The effects of Concerta® on the brain structures of children with attention deficit hyperactivity disorder, measured by optimised Voxel-Based Morphometry (VBM) and Tract-Based Spatial Statistics (TBSS) of Diffusion Tensor Imaging (DTI).

ISRCTN ISRCTN44227400
DOI https://doi.org/10.1186/ISRCTN44227400
Secondary identifying numbers 2005-0161
Submission date
14/04/2008
Registration date
22/04/2008
Last edited
10/12/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Hanik Yoo
Scientific

388-1 Pungnap-2 dong
Songpa-gu
Seoul
138-736
Korea, South

Study information

Study designProspective open-label controlled study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymCOSA
Study objectives1. Methyphenidate (Concerta®) will change the brain structures of subjects with attention-deficit hyperactivity disorder (ADHD)
2. Structural changes of brain will be correlated with the changes of symptoms severity after treatment

Please note that as of 02/09/09 the the imaging techniques used in this trial have been updated. The original techniques which were to be used are three-dimensional magnetic resonance (3D-MR) volumetry and diffusion-tensor imaging (DTI). The trial name and primary outcome field have been updated accordingly. Please also note that the target of 30 participants was expanded due to a high dropout rate during follow up and the anticipated end date has been changed from 31/12/2008 to 31/12/2012.

Please note that as of 10/12/09 the target number of participants has been changed from 120 to 80.
Ethics approval(s)Ethics approval received from the Institutional Review Board (IRB) of the Asan Medical Centre (AMC) on the 22nd August 2005.
Health condition(s) or problem(s) studiedAttention deficit hyperactivity disorder (ADHD)
InterventionDay 0: Concerta® 18 mg
Week 2: Concerta® 36 mg
Week 4: Concerta® 54 mg

Dosage can be adjusted according to clinical symptoms and adverse effects. Patients will be treated for one year, and a patient follow-up will be performed for one year.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Methyphenidate (Concerta®)
Primary outcome measureCurrent information as of 02/09/09:
Image analysis data including cortical thickness, shape analysis, and diffusion tensor image, measured at baseline, 2 months, 1 years, 2 years and 3 years

Initial information at time of registration:
Cortical thickness changes measured by 3D-MR, measured at baseline, eight weeks, and one year.
Secondary outcome measures1. ADHD rating scale by investigator, measured at baseline, eight weeks, and one year
2. Clinical Global Impression - Improvement/Severity (CGI-I/S) scale, measured at every visit
3. Junior Temperament and Character Inventory, measured at baseline, eight weeks, and one year
4. Computerised neurocognitive function tests, measured at baseline, eight weeks, and one year
Overall study start date23/08/2005
Completion date31/12/2012

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Years
Upper age limit12 Years
SexMale
Target number of participants80 subjects (ADHD 50 subjects; control 30 subjects) (added 10/12/09)
Key inclusion criteria1. Aged 6 - 12 years old, male only
2. ADHD diagnosed by the Kiddie Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (KSADS-PL)
3. Right-handedness
4. ADHD rating scale score greater than 24
5. Healthy control group (age-matched boys) (added 02/09/09)
Key exclusion criteria1. Intelligence quotient (IQ) less than or equal to 70 measured by the Wechsler Intelligence Scale for Children - Revised (WISC-R)
2. Neurological diseases such as cerebral palsy, seizure disorder, head trauma etc.
3. Autistic spectrum disorder
4. History or current diagnosis of tic disorder, schizophrenia, bipolar disorder, major depression, anxiety disorder and other psychosis
5. History of psychotropic medication usage
6. Contra-indication of magnetic resonance imaging (MRI) scanning (e.g., pacemaker insertion)
Date of first enrolment23/08/2005
Date of final enrolment31/12/2012

Locations

Countries of recruitment

  • Korea, South

Study participating centre

388-1 Pungnap-2 dong
Seoul
138-736
Korea, South

Sponsor information

Janssen Korea Ltd (South Korea)
Industry

12th Floor Sungwon Building
141 Samsung-Dong
Gangnam-ku
Seoul
135-090
Korea, South

ROR logo "ROR" https://ror.org/04yzcpd71

Funders

Funder type

Hospital/treatment centre

Janssen Korea Ltd (South Korea)

No information available

Asan Medical Centre (South Korea)

No information available

National Research Foundation of Korea (South Korea)
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
한국연구재단이 창의적 연구와, National Research Foundation (South Korea), NRF
Location
Korea, South

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan