up visit after 6 months
ADHD classification subgroup: Baseline ADHD classification
change from baseline to 1st follow-up in subgroup baseline ADHD classification, assessment by ADHD Rating Scale IV
Measured: baseline until 1st follow-up visit after 6 months
Dose-response relationship between dose under dexamfetamine and ADHD classification at 1st follow-up
Measured: at 1st follow-up visit, 6 months after baseline
ADHD classification change from baseline to titration and from baseline to 2nd follow-up after 1 year under dexamfetamine
Assessment by ADHD Rating Scale IV
Measured: baseline until 2nd follow-up visit after 1 year of examination
Subscales hyperactivity/impulsivity
Assessment by ADHD Rating Scale IV
Measured: baseline until 2nd follow-up visit after 1 year of examination
Subscales inattention
Assessment by ADHD Rating Scale IV
Measured: baseline until 2nd follow-up visit after 1 year of examination
Response rate, relative reduction in ADHD classification from baseline to 1st follow-up of 30% or more
Measured: baseline until1st follow-up visit after 6 months
Overall impairment of the patient's everyday life and disability due to ADHD concerning home life
Assessment for home life
Measured: baseline until 2nd follow-up visit after 1 year of examination
Overall impairment of the patient's everyday life and disability due to ADHD concerning friendships
Assessment for friendships
Measured: baseline until 2nd follow-up visit after 1 year of examination
Overall impairment of the patient's everyday life and disability due to ADHD concerning classroom learning
Assessment for classroom learning
Measured: baseline until 2nd follow-up visit after 1 year of examination
Overall impairment of the patient's everyday life and disability due to ADHD concerning leisure activities
Assessment for leisure activities
Measured: baseline until 2nd follow-up visit after 1 year of examination
Compliance of last MPH intake
estimated in per cent
Measured: baseline
Compliance of last ADHD medication intake (other than MPH)
estimated in per cent
Measured: baseline
Compliance of dexamfetamine intake
estimated in per cent
Measured: titration until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of blood pressure in mmHg
Assessment of vital parameter: blood pressure in mmHg
Measured: baseline until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of pulse in beats/min
Assessment of vital parameter: pulse in beats/min
Measured: baseline until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of weight in kg
Assessment of vital parameter: weight in kg
Measured: baseline until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of height in cm
Assessment of vital parameter: height in cm
Measured: baseline until 2nd follow-up visit after 1 year of examination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jun 2016 (estimated)
- Study startJun 2016
- Primary completionNov 2019
- Study completionDec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Attention Deficit Hyperactivity DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 150 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medice Arzneimittel Pütter GmbH & Co KG
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- University Hospital, Essen
- Responsible party
- Sponsor
- Investigators
- Michael Huss, Prof. Dr., Principal investigator, Child and Adolescent Psychiatry, University of Medicine, Mainz, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02801604
- Sponsor's protocol ID
- Attention
- Acronym
- Attention
- Status last verified
- Mar 2019
- First submitted
- 2 Jun 2016
- Last updated
- 2 Sep 2020
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Attentin® in Children and Adolescents With ADHD - A Non-interventional Study
- ClinicalTrials.gov ID
- NCT02801604
- Acronym / sponsor ID
- Attention / Attention
- Conditions
- Attention Deficit Hyperactivity Disorder
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 150 participants (actual)
- Lead sponsor
- Medice Arzneimittel Pütter GmbH & Co KGIndustry (pharma, biotech, devices)
- Collaborators
- University Hospital, Essen
- Study start
- Jun 2016
- Primary completion
- Nov 2019 (actual)
- Study completion
- Dec 2019 (actual)
- First posted
- 16 Jun 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The practicality of most ADHD medications is not or only moderately examined under long term routine conditions. Therefore, in this multi-centre, multi-national prospective non-interventional study, a recommended follow-up time of 12 months will investigate the course of the therapy in children and adolescents with ADHD with prior MPH treatment and their medication change to dexamfetamine in several European countries under daily routine.
