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Trial registered on ANZCTR
Registration number
ACTRN12610000652077
Ethics application status
Approved
Date submitted
5/08/2010
Date registered
11/08/2010
Date last updated
29/08/2024
Date data sharing statement initially provided
29/08/2024
Date results provided
29/08/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Imaging the influence and interaction of genes and stimulant medication on attention in Attention Deficit Hyperactivity Disorder (ADHD).
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Scientific title
In adolescents with Attention Deficit Hyperactivity Disorder (ADHD), how does methylphenidate compared to placebo, effect Blood Oxygenation Level Dependent (BOLD) response as measured by functional Magnetic Resonance Imaging (fMRI), and how does the response vary with difference in the dopamine transporter (DAT1) gene.
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Secondary ID [1]
252387
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None
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Universal Trial Number (UTN)
U1111-1116-4106
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Attention Deficit Hyperactivity Disorder (ADHD)
257900
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Condition category
Condition code
Mental Health
258060
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a crossover trial. Participants will take a single dose of methylphenidate (20mg capsule) in one session, and a placebo capsule on the other session. Sessions are counterbalanced and conducted exactly 2 weeks apart.
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Intervention code [1]
256950
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Treatment: Drugs
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Comparator / control treatment
As above, a single dose placebo (20mg lactose capsule) will be taken on one session, either two weeks after the methylphenidate session or two weeks before.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Changes in Blood Oxygenation Level Dependent (BOLD) response, measured by functional Magnetic Resonance Imaging (fMRI), as a function of medication.
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Assessment method [1]
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Timepoint [1]
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Two MRI scanning sessions conducted two weeks apart. A single dose of either methylphenidate or placebo will be taken 90 minutes prior to scanning session.
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Primary outcome [2]
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Changes in Blood Oxygenation Level Dependent (BOLD) response, measured by functional Magnetic Resonance Imaging (fMRI), as a function of DAT1 genotype.
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Assessment method [2]
258951
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Timepoint [2]
258951
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Two MRI scanning sessions conducted two weeks apart. A single dose of either methylphenidate or placebo will be taken 90 minutes prior to scanning session.
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Secondary outcome [1]
265094
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Nil
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Assessment method [1]
265094
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Timepoint [1]
265094
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Nil
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Eligibility
Key inclusion criteria
ADHD (combined type)
Healthy, matched control adolescents (Placebo only)
right handed
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Minimum age
8
Years
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Weight under 35kg
Full scale Intelligence Quotient (FSIQ) >70
Conners Parent Rating Scale (CPRS) >65 for ADHD, <60 for controls
gluten intolerance (due to presence in placebo)
wearing dental braces
no reading disabilities,
no comorbidities, of major depression, Autism Spectrum Disorders, or psychosis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
This study will employ a placebo-controlled, double-blind, randomised, cross-over design of the influence of methylphenidate vs placebo on the neural substrates of attention in participants with ADHD. The preparation of the drug dose and placebo dose will be conducted by Dr. Kay Hynes, Senior Pharmacist, Drug Information and Clinical Trials (Royal Children's Hospital (RCH) Pharmacy). Randomisation orders will be provided by A/Prof Bellgrove to the pharamacy at the RCH and then doses dispensed to Dr Silk according to this blind regime.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/08/2010
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Actual
6/09/2010
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Date of last participant enrolment
Anticipated
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Actual
13/07/2012
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Date of last data collection
Anticipated
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Actual
3/10/2012
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Sample size
Target
60
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Accrual to date
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Final
36
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
257409
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
257409
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Australia
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Primary sponsor type
Individual
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Name
Dr. Tim Silk
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Address
Murdoch Childrens Research Institute
Royal Children's Hospital,
Flemington Road Parkville Victoria 3052 Australia
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Ass Prof Mark Bellgrove
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Address [1]
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School of Psychology and Queensland Brain Institute (QBI),
QBI Building (#79)
Upland Road
The University of Queensland
St Lucia, Brisbane 4072
Queensland
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Country [1]
256638
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259472
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Royal Children's Hospital Human Research Ethics
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Ethics committee address [1]
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Ethics & Research Department The Royal Children's Hospital Ground Floor, Main Building 50 Flemington Road Parkville Vic 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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14/10/2009
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Approval date [1]
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05/02/2010
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Ethics approval number [1]
259472
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29122B
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Summary
Brief summary
Attention deficit hyperactivity disorder (ADHD) is a common behavioural disorder of childhood with negative adult outcomes. The disorder is characterised by problems of attention, impulsivity (e.g., acting without thinking) and hyperactivity (e.g., being constantly on the go). The disorder appears to be strongly genetic with the most likely situation being one in which many genes each contribute a small amount of risk for the disorder. ADHD is also associated with a range of cognitive problems (i.e., problems of concentrating, planning etc). This project takes an imaging genetics approach, using functional MRI to understand the functional effects for brain and cognition of a genetic risk factor for ADHD- the dopamine transporter gene (DAT1) - which we have previously shown to influence attention. It is also well-established that not all children with ADHD achieve equal benefit from stimulant medications, such as methylphenidate (MPH), either in terms of behavioural, cognitive or academic outcomes. We will therefore examine the interaction of DAT1 genotype and MPH treatment on the neural correlates of spatial attention using fMRI. This project will help to elucidate the neurobiological mechanisms of ADHD.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
31483
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Contact person for public queries
Name
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Dr Tim Silk
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Address
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Murdoch Childrens Research Institute
Royal Children's Hospital,
Flemington Road Parkville Victoria 3052 Australia
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Country
14730
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Australia
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Phone
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+613 8341 5637
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Tim Silk
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Address
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Murdoch Childrens Research Institute
Royal Children's Hospital,
Flemington Road Parkville Victoria 3052 Australia
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Country
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Australia
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Phone
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+613 8341 5637
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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