Methylphenidate ER Liquid Formulation in Adults With ASD and ADHD

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified March 2014 by Massachusetts General Hospital
Sponsor:
Information provided by (Responsible Party):
Gagan Joshi, MD, Massachusetts General Hospital
ClinicalTrials.gov Identifier:
NCT02096952
First received: March 24, 2014
Last updated: March 25, 2014
Last verified: March 2014
  Purpose

The purpose of this study is to determine whether methylphenidate hydrochloride extended release liquid formulation is safe and effective in the treatment of attention-deficit/hyperactivity disorder (ADHD) in high-functioning adults with autism spectrum disorders (ASD).


Condition Intervention Phase
Attention-deficit/Hyperactivity Disorder
Autism Spectrum Disorder
Drug: Methylphenidate extended-release liquid formulation
Phase 4

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Open-Label Treatment Trial to Assess the Short-Term Tolerability, Safety, and Efficacy of Methylphenidate Hydrochloride Extended-Release Liquid Formulation in High-Functioning Autism Spectrum Disorder Adults With Attention-Deficit/Hyperactivity Disorder

Resource links provided by NLM:


Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • Adult ADHD Investigator Symptom Report Scale (AISRS) [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
    The Adult ADHD Investigator Symptom Report Scale (AISRS) assesses each of the 18 individual symptoms of ADHD in DSM-IV on a Likert scale from 0 (not present) to 3 (severe), with a total possible score of 54.


Estimated Enrollment: 40
Study Start Date: May 2014
Estimated Study Completion Date: November 2015
Estimated Primary Completion Date: November 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Methylphenidate extended-release liquid
Methylphenidate extended-release liquid formulation
Drug: Methylphenidate extended-release liquid formulation
Other Names:
  • Methylphenidate extended-release liquid formulation
  • Quillivant extended release

  Eligibility

Ages Eligible for Study:   18 Years to 25 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female participants between 18 and 25 years of age (inclusive)
  • Fulfills Diagnostic and Statistical Manual 5 (DSM-5) diagnostic criteria for autism spectrum disorder as established by the clinical diagnostic interview and Autism Diagnostic Observation Schedule (ADOS)
  • Fulfills DSM-5 diagnostic criteria for Attention Deficit/Hyperactivity Disorder (ADHD) as established by the clinical diagnostic interview and confirmed by the Kiddie Schedule for Affective Disorders and Schizophrenia-Epidemiological Version (K-SADS-E) ADHD module
  • Participants with at least moderately severe symptoms of Autism Spectrum Disorder (ASD) as demonstrated by Social Responsiveness Scale (SRS) raw score greater than or equal to 85 and Clinical Global Impression (CGI)-ASD severity score greater than or equal to 4
  • Participants with at least moderately severe symptoms of ADHD as assessed by AISRS score greater than or equal to 24 and CGI-ADHD severity score greater than or equal to 4
  • Each participant must understand the nature of the study. The participant must sign an Institutional Review Board-approved informed consent form before initiation of any study procedures.
  • Participant must have a level of understanding sufficient to communicate with the investigator and study coordinator, and to cooperate with all tests and examinations required by the protocol.
  • Participant must be able to participate in mandatory blood draws.
  • Participant with major mood and/or anxiety disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria.

Exclusion Criteria:

  • Impaired intellectual capacity (Intelligence Quotient [IQ] less than 85; one standard deviation below the mean IQ)
  • Participant is unable to communicate due to delay in, or total lack of, spoken language development (grossly impaired language skills)
  • Clinically unstable psychiatric conditions or judged to be at serious safety risk to self (suicidal risk) or others (within past 30 days).
  • Current diagnosis (within past 30 days) of an anxiety, mood, or psychotic disorder.
  • History of substance use (except nicotine or caffeine) within past 3 months (inclusive) or with urine drug screen positive for substances of abuse
  • Subjects with a medical condition or treatment that will either jeopardize subject safety or affect the scientific merit of the study, including:
  • Pregnant or nursing females or females with a positive urine pregnancy test.
  • Uncorrected hypothyroidism or hyperthyroidism.
  • History of non-febrile seizures within last 1 month without a clear and resolved etiology.
  • History of renal or hepatic impairment.
  • Serious, unstable systemic illness
  • Personal history of cardiac disease or a family history of non-geriatric cardiac disease or death
  • Clinically significant abnormal baseline laboratory values which include the following: Values more than 20% above the upper range of the laboratory standard for a basic metabolic screen.
  • Systolic and diastolic blood pressure parameters above 140 and 90, respectively.
  • Resting heart rate outside of 60-100 beats per minute.
  • Abnormal electrocardiogram (ECG) parameters defined as a corrected QT interval greater than 460 milliseconds, QRS interval greater than 120 milliseconds, and/or PR interval greater than 200 milliseconds.
  • ECG evidence of ischemia or arrhythmia as reviewed by an independent cardiologist.
  • Participant with a history of non-response to adequate trial of methylphenidate (therapeutic dose for an adequate duration) as determined by clinician.
  • History of intolerance or an allergic reaction to methylphenidate.
  • Current treatment with first- or second-generation antipsychotic medications or stimulant class of anti-ADHD medications.
  • Current treatment with monoamine oxidase inhibitors (MAOIs)
  • Current treatment with a psychotropic medication on a dose that has not been stable for at least 4 weeks prior to baseline visit.
  • Investigator and his/her immediate family, defined as the investigator's spouse, parent, child, grandparent, or grandchild.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02096952

Contacts
Contact: Stephannie Furtak 617-724-2344 sfurtak1@mgh.harvard.edu
Contact: Rebecca Grossman 617-643-1432 rgrossman1@mgh.harvard.edu

Locations
United States, Massachusetts
Massachusetts General Hospital Not yet recruiting
Boston, Massachusetts, United States, 02144
Contact: Stephannie Furtak    617-724-2344    sfurtak1@mgh.harvard.edu   
Contact: Rebecca Grossman    617-643-1432    rgrossman1@mgh.harvard.edu   
Principal Investigator: Gagan Joshi, MD         
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
Principal Investigator: Gagan Joshi, MD Massachusetts General Hospital
  More Information

No publications provided

Responsible Party: Gagan Joshi, MD, Assistant professor of Psychiatry, Harvard Medical School; Director, Autism Spectrum Disorder Clinical & Research Program, Pediatric Psychopharmacology, Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT02096952     History of Changes
Other Study ID Numbers: 2014P000501
Study First Received: March 24, 2014
Last Updated: March 25, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by Massachusetts General Hospital:
Attention-deficit/hyperactivity disorder
ADHD
Autism spectrum disorder
ASD
High-functioning ASD
Asperger's disorder
Asperger's

Additional relevant MeSH terms:
Autistic Disorder
Attention Deficit Disorder with Hyperactivity
Hyperkinesis
Child Development Disorders, Pervasive
Mental Disorders Diagnosed in Childhood
Mental Disorders
Attention Deficit and Disruptive Behavior Disorders
Dyskinesias
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Methylphenidate
Dopamine Uptake Inhibitors
Dopamine Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Neurotransmitter Uptake Inhibitors
Physiological Effects of Drugs
Central Nervous System Stimulants
Central Nervous System Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on July 22, 2014