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 |
The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).
The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).
The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).
The prediction of effects and side effects of ADHD treatment drugs (atomoxetine and methylphenidate).
Japan |
Attention deficit / hyperactivity disorder
Psychiatry |
Others
YES
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.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
Prefrontal cortical activity by NIRS measurement and ADHD-RS(children), CAARS(adults) at baseline and 8 weeks after drug administration.
Polymorphisms of CYP2D6, DAT and NET
Interventional
Cross-over
Non-randomized
Open -no one is blinded
Active
2
Treatment
Medicine |
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).
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).
6 | years-old | <= |
Not applicable |
Male and Female
ADHD
other drugs
100
1st name | Atsunori |
Middle name | |
Last name | SUGIMOTO |
Niigata University Graduate School of Medical and Dental Sciences
Department of Community Psychiatric Medicine
9518510
757, Asahimachi-dori-ichibancho, Chuo-ku, Niigata City, Niigata Pref.
+81-25-227-2213
sugimoto-pedpsy@umin.ac.jp
1st name | Atsunori |
Middle name | |
Last name | SUGIMOTO |
Niigata University Graduate School of Medical and Dental Sciences
Department of Community Psychiatric Medicine
9518510
757, Asahimachi-dori-ichibancho, Chuo-ku, Niigata City, Niigata Pref.
+81-25-227-2213
sugimoto-pedpsy@umin.ac.jp
Department of Community Psychiatric Medicine, Niigata University Graduate School of Medical and Dental Sciences
Department of Community Psychiatric Medicine, Niigata University Graduate School of Medical and Dental Sciences
Other
Genetic Ethics Review Committee of Niigata University School of Medicine
757, Asahimachi-dori-ichibancho, Chuo-ku, Niigata City, Niigata Pref.
+81-25-227-2625
ethics@adm.niigata-u.ac.jp
NO
2018 | Year | 12 | Month | 31 | Day |
https://doi.org/10.3389/fnhum.2021.755025
Published
https://doi.org/10.3389/fnhum.2021.755025
31
See the article.
2022 | Year | 07 | Month | 09 | Day |
See the article.
See the article.
See the article.
See the article.
Completed
2012 | Year | 01 | Month | 05 | Day |
2012 | Year | 01 | Month | 24 | Day |
2012 | Year | 01 | Month | 24 | Day |
2017 | Year | 01 | Month | 23 | Day |
2018 | Year | 12 | Month | 31 | Day |
2022 | Year | 07 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040178