It consists of a baseline visit under MPH or another ADHD drug therapy, a change to dexamfetamine, the prospective description of the titration phase and a 12 month maintenance phase. Data on the use of dexamfetamine in routine clinical practice will be collected to describe how dexamfetamine is prescribed, titrated and used in the population of ADHD patients and how these factors influence the general intensity of ADHD and safety events. This study will collect real world data of dexamfetamine and compare descriptively the general intensity of ADHD according to ADHD classification and the impairment due to ADHD under therapy with dexamfetamine to the general intensity of ADHD according to ADHD classification and the impairment due to ADHD under the prior therapy with MPH. Furthermore the utilization of dexamfetamine will be assessed with regards to treatment persistence, compliance, proportion of patients discontinuing treatment and reason for discontinuation. Due to the fact that patients will be treated according to local medical practice it is possible that medication will be changed during the observation period.
Study design
- Observational model
- Other
- Time perspective
- Prospective
Who may qualify
- Ages
- 6 years to 215 months
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
- Study population
- Children and adolescents (Age ≥ 6 to 17.11 years) with ADHD, who were treated with methylphenidate (MPH) in the past and, when response to previous MPH treatment is considered clinically inadequate, will be treated with dexamfetamine in this non-interventional study. ADHD was classified according to a classification system of the DSM or ICD and the patient should have no contraindication against dexamfetamine.
Key inclusion criteria (4 listed)
- Age ≥ 6 to 17.11 years
- Current MPH therapy insufficient
- ADHD was classified according to a validated classification system (e.g. DSM or ICD-10)
- No contraindication against dexamfetamine
Key exclusion criteria (1 listed)
- Contraindication against dexamfetamine
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
ADHD classification
Time frame: baseline until 1st follow-up visit after 6 months
change from baseline under MPH therapy to the 1st follow-up visit after 6 months under dexamfetamine, assessment by ADHD Rating Scale IV
20 secondary outcomes
ADHD classification subgroup: Age
Time frame: baseline until 1st follow-up visit after 6 months
ADHD classification subgroup: Dose under MPH therapy
Time frame: baseline until 1st follow-up visit after 6 months
ADHD classification subgroup: Dose under dexamfetamine therapy
Time frame: baseline until 1st follow-up visit after 6 months
ADHD classification subgroup: Baseline ADHD classification
Time frame: baseline until 1st follow-up visit after 6 months
Dose-response relationship between dose under dexamfetamine and ADHD classification at 1st follow-up
Time frame: at 1st follow-up visit, 6 months after baseline
ADHD classification change from baseline to titration and from baseline to 2nd follow-up after 1 year under dexamfetamine
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Subscales hyperactivity/impulsivity
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Subscales inattention
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Response rate, relative reduction in ADHD classification from baseline to 1st follow-up of 30% or more
Time frame: baseline until1st follow-up visit after 6 months
Overall impairment of the patient's everyday life and disability due to ADHD concerning home life
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Overall impairment of the patient's everyday life and disability due to ADHD concerning friendships
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Overall impairment of the patient's everyday life and disability due to ADHD concerning classroom learning
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Overall impairment of the patient's everyday life and disability due to ADHD concerning leisure activities
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Compliance of last MPH intake
Time frame: baseline
Compliance of last ADHD medication intake (other than MPH)
Time frame: baseline
Compliance of dexamfetamine intake
Time frame: titration until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of blood pressure in mmHg
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of pulse in beats/min
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of weight in kg
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Adverse Drug Reactions under ADHD medication, assessment of height in cm
Time frame: baseline until 2nd follow-up visit after 1 year of examination
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2020.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michael Huss, Prof. Dr. principal investigator
Child and Adolescent Psychiatry, University of Medicine, Mainz, Germany
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Attention Deficit Hyperactivity Disorder, run by Medice Arzneimittel Pütter GmbH & Co KG at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
ADHD classification (time frame: baseline until 1st follow-up visit after 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2020.