A Double-Blind Comparison of Galantamine HBr and Placebo in Adults With Attention Deficit Hyperactivity Disorder

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. Read our disclaimer for details. Identifier: NCT00181675
Recruitment Status : Completed
First Posted : September 16, 2005
Last Update Posted : July 23, 2010
Information provided by:
Massachusetts General Hospital

Brief Summary:

This will be a double-blind, placebo-controlled, study using daily doses of up to 24 mg/ day Galantamine HBr in the treatment of adults who meet DSM-IV criteria for childhood-onset ADHD. Specific hypotheses are as follows:

Hypothesis 1: ADHD symptomatology in adults with DSM-IV ADHD will be responsive to acute Galantamine HBr treatment.

Hypothesis 2: Galantamine HBr -associated improvement in ADHD symptomatology in adults will translate into improved functional capacities (neuropsychological, social, and occupational) as well as an increased quality of life throughout acute treatment.

Hypothesis 3: Galantamine HBr treatment will be safe and well tolerated as reflected by a low drop out rate and absence of major differences from placebo.

Condition or disease Intervention/treatment Phase
ADHD Drug: galantamine HBr Phase 4

Detailed Description:

Galantamine HBr, a tertiary alkaloid, is a competitive and reversible inhibitor of acetylcholinesterase that is indicated to slow the deterioration of cognitive impairment in Alzheimer's Disease. Initial anecdotal data suggest a promising role for Galantamine HBr in the treatment of ADHD. We propose to study to test the safety and efficacy of Galantamine HBr therapy in adults with ADHD. We will test if Galantamine HBr -associated improvements in ADHD symptomatology translate into improved cognitive and functional capacities (social and occupational) as well as increased quality of life.

The proposed study includes 1) use of a 12-week design to document the response rate 2) assessment of the impact of Galantamine HBr on functional capacities (quality of life, psychosocial function) and cognition, 3) careful assessment of safety and tolerability.

Study Type : Interventional  (Clinical Trial)
Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment
Official Title: A Double-Blind Comparison of Galantamine HBr and Placebo in Adults With Attention Deficit Hyperactivity Disorder
Study Start Date : December 2002
Study Completion Date : September 2003

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. symptom reduction using ADHD- Clinical Global Impression & ADHD Symptom Checklist Severity Scale administered weekly

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 58 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Male outpatients between 18 to 58 years of age (inclusive).
  2. Females between 18 to 58 years of age (inclusive) that are on reliable and adequate birth control.
  3. Subjects with the DSM-IV diagnosis of childhood onset Attention-Deficit/Hyperactivity Disorder (ADHD), as manifested in the clinical evaluation and confirmed by structured interview.
  4. Subjects with a score of 24 or greater on the ADHD Rating Scale.

Exclusion Criteria:

  1. Any current, non-ADHD Axis I psychiatric condition of clinical significance.
  2. Baseline Ham-D > 16, BDI > 19, and/or Ham-A > 21.
  3. Any clinically significant chronic medical condition, specifically cardiovascular, gastrointestinal, pulmonary, genitourinary, metabolic, or endocrine disorders, and hepatic or renal impairment.
  4. Clinically significant abnormal baseline laboratory values.
  5. I.Q. <75.
  6. Organic brain disorders.
  7. Subjects with a history of or current seizure disorders.
  8. Pregnant and/or nursing females.
  9. Clinically unstable psychiatric conditions (i.e. suicidal behaviors, psychosis).
  10. Subjects currently (within the past 6 months) known to abuse or to be dependent on any drug, including alcohol.
  11. Subjects on other psychotropic medications, with the exception of SSRIs.
  12. Subjects with a history of intolerance or non-response to cholinergic agents as determined by the clinician.
  13. Subjects with a history of peptic ulcer disease, gastroesophageal reflux disease, or other GI disorders.
  14. Subjects with history of bradyarrythmias.
  15. Subjects with asthma.
  16. Subjects on ketoconazole.

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 identifier (NCT number): NCT00181675

United States, Massachusetts
Massachusetts General Hospital
Cambridge, Massachusetts, United States, 02138
Sponsors and Collaborators
Massachusetts General Hospital
Principal Investigator: Joseph Biederman, MD Massachusetts General Hospital

Responsible Party: Joseph Biederman, MD, Massachusetts General Hospital Identifier: NCT00181675     History of Changes
Other Study ID Numbers: 2002-P-001937
First Posted: September 16, 2005    Key Record Dates
Last Update Posted: July 23, 2010
Last Verified: July 2010

Keywords provided by Massachusetts General Hospital:

Additional relevant MeSH terms:
Attention Deficit Disorder with Hyperactivity
Attention Deficit and Disruptive Behavior Disorders
Neurodevelopmental Disorders
Mental Disorders
Cholinesterase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Cholinergic Agents
Neurotransmitter Agents
Physiological Effects of Drugs
Autonomic Agents
Peripheral Nervous System Agents
Nootropic Agents