Methylphenidate in KBG Syndrome: N-of-1 Series

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age6-20
SponsorRadboud University Medical Center

About this trial

The goal of this clinical trial\] is to learn about the effect of methylphenidate in children and adolescents with KBG syndrome. The main question it aims to answer is:

• What is the effectiveness of methylphenidate on attention deficit and ADHD-related symptoms in children and adolescents with KBG syndrome?

Participants will receive multiple blocks of treatment with methylphenidate and placebo and fill out various questionnaires.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 6-20 years

Molecularly confirmed diagnosis of KBG syndrome (pathogenic ANKRD11 variant or a chromosome 16q24 deletion including ANKRD11)

Attention deficit or ADHD-related symptoms or a formal ADHD diagnosis, with a significant impact on daily life*

Presence of a subject's caregiver or supervisor for proxy-reports

Disqualifiers

Family history of acute cardiac death that warrants further cardiac investigation

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)

Current or previous presence of hyperthyroidism, glaucoma or pheochromocytoma

Use of (psychotropic/stimulant) drugs which interact with MPH

Trial design

Design model

Crossover

Treatments tested in this trial

  • Methylphenidate Hydrochloride

    Drug

    Methylphenidate hydrochloride in capsules

  • Placebo

    Drug

    Microcrystalline cellulose in capsules

Treatment groups

15 Participants
are divided into 2 treatment groups
Group A: MethylphenidateActive comparator 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Strenghts and difficulties questionnaire, ADHD subscale

Minimum score 1, maximum score 10 (higher score is worse outcome).

Time frame
Baseline, and daily in week 1,3,5,7,9,11

Secondary outcomes

1

Strenghts and difficulties questionnaire, emotional problems subscale

Minimum score 1, maximum score 10 (higher score is worse outcome).

Time frame
Baseline, and daily in week 1,3,5,7,9,11
2

Dutch shortened version of the Emotion Dysregulation Inventory (EDI) reactivity index

Minimum score 0, maximum score 28 (higher score is worse outcome)

Time frame
Baseline, and daily in week 1,3,5,7,9,11
3

Goal Attainment Scoring (GAS)

Personal goals, no minimum or maximum score

Time frame
Baseline, and at the end of week 1,3,5,7,9,11
4

Personal Questionnaire (PQ)

Personal goals, no minimum or maximum score

Time frame
Baseline, and at the end of week 1,3,5,7,9,11

Other outcomes

Sponsors and contacts

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