- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00069927
Adderall XR Compared With Concerta in Treating Young Cancer Patients With Memory, Attention, and Depression
Adderall-XR Versus Concerta For Cancer Treatment-Related Neurocognitive Sequelae And Depression In Pediatric Patients: A Randomized Phase II Study
RATIONALE: Stimulant drugs such as dextroamphetamine-amphetamine and methylphenidate may help improve memory, attention, and thinking problems caused by central nervous system (CNS) treatment for cancer, and may help decrease depression.
PURPOSE: This randomized phase II trial is studying dextroamphetamine-amphetamine to see how well it works compared to methylphenidate in treating depression and problems with memory, attention, and thinking in children who have undergone CNS treatment for cancer. This trial will also study how often depression is seen and if these medications might help.
Study Overview
Status
Intervention / Treatment
Detailed Description
OBJECTIVES:
- Compare the response rates in pediatric cancer patients with treatment-related neurocognitive sequelae treated with dextroamphetamine-amphetamine (Adderall-XR®) vs methylphenidate (Concerta®).
- Compare the durability of response at 12 weeks in patients who show a response at 3 weeks after treatment with these drugs.
- Determine whether patients who have no response to one of these study drugs can respond to the other study drug.
- Determine the prevalence of depression and possible response to neurostimulant therapy in this patient population.
OUTLINE: This is a randomized, multicenter study.
Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral dextroamphetamine-amphetamine once daily for 3 weeks. Patients who achieve response (based on neurocognitive testing) continue treatment for a total of 12 weeks. Patients with no response after 3 weeks cross over to arm II after a 48-hour washout period.
- Arm II: Patients receive oral methylphenidate once daily for 3 weeks. Responding patients continue treatment for a total of 12 weeks. Patients with no response after 3 weeks cross over to arm I after a 48-hour washout period.
Depression and neurocognitive function are assessed at baseline, 3 weeks, and end of study.
PROJECTED ACCRUAL: A total of 177 patients (approximately 88 per treatment arm) will be accrued for this study within 3 years.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Florida
-
Gainesville, Florida, United States, 32610-0296
- University of Florida Shands Cancer Center
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Pensacola, Florida, United States, 32504
- Sacred Heart Children's Hospital
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Tampa, Florida, United States, 33677-4227
- St. Joseph's Children's Hospital of Tampa
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Tampa, Florida, United States, 33682-7757
- CCOP - Florida Pediatric
-
-
Georgia
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Augusta, Georgia, United States, 30912-4000
- MBCCOP-Medical College of Georgia Cancer Center
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Michigan
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Royal Oak, Michigan, United States, 48073
- William Beaumont Hospital - Royal Oak Campus
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Texas
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Lackland Air Force Base, Texas, United States, 78236-5300
- Wilford Hall Medical Center
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San Antonio, Texas, United States, 78207
- Christus Santa Rosa Children's Hospital
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San Antonio, Texas, United States, 78229-3900
- MBCCOP - South Texas Pediatrics
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
INCLUSION CRITERIA:
- Between the ages of 6-17 at the time of study participation.
- Have a diagnosis of any malignancy that required CNS treatment such as surgery and/or irradiation and/or intrathecal chemotherapy. (Patients treated with systemic chemotherapy alone are not eligible to participate)
- Off treatment and cancer free for a minimum of 6 months.
- Have a proficiency in English.
EXCLUSION CRITERIA:
- Patients with an estimated intelligence quotient (IQ) of less than 65 (based on the Wide Range Achievement Test (WRAT-3) Reading subtest) are not eligible to continue on study.
- At least one standard deviation below the level of performance predicted by their IQ on at least 2 of the 3 WISC-III subtests.
- Diagnosed with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) prior to their cancer diagnosis.
- Currently taking antidepressants, antipsychotics, or other stimulants.
- Are blind.
- Have glaucoma.
- Family history of motor and phonic tics or Tourette's syndrome.
- Have seizures not controlled by antiepileptic drugs. (Note: Patients who are not experiencing seizure activity, having been on a stable dose of an antiepileptic drug for at least 12 weeks may participate)
- Taking a monoamine oxidase (MAO) inhibitor.
- Have a history of cardiovascular disease, uncontrolled hypertension or hyperthyroidism.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm 1- Adderall- XR®
Adderall-XR® 1 10 mg/day for 3-12 weeks depending on subject's response
|
Adderall-XR® 10 mg/day for 3-12 weeks depending on subject's response
Other Names:
Concerta® 18 mg/day for 3-12 weeks depending on subject's response
Other Names:
|
Experimental: Arm II Concerta®
Concerta ® 18 mg/day for 3-12 weeks depending on subject's response
|
Adderall-XR® 10 mg/day for 3-12 weeks depending on subject's response
Other Names:
Concerta® 18 mg/day for 3-12 weeks depending on subject's response
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Response rate as measured by Wechsler Intelligence Scale for Children-III (WISC III) subtest: Coding, Symbol Search and Digit Span at baseline, and 3 weeks after the start of study treatment
Time Frame: 12 weeks
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Durability of response as measured by WISC III subtest: Coding, Symbol Search and Digit Span at 12 weeks after the start of study treatment
Time Frame: 12 weeks
|
12 weeks
|
Depression as measured by Children's Depression Inventory Short Version (CDI-S) at baseline, weeks 3 and 12
Time Frame: 12 weeks
|
12 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Margaret Booth-Jones, PhD, University of South Florida
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Chemically-Induced Disorders
- Nervous System Diseases
- Mood Disorders
- Poisoning
- Depression
- Depressive Disorder
- Neurotoxicity Syndromes
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Dopamine Agents
- Dopamine Uptake Inhibitors
- Central Nervous System Stimulants
- Sympathomimetics
- Adrenergic Uptake Inhibitors
- Methylphenidate
- Amphetamine
- Dextroamphetamine
- Adderall
Other Study ID Numbers
- SCUSF 0201
- HLMCC-0201 (Other Identifier: H. Lee Moffitt Cancer Center Research Base)
- U10CA081920 (U.S. NIH Grant/Contract)
- SCUSF-0201 (Other Identifier: SunCoast CCOP Research Base)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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