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Trial registered on ANZCTR
Registration number
ACTRN12607000535471
Ethics application status
Approved
Date submitted
10/10/2007
Date registered
18/10/2007
Date last updated
18/10/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Attention deficit hyperactivity disorder (ADHD) Controlled Trial Investigation Of a Non-stimulant (A.C.T.I.O.N).
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Scientific title
Randomised Controlled Trial Investigation of Atomoxetine in Attention Deficit Hyperactivity Disorder.
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Universal Trial Number (UTN)
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Trial acronym
ACTION
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Attention Deficit Hyperactivity Disorder (ADHD)
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Condition category
Condition code
Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Phase A: 0.5 mg/kg atomoxetine, oral, once daily for one week; then 1.0 mg/kg atomoxetine, oral, once daily for 5 weeks. One week washout, crossover. Phase B: 6 weeks of identical looking placebo capsules. Randomised to receive Phase A or B first.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Placebo (starch, silicone), identical capsule/markings.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Primary Outcome 1: Inhibitory Capacity indexed by a computerised (IntegNeuro) 'Stroop'-like test (interference score).
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Assessment method [1]
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Timepoint [1]
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Timepoints: baseline, week 6 and week 13
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Primary outcome [2]
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Primary Outcome 2: Emotional Recognition indexed by computerised (IntegNeuro) emotion detection/reaction time test (happy, fear, sad, angry, disgust & neutrual faces).
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Assessment method [2]
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Timepoint [2]
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Timepoints: baseline, week 6 and week 13
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Secondary outcome [1]
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Secondary Outcome 1: relationship between primary outcome measures and diagnostic features (externalising and internalising)
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Assessment method [1]
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Timepoint [1]
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Timepoints: baseline, week 6 and week 13
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Eligibility
Key inclusion criteria
Males and females between the ages of 8 and 16 years, of normal weight and height, with a primary diagnosis of ADHD will be eligible for inclusion in the study.
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Minimum age
8
Years
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Maximum age
16
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Individuals will not be admitted to the study if any of the following criteria are present: (1) long history of prescribed medications not related to ADHD; (2) current stimulant use; (3) any medical condition or disease that might interfere with the assessments (e.g. hearing impairment) or put them at increased risk when exposed to atomoxetine (e.g., cardiac irregularities); (4) any psychiatric or neurological condition, such as, seizure disorder, bipolar disorder, and schizophrenia (not including ADHD with common comorbidities such as internalising, externalizing and learning disorders); (5) consumption of two or more standard alcoholic drinks per day; (6) other drug abuse or extensive drug use; (7) any experimental drug within the past four months (prior to the study); (8) drug hypersensitivity or anaphylaxis; (9) heavy caffeine use (more than 4 cups of coffee or equivalent per day); (10) users of nicotine; (11) in the opinion of the investigator the subject is unable and/or unlikely to comprehend and follow the study procedures and instructions (12) do not sign informed consent (with parents/guardians) prior to study entry (13) do not agree to participation information and preparation requirements; (14) do not complete the demographic questionnaire; (15) not English literate.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation Concealment: Centralised (pair-wise) randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
centralised pairwise randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NMHRC Project Grant
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Address [1]
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National Health & Medical Research Council
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Westmead Hospital, Sydney West Area Health Service
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Address
Hawkesbury Road, Westmead, NSW, 2145
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Attention Deficit Hyperactivity Disorder (ADHD) is defined by marked changes in both cognitive and emotional functions. The majority of medicated ADHD individuals are treated with stimulants (controlled substances). Up to 30% do not respond to stimulant treatment, and in others the potential for abuse remains. Atomoxetine is a recently approved non-stimulant (non-controlled) to treat ADHD, with evidence of clinical effectiveness. Yet, the impact of atomoxetine on objective measures of a range of cognitive and emotional function has not been studied. Several lines of evidence indicate it is effective for these functions. Atomoxetine has been shown to alleviate inhibitory capacity, while stimulants have not. Common disturbances may underlie abnormal inhibitory capacity and impaired emotional recognition in ADHD that is best treated with atomoxetine rather than stimulants. The primary aims of this project are to: (1) Examine the efficacy of a non-stimulant medication (atomoxetine) in ADHD using a randomised controlled design. (2) Demonstrate that atomoxetine has efficacy for both cognitive and emotional functions, assessed using objective tests, with indicators of clinical improvement. The outcomes from this project will be a significant step towards a 'personalised medicine' approach to ADHD, providing clinicians with increased options in the treatment of ADHD. Should atomoxetine prove to be efficacious for stimulant non-responders it would contribute to reducing the significant social and financial burden of this disorder.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Michael Kohn
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Address
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Faculty of Medicine C29
C/O Children's Hospital Westmead,
The University of Sydney
NSW 2006
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Country
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Australia
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Phone
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02 9845 2446
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Michael Kohn
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Address
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Faculty of Medicine C29
C/O Children's Hospital Westmead,
The University of Sydney
NSW 2006
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Country
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Australia
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Phone
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02 9845 2446
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
A randomized controlled trial investigation of a non-stimulant in attention deficit hyperactivity disorder (ACTION): Rationale and design
2011
https://doi.org/10.1186/1745-6215-12-77
Embase
Response inhibition and emotional cognition improved by atomoxetine in children and adolescents with ADHD: The ACTION randomized controlled trial.
2018
https://dx.doi.org/10.1016/j.jpsychires.2018.03.009
N.B. These documents automatically identified may not have been verified by the study sponsor.
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