Status:

COMPLETED

Sequencing Treatments for Mothers With ADHD and Their At - Risk Children

Lead Sponsor:

Seattle Children's Hospital

Collaborating Sponsors:

Shire

Conditions:

Attention Deficit Hyperactivity Disorder

Eligibility:

FEMALE

21-50 years

Phase:

PHASE4

Brief Summary

We hypothesize that successfully treating maternal Attention Deficit Hyperactivity Disorder (ADHD) will have a beneficial effect that extends to the child. We believe that multi-component intervention...

Detailed Description

The overarching goal of this study is to construct and evaluate an adaptive intervention (i.e., an individualized treatment protocol that is adjusted based on the child-mother dyad's initial response ...

Eligibility Criteria

Inclusion

  • Mothers
  • Sign informed consent
  • Be between 21-50 years old (inclusive) at the screening visit and English-speaking
  • At screening (after washout, if required) meet full Diagnostic and Statistical Manual (DSM-IV) criteria for ADHD, any subtype
  • Have current CGI-S-ADHD rating \> 4 and \< 8
  • Have findings on physical exam (PE), laboratory studies, vital signs, and electrocardiogram (ECG) judged to be normal for age with no contraindications for methylphenidate (MPH) treatment
  • Have pulse and blood pressure (BP) within 95% of age and gender mean
  • Commit to the entire visit schedule for the study
  • Be able to complete all study assessments
  • Women of childbearing potential (not surgically sterile or post-menopausal) must agree to use a medically-accepted contraception method consistently
  • Mothers with comorbid mood/anxiety disorders which are effectively treated with Selective Serotonin Reuptake Inhibitors (SSRIs) will be eligible for participation, provided this medication has not changed within 30 days, is well tolerated, and that current mood symptoms are not severe or associated with active suicidal ideation. Also, the prescribing physician must approve of their participation in the study.
  • Mothers

Exclusion

  • History of allergic reactions or severe negative response to study medications
  • History of alcohol/substance abuse in the past 3 months or a positive urinary toxic screen on initial evaluation that is not explained by a time-limited medical circumstance
  • History of or current bipolar illness, schizophrenia, psychoses, or significant suicidal risk
  • History of chronic or acute medical disorder for which stimulant therapy would be contraindicated (e.g., glaucoma, hypertension)
  • Child Inclusion Criteria:
  • Sign assent if older than 6
  • Be between the ages of 4-8
  • symptoms of ADHD (Conners Hyperactivity Index \> 60), no prior treatment with effective doses of stimulants, defined as one or more weeks of treatment with adequate doses.

Key Trial Info

Start Date :

October 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2017

Estimated Enrollment :

53 Patients enrolled

Trial Details

Trial ID

NCT01816074

Start Date

October 1 2012

End Date

May 1 2017

Last Update

October 9 2018

Active Locations (1)

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1

Seattle Children's Hospital

Seattle, Washington, United States, 98105