Multimodal Brain Imaging of the Neural Effects of Methylphenidate in Patients With ADHD

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age6-40
SponsorJohns Hopkins University

About this trial

The investigators' goal is to develop neuroimaging biomarkers to predict response to treatment with methylphenidate, which then can be used in the development of novel pharmacological treatments for attention-deficit/hyperactivity disorder (ADHD). The overall objective of this study is to measure the changes in task-related neural activity related to symptoms of ADHD (measured by functional MRI) and brain glutamate levels (measured by magnetic resonance spectroscopy, MRS) after treatment with methylphenidate (MPH). This will be a double-blind crossover of methylphenidate and placebo in adults with ADHD. Participants will complete neuropsychological testing along with fMRI and MRS scans after a single dose of each treatment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

right handed

Disqualifiers

pregnant or breast feeding

past or current neurological disorder

non-ADHD cause of cognitive impairment

uncontrolled medical disorder

Trial design

Design model

Crossover

Treatments tested in this trial

  • Methylphenidate

    Drug

    single dose of 10 mg or 15 mg

  • Placebo

    Drug

    Matching placebo

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Methylphenidate firstExperimental treatment 2 interventions
Group B: Placebo firstPlacebo comparator 2 interventions

Trial outcomes

Primary outcomes

1

BOLD signal during response inhibition

BOLD signal (brain activity during fMRI, arbitrary units) in the anterior cingulate cortex during response inhibition.

Time frame
Approximately 90 minutes after dose
2

Glutamate level in the anterior cingulate cortex

Glutamate level (measured by MRS, institutional units) in the anterior cingulate cortex.

Time frame
Approximately 2 hours after dose

Secondary outcomes

Other outcomes

Sponsors and contacts

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Johns Hopkins University

Lead sponsor

National Institutes of Health (NIH)

Collaborator