Clinical trial • Not applicable • Psychiatry

METHYLPHENIDATE HYDROCHLORIDE for KBG syndrome

Not applicable trial of METHYLPHENIDATE HYDROCHLORIDE for KBG syndrome.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
KBG syndrome
Trial Stage
Not applicable
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
26-03-2024
First CTIS Authorization Date
27-06-2024

Trial design

Microcrystalline cellulose (placebo); active investigational product: Methylphenidate Hydrochloride 5 mg and 10 mg tablets (doses available). Schedule not specified in the record.-controlled, crossover Not applicable trial across 1 site in Netherlands.

Comparator
Microcrystalline cellulose (placebo); active investigational product: Methylphenidate Hydrochloride 5 mg and 10 mg tablets (doses available). Schedule not specified in the record.
Crossover
Yes
Target Sample Size
15

Eligibility

Recruits 15 paediatric patients.

Pregnancy Exclusion
Pregnant or lactating women
Vulnerable Population
Vulnerable population selected: children and adolescents aged 6-20 years; presence of a subject’s caregiver or supervisor required for proxy-reports. No detailed consent/assent procedure text is provided in the record.

Inclusion criteria

  • {"criterion_text":"- Age 6-20 years"}
  • {"criterion_text":"- Molecularly confirmed diagnosis of KBG syndrome (pathogenic ANKRD11 variant or a chromosome 16q24 deletion including ANKRD11)"}
  • {"criterion_text":"- Attention deficit or ADHD-related symptoms or a formal ADHD diagnosis, with a significant impact on daily life"}
  • {"criterion_text":"- Presence of a subject’s caregiver or supervisor for proxy-reports"}

Exclusion criteria

  • {"criterion_text":"- Family history of acute cardiac death that warrants further cardiac investigation"}
  • {"criterion_text":"- Inability to understand or speak Dutch"}
  • {"criterion_text":"- Cardiovascular disease in medical history (severe hypertension, heart failure, arterial occlusive disease, potentially life-threatening arrythmias, angina pectoris, hemodynamically significant congenital heart defect, cardiomyopathy, myocardial infarction and channelopathy)"}
  • {"criterion_text":"- Current or previous presence of hyperthyroidism, glaucoma or pheochromocytoma"}
  • {"criterion_text":"- Use of (psychotropic/stimulant) drugs which interact with methylphenidate"}
  • {"criterion_text":"- Schizophrenic or psychotic disorder in medical history"}
  • {"criterion_text":"- Unstable epilepsy (not controlled with medication)"}
  • {"criterion_text":"- History of frequent drug and/or alcohol abuse"}
  • {"criterion_text":"- Excessive alcohol/drug use and/or intoxication with one or both during the study"}
  • {"criterion_text":"- Pregnant or lactating women"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Strenghts and Difficulties Questionnaire, ADHD subscale","definition_or_measurement_approach":"Measured using the Strengths and Difficulties Questionnaire (SDQ), ADHD subscale"}

Secondary endpoints

  • {"endpoint_text":"- SDQ, emotional problems subscale","definition_or_measurement_approach":"Measured using the Strengths and Difficulties Questionnaire (SDQ), emotional problems subscale"}
  • {"endpoint_text":"- Dutch shortened version of the Emotion Dysregulation Inventory (EDI) reactivity index","definition_or_measurement_approach":"Measured using the Dutch shortened Emotion Dysregulation Inventory (EDI) reactivity index"}
  • {"endpoint_text":"- Goal Attainment Scoring (GAS)","definition_or_measurement_approach":"Assessed using Goal Attainment Scaling (GAS)"}
  • {"endpoint_text":"- Personal Questionnaire (PQ)","definition_or_measurement_approach":"Assessed using the study-specific Personal Questionnaire (PQ)"}
  • {"endpoint_text":"- Adverse Effects checklist for methylphenidate","definition_or_measurement_approach":"Assessed using an adverse effects checklist specific for methylphenidate"}
  • {"endpoint_text":"- McMaster Family assessment device (FAD), subscale General Functioning","definition_or_measurement_approach":"Measured using the McMaster Family Assessment Device (FAD) general functioning subscale"}
  • {"endpoint_text":"- Previous IQ test results","definition_or_measurement_approach":"Documented prior IQ test results (as recorded in medical/educational records)"}
  • {"endpoint_text":"- ADOS-2","definition_or_measurement_approach":"Assessed using the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)"}

Recruitment

Planned Sample Size
15
Recruitment Window Months
37

Geography

Total Number Of Sites
1
Total Number Of Participants
15

Netherlands

Earliest CTIS Part Ii Submission Date
29-05-2024
Latest Decision Or Authorization Date
27-06-2024
Processing Time Days
29
Number Of Sites
1
Number Of Participants
15

Sites

Site Name
Radboud universitair medisch centrum / RADBOUDUMC
Department Name
Human Genetics
Contact Person Name
Karlijn Vermeulen-Kalk
Number Of Participants
15

Sponsor

Primary sponsor

Full Name
Stichting Radboud University Medical Center
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Methylphenidate Hydrochloride 5 mg Tablets
Active Substance
METHYLPHENIDATE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation present)
Dose Levels
5 mg
Maximum Dose
60 mg/kg
Investigational Product Name
Methylphenidate Hydrochloride 10 mg Tablets
Active Substance
METHYLPHENIDATE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation present)
Dose Levels
10 mg
Maximum Dose
60 mg/kg
Investigational Product Name
Microcrystalline cellulose
Modality
Other

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