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Efficacy of Omega-3/Omega-6 Fatty Acids in Pre-school Children at Risk for ADHD

This study is currently recruiting participants.
Verified March 2017 by Manfred Doepfner, University of Cologne
Sponsor:
ClinicalTrials.gov Identifier:
NCT01795040
First Posted: February 20, 2013
Last Update Posted: March 16, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
Information provided by (Responsible Party):
Manfred Doepfner, University of Cologne
  Purpose
The efficacy of PUFAs (as nutritional supplement) in/for pre-school children with ADHS symptoms will be evaluated in a randomised controlled doubleblind trail with children aged 3-6 years.

Condition Intervention
Children With ADHD Symptoms >90th Percentile (FBB-ADHS-V); no Beginning or Completion of Psychotherapeutically or Psychopharmalogical Treatment During the Study Dietary Supplement: omega-3/omega-6 fatty acids (PUFAs)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Efficacy of a Supplementary Balanced Diet With Omega-3/ Omega-6 Fatty Acids Among 3-6 Year Olds With Symptoms of ADHD

Resource links provided by NLM:


Further study details as provided by Manfred Doepfner, University of Cologne:

Primary Outcome Measures:
  • Change in Symptom Checklist for pre-school children with ADHD symptoms (FBB-ADHS-V) total score rated by parents and teachers [ Time Frame: Change from pre- assessment to post assessment four months after treatment begin and to post assessment eight months after treatment begin ]
    The FBB-ADHS-V Questionnaire is a developed parent and teacher rating scale which assesses several factors of hyperactivity, impulsivity and inattention problems in pre-school or at home.


Secondary Outcome Measures:
  • Change in ODD symptoms -parent/ teacher rated (FBB-ADHD-V) [ Time Frame: Change from pre- assessment to post assessment four months after treatment begin and to post assessment eight months after treatment begin ]
  • Change in Child Behavior Checklist (CBCL) and Teacher Report Form (TRF) [ Time Frame: Change from pre- assessment to post assessment four months after treatment begin. ]
    The CBCL and the TRF are well evaluated rating scales for the assessement of a broad spectrum of child behavioral and emotional problems as perceived by parents and teachers respectively

  • Diagnostic checklist for ADHD (DCL-ADHS) and diagnostic checklist for odd (DCL-SSV) [ Time Frame: Change from pre- assessment to post assessment four months after treatment begin and to post assessment eight months after treatment begin ]
    The DCL-ADHD and the DCL-ODD are external assessment questionnaires. Parents were asked 18 questions to hyperactivity, impulsivity and inattention by the rater or to symptom criteria for ODD.

  • Change in intelligence: Sequential & Simultaneous Processing, Achievement (K-ABC) [ Time Frame: Change from pre- assessment to post assessment four months after treatment begin. ]
    The Kaufman Assessment Battery for Children (K-ABC) is a standardized test that assesses intelligence and achievement in children aged 2;6 to 12;6 years. It is comprised of four global test scores that include: sequential processing scales, simultaneous processing scales, achievement scales and mental processing composite. There is an additional nonverbal scale.


Other Outcome Measures:
  • finger prick test to measure the PUFA blood concentration [ Time Frame: Change from pre- assessment to post assessment four months after treatment begin ]
    It will taken a blood sample (finger prick test) to measure the omega-3/omega-6 fatty acids levels.


Estimated Enrollment: 40
Study Start Date: September 2010
Estimated Study Completion Date: May 2017
Estimated Primary Completion Date: April 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: omega-3/omega-6 fatty acids (PUFAs)
Equazen 500mg/day= 116 mg docosahexaenoic acid, 372 mg Eicosapentaenoic acid, 40 mg gamma-Linolenic acid
Dietary Supplement: omega-3/omega-6 fatty acids (PUFAs)
Equazen 500mg/day= 116 mg docosahexaenoic acid, 372 mg Eicosapentaenoic acid, 40 mg gamma-Linolenic acid
Other Name: Equazen Eye Q
Placebo Comparator: placebo without PUFAs
Placebo without PUFAs
Dietary Supplement: omega-3/omega-6 fatty acids (PUFAs)
Equazen 500mg/day= 116 mg docosahexaenoic acid, 372 mg Eicosapentaenoic acid, 40 mg gamma-Linolenic acid
Other Name: Equazen Eye Q

Detailed Description:
The study aims at the reduction of hyperactivity, inattention and impulsivity in pre-school children aged 3-6 years, visiting a preschool, and the prevention of clinical ADHD symptoms. The 3-6 years old children will be identified by a combined parent and teacher rating ADHD-symptoms questionnaire (FBB-ADHS-V). Children with ADHD symptoms >90th percentile will participate in a following diagnostic process. The children (n = 150) will be randomised doubleblind to a control group (taking every day four capsules Equazen eye q, containing 400 mg fish oil and 100mg evening primrose oil - EPA (372mg), DHA (116mg), GLA (40mg) and vitamin E (7.2 mg) ) or placebo group. The study is divided into two phases with four months each. After unblinding after the first phase pre-school children taking placebo receive Omega-3/Omega-6 Fatty Acids. Children (n = 75) taking verum during first four months will be randomised doubleblind to verum or placebo. In this way the progress of the behaviour symptoms will be evaluated after a significant period of time (eigth months). Clinical examination (questionnaires, intelligence test, medical examination) and evaluation of ADHD symptoms through parents and teachers with several questionnaires will be used before beginning, after four months and after eight months. In addition the pre-school children will be taken a blood sample (finger prick test) to measure the omega-3/omega-6 fatty acids levels. Additionally regular phone calls will be implemented. Medical examinations and meetings will taken place if required. If symptoms increase, children will be treated medical and/ or psychotherapeutically.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   3 Years to 6 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age: 3 - 6 years
  • Visit of a preschool (Kindergarten)
  • Parents have a command of the German language
  • Screening score >90th percentile in a combined parent and teacher screening questionnaire

Exclusion Criteria:

  • Hypersensitivity or inability to components of the study product (fish oil, primrose oil, natural strawberry flavouring, bovine gelatine)
  • Consumption of omega fatty acids preparation
  • Consumption of fish oil-capsules
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01795040


Contacts
Contact: Manfred Doepfner, Prof. Dr. Manfred.doepfner@uk-koeln.de

Locations
Germany
Department of Child and Adolescent Psychiatry at the University Cologne Recruiting
Cologne, Germany
Contact: Manfred Doepfner, Prof. Dr.       Manfred.doepfner@uk-koeln.de   
Sponsors and Collaborators
University of Cologne
Investigators
Principal Investigator: Manfred Doepfner, Prof. Dr. Department of Child and Adolescent Psychiatry Univ. Cologne
  More Information

Responsible Party: Manfred Doepfner, Prof. Dr., University of Cologne
ClinicalTrials.gov Identifier: NCT01795040     History of Changes
Other Study ID Numbers: OMEGA-Study
First Submitted: February 16, 2013
First Posted: February 20, 2013
Last Update Posted: March 16, 2017
Last Verified: March 2017

Keywords provided by Manfred Doepfner, University of Cologne:
omega-3/omega-6 fatty acids
Pre-school children with ADHD symptoms
randomized controlled trial