Observational Study to Assess the Frequency of Lidocaine Ineffectiveness in Hard-to-treat ADHD

NCT ID: NCT04167189

Last Updated: 2021-07-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-20

Study Completion Date

2020-03-30

Brief Summary

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This work will assess the prevalence in hard-to-treat ADHD of the ineffectiveness of the anesthetic Lidocaine.

Detailed Description

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Using a non-invasive, pain-free, taste-based approach to assess lidocaine effectiveness, the study will assess the frequency of ineffectiveness in the target population.

Conditions

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ADHD

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Using a taste-based test before and after the application of lidocaine gel to the tongue, we will assess the degree to which lidocaine is effective at blocking taste in those with hard-to-treat ADHD
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

The scoring of the lidocaine test is masked, using the coded identity of the tastes. The tastes will be assessed in random order. The subjects and other study personnel will be told not to discuss what the subject could or couldn't taste. Scoring will not be shared with the testing site until all testing is complete.

This is one of the last studies with an IRB for each arm and site. Hence it appears to be a single arm, but the other arms are separately registered with ClinicalTrials.gov

Study Groups

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Observational study of prevalence in hard-to-treat ADHD

Subjects will be tested with lidocaine gel.

Group Type OTHER

Lidocaine gel

Intervention Type DRUG

Septodont 5% oral lidocaine gel (NDC 0362-0221-10), 75 mg

Interventions

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Lidocaine gel

Septodont 5% oral lidocaine gel (NDC 0362-0221-10), 75 mg

Intervention Type DRUG

Other Intervention Names

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Intervention

Eligibility Criteria

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Exclusion Criteria

1. known adverse reactions to lidocaine
2. epilepsy, IQ \<80, severe head trauma, birth weight \<2270 grams, and severe autism;
3. treatment currently with potassium or potassium-elevating drugs such as renin-angiotensin-aldosterone blockers;
4. generalized anxiety disorders (but dental-specific anxiety will not be an exclusion because many of these individuals may be ones with anxiety because of painful dental experiences with lidocaine ineffectiveness);
5. mouth sores;
6. Ehlers Danlos syndrome, and
7. red hair.
Minimum Eligible Age

7 Years

Maximum Eligible Age

49 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NeurAbilities (formerly CRCNJ)

OTHER

Sponsor Role collaborator

PhenoSolve, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Segal, MD PhD

Role: PRINCIPAL_INVESTIGATOR

PhenoSolve, LLC

Locations

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NeurAbilitis

Voorhees Township, New Jersey, United States

Site Status

Countries

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United States

References

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Infante MA, Moore EM, Nguyen TT, Fourligas N, Mattson SN, Riley EP. Objective assessment of ADHD core symptoms in children with heavy prenatal alcohol exposure. Physiol Behav. 2015 Sep 1;148:45-50. doi: 10.1016/j.physbeh.2014.10.014. Epub 2014 Oct 23.

Reference Type BACKGROUND
PMID: 25447751 (View on PubMed)

Levitt JO. Practical aspects in the management of hypokalemic periodic paralysis. J Transl Med. 2008 Apr 21;6:18. doi: 10.1186/1479-5876-6-18.

Reference Type BACKGROUND
PMID: 18426576 (View on PubMed)

Nakai Y, Milgrom P, Mancl L, Coldwell SE, Domoto PK, Ramsay DS. Effectiveness of local anesthesia in pediatric dental practice. J Am Dent Assoc. 2000 Dec;131(12):1699-705. doi: 10.14219/jada.archive.2000.0115.

Reference Type BACKGROUND
PMID: 11143733 (View on PubMed)

Segal MM. We cannot say whether attention deficit hyperactivity disorder exists, but we can find its molecular mechanisms. Pediatr Neurol. 2014 Jul;51(1):15-6. doi: 10.1016/j.pediatrneurol.2014.04.014. Epub 2014 Apr 18. No abstract available.

Reference Type BACKGROUND
PMID: 24938135 (View on PubMed)

Segal MM, Rogers GF, Needleman HL, Chapman CA. Hypokalemic sensory overstimulation. J Child Neurol. 2007 Dec;22(12):1408-10. doi: 10.1177/0883073807307095.

Reference Type BACKGROUND
PMID: 18174562 (View on PubMed)

Segal MM, Douglas AF. Late sodium channel openings underlying epileptiform activity are preferentially diminished by the anticonvulsant phenytoin. J Neurophysiol. 1997 Jun;77(6):3021-34. doi: 10.1152/jn.1997.77.6.3021.

Reference Type BACKGROUND
PMID: 9212254 (View on PubMed)

Teicher MH, Polcari A, Fourligas N, Vitaliano G, Navalta CP. Hyperactivity persists in male and female adults with ADHD and remains a highly discriminative feature of the disorder: a case-control study. BMC Psychiatry. 2012 Nov 7;12:190. doi: 10.1186/1471-244X-12-190.

Reference Type BACKGROUND
PMID: 23134619 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Related Links

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https://www.amazon.com/ADHD-Does-Not-Exist-Hyperactivity/dp/006226673X

Saul R (2014) "ADHD Does Not Exist". HarperCollins

https://pdfs.semanticscholar.org/1778/f693dc7dd257ab98a96b5bf03408d9cef3eb.pdf

Rozanski RJ, Primosch RE, Courts FJ (1988). Clinical efficacy of 1 and 2% solutions of lidocaine. Pediatr Dent.10:287-90

https://www.uni-ulm.de/fileadmin/website_uni_ulm/med.inst.040/Dokumente/owner.html

Segal MM, Jurkat-Rott K, Levitt J, Lehmann-Horn F (2014) Hypokalemic periodic paralysis - an owner's manual

https://patents.google.com/patent/WO2017035470A1/en

Segal MM (2015) Devices, Kits, and Methods for Determining Sensitivity to Anesthetics. US Patent Filing 62/210,747, Filed 09/14/2015

Other Identifiers

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2019-01A

Identifier Type: -

Identifier Source: org_study_id

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