Omega-3 Fatty Acids as an Adjunctive Therapy for Stimulants in Children With ADHD

NCT ID: NCT01778647

Last Updated: 2023-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2010-07-31

Brief Summary

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Multiple forms of Omega-3 Fatty acids have been used to investigate the role of this food supplement in children with Attention Deficit Hyperactivity Disorder (ADHD). No clear evidence for their role in this disorder is yet available. We will conduct a prospective, randomized, double blind, placebo controlled trial to obtain significant results regarding this question.

Detailed Description

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A total of 30-150 patients or more between the ages of 6 and 15 years old with diagnosis of ADHD according to the DSM-IV and on current treatment with stimulants recruited from CAOS-MMC and the Developmental Center will be evaluated by a child psychiatrist or a resident under supervision of a child psychiatrist to make sure that the diagnosis is correct. Every child will have a Conners rating scale filled out by the parents and teachers on admission to the study. The evaluators will also fill out a Clinical Global Impression scale (CGI).

The patients will be divided in 2 groups. One group of 15 children will be randomized to continue taking the usual dose of stimulants plus placebo (corn oil), which will be given to the patients by MMC's pharmacy.

A second group of 15 patients will be randomized to receive the usual dose of stimulant plus Lovaza (prescription Omega-3 fatty acids) at a dose of 1800 mg daily.

Both groups will be initially treated for a period of 8 weeks. The patients will be re-evaluated by the investigators on week 2, 4, 6 and 8 of the study and on each evaluation the parents and teachers will fill out a Conners rating scale.

The ratings of the Conners rating scales filled for each patient will be analyzed and compared to the initial evaluation after week 8. The evaluators will also do a CGI score for every visit.

Patients that improve will be taken off the stimulants and will continue further treatment with the adjunctive therapy for a total of 4 more weeks, during this period of time they will be re-evaluated on weeks 9, 10 and 12 and Conners scales will also be filled out by the parents.

Patients who do not improve will be switched to the opposite treatment modality and will be evaluated on weeks 9, 10 and 12 also having Conners scales filled out by their parents. If any of the patients in this group improve after the switch, they will be taken off stimulants and they will be evaluated on weeks 13, 14 and 16 of the study arm.

The study will be supported by GlaxoSmithKline. This pharmaceutical company will provide the capsules and the placebo.

Conditions

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Attention Deficit Hyperactivity Disorder

Keywords

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ADHD Omega- 3 Fatty acids CGI Conners rating scale Stimulants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Stimulants plus Lovaza

Usual dose of stimulant plus Lovaza (prescription Omega-3 fatty acids) at a dose of 1800 mg daily.

Group Type EXPERIMENTAL

Stimulants plus Lovaza

Intervention Type DIETARY_SUPPLEMENT

Patients randomized to stimulants plus Lovaza (Omega-3 fatty acids). Treated and evaluated for up to 16 weeks. Conners and CGI scales filled out by parents, teachers and evaluators on each visit

Stimulants plus placebo

Usual dose of stimulants plus placebo(corn oil), which will be given to the patients by MMC's pharmacy.

Group Type PLACEBO_COMPARATOR

Stimulants plus placebo

Intervention Type DRUG

Patients randomized to usual dose of stimulants plus placebo. Patients evaluated for up to 16 weeks. Conners rating scales and CGI filled out by evaluators, parents and teachers.

Interventions

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Stimulants plus Lovaza

Patients randomized to stimulants plus Lovaza (Omega-3 fatty acids). Treated and evaluated for up to 16 weeks. Conners and CGI scales filled out by parents, teachers and evaluators on each visit

Intervention Type DIETARY_SUPPLEMENT

Stimulants plus placebo

Patients randomized to usual dose of stimulants plus placebo. Patients evaluated for up to 16 weeks. Conners rating scales and CGI filled out by evaluators, parents and teachers.

Intervention Type DRUG

Other Intervention Names

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Lovaza plus stimulants Sugar pill plus stimulants

Eligibility Criteria

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Inclusion Criteria

* Male and female Children 6 to 15 years old
* Diagnosis of ADHD according to the DSM IV -TR

Exclusion Criteria

* Children younger than 6 y/o or older than 15 y/o
* Children with other co-morbid disorders according to the DSM IV-TR
* Mentally retarded children
* Poor compliance with treatment
* Children with a diagnosis of blood clotting problems
* Children on anticoagulants
* Children with hypersensitivity to fish
* Children "In care" (CiC): Foster children or children that are not being taken care of by a biological parent or a legal guardian.
* Children who follow a kosher diet (Lovaza is not kosher)
* Pregnancy
Minimum Eligible Age

6 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Antonios Likourezos

OTHER

Sponsor Role lead

Responsible Party

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Antonios Likourezos

Research Administration Director

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Kathleen Malloy, MD

Role: PRINCIPAL_INVESTIGATOR

Maimonides Medical Center

Juan D Pedraza, MD

Role: STUDY_DIRECTOR

Maimonides Medical Center

Locations

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Maimonides Medical Center

Brooklyn, New York, United States

Site Status

Countries

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United States

References

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Gillies D, Leach MJ, Perez Algorta G. Polyunsaturated fatty acids (PUFA) for attention deficit hyperactivity disorder (ADHD) in children and adolescents. Cochrane Database Syst Rev. 2023 Apr 14;4(4):CD007986. doi: 10.1002/14651858.CD007986.pub3.

Reference Type DERIVED
PMID: 37058600 (View on PubMed)

Other Identifiers

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09/06/VA05

Identifier Type: OTHER

Identifier Source: secondary_id

LVZ113607

Identifier Type: -

Identifier Source: org_study_id

NCT01233856

Identifier Type: -

Identifier Source: nct_alias