Safety and Efficacy of Mexidol® for ADHD in Children Aged 6-12

Last updated: February 25, 2025
Sponsor: Pharmasoft
Overall Status: Completed

Phase

3

Condition

Learning Disorders

Attention Deficit/hyperactivity Disorder (Adhd - Adults)

Autism

Treatment

Placebo

Mexidol

Mexidol + Placebo

Clinical Study ID

NCT06854601
MexidolMEGA2020
PHS-ADHD-002-MEX-TAB
  • Ages 6-12
  • All Genders

Study Summary

The primary objective of this study was to evaluate the efficacy and safety of Mexidol® film-coated tablets (125 mg) compared to a placebo in children aged 6 to 12 years with Attention Deficit Hyperactivity Disorder (ADHD). This multicenter, prospective, double-blind, randomized trial included 333 children who met the diagnostic criteria established by the International Classification of Diseases (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Participants received either Mexidol or placebo for 42 days, and various efficacy and safety parameters were assessed.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Signed written informed consent for participation in the study from the patient'sparents.

  2. Patients - boys and girls aged 6 to 12 years, inclusive, at the time of signing theinformed consent.

  3. The child is raised by a father and/or mother.

  4. The child is attending general education preschool or school institutions.

  5. Diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) established inaccordance with ICD-10 and DSM-5 criteria by a psychiatrist or neurologist,specifically:

  • According to DSM-5:
  1. Six or more symptoms of inattention persisting for at least 6 months and/or

  2. Six or more symptoms of hyperactivity and impulsivity persisting for at least 6months

  3. Symptoms are present in at least two areas of functioning (in preschool orschool and at home).

  • And/or according to ICD-10:
  1. Presence of at least 6 symptoms of inattention

  2. Presence of at least 3 symptoms of hyperactivity

  3. Presence of at least 1 symptom of impulsivity

  4. Persisting for at least 6 months.

  5. Moderate severity of ADHD as determined by the Clinical Global Impression - SeverityScale for ADHD (CGI-ADHD-S), not requiring hospitalization for treatment.

  6. No more than two comorbid disorders that do not require additional pharmacotherapy,in the investigator's opinion, during the study period.

Exclusion

Exclusion Criteria:

Individuals who exhibit at least one of the following characteristics were not included in the study:

  1. Increased sensitivity to the active substance of the investigational drug (ethylmethylhydroxypyridine succinate) and/or other components of the drug.

  2. Liver dysfunction: ALT and/or AST ≥2.5 times the upper limit of normal (ULN) basedon screening lab results.

  3. Kidney dysfunction: serum creatinine ≥1.5 times ULN based on screening lab results.

  4. Intracranial pathology (including but not limited to: intracranial hemorrhage,tumors, infections, history of head trauma, excluding concussion).

  5. Co-occurring autism spectrum disorders, Asperger syndrome.

  6. Intellectual disability of any degree.

  7. Other mental disorders, except for behavioral disorders (ICD-10 code F91).

  8. Inability to discontinue psychotropic medications used for the treatment of ADHD.

  9. Other somatic and/or neurological disorders requiring treatment with medicationsthat may affect the efficacy of the investigational drug (including but not limitedto: epilepsy, depression).

  10. Use of nootropic, vasoactive medications, neuroprotectors, antioxidants, ormetabolic agents within 7 days or 5 half-lives (whichever is longer) prior torandomization.

  11. Presence of any oncological disease in the medical history within 5 years prior tothe screening visit.

  12. Participation in any other clinical study of drugs and/or medical devices within 3months prior to the screening visit and/or 5 half-lives, whichever is longer.

  13. Inability or unwillingness to comply with protocol requirements, including forphysical, mental, or social reasons, in the opinion of the investigator.

  14. Lactose intolerance, lactase deficiency, glucose-galactose malabsorption.

Study Design

Total Participants: 333
Treatment Group(s): 3
Primary Treatment: Placebo
Phase: 3
Study Start date:
July 13, 2019
Estimated Completion Date:
July 13, 2020

Connect with a study center

  • State Autonomous Healthcare Institution of the Sverdlovsk Region "Multispecialty Clinical Medical Center 'Bonum'

    Yekaterinburg, Ural region 620075
    Russian Federation

    Site Not Available

  • Federal State Budgetary Educational Institution of Higher Education "Kazan State Medical University" Ministry of Health of the Russian Federation

    Kazan, 420012
    Russian Federation

    Site Not Available

  • Limited Liability Company "Center for Professional Therapy"

    Krasnodar, 350051
    Russian Federation

    Site Not Available

  • State Budgetary Healthcare Institution "Specialized Clinical Psychiatric Hospital №1" of the Ministry of Health of the Krasnodar Territory

    Krasnodar, 350007
    Russian Federation

    Site Not Available

  • Federal State Autonomous Educational Institution of Higher Education "Russian National Research Medical University named after N.I. Pirogov" Ministry of Health of the Russian Federation

    Moscow, 117997
    Russian Federation

    Site Not Available

  • State Budgetary Healthcare Institution of the City of Moscow "Scientific and Practical Center for Child Psychoneurology of the Moscow Department of Healthcare"

    Moscow, 129344
    Russian Federation

    Site Not Available

  • Limited Liability Company "NizhMedClinic"

    Nizhny Novgorod, 603006
    Russian Federation

    Site Not Available

  • State Budgetary Healthcare Institution "Orenburg Regional Clinical Psychiatric Hospital №1"

    Orenburg, 460015
    Russian Federation

    Site Not Available

  • Limited Liability Company "Medical Technologies"

    Saint Petersburg, 192148
    Russian Federation

    Site Not Available

  • Limited Liability Company "DNA Research Center"

    Saratov, 410005
    Russian Federation

    Site Not Available

  • Federal State Budgetary Educational Institution of Higher Education "Tver State Medical University" Ministry of Health of the Russian Federation

    Tver, 170100
    Russian Federation

    Site Not Available

  • Federal State Budgetary Educational Institution of Higher Education "Tyumen State Medical University" Ministry of Health of the Russian Federation

    Tyumen, 625000
    Russian Federation

    Site Not Available

  • State Healthcare Institution "Central Clinical Medical-Sanitary Unit named after Honored Doctor of Russia V.A. Egorov"

    Ulyanovsk, 432026
    Russian Federation

    Site Not Available

  • Limited Liability Company "European Medical Center 'UGMK-Health'"

    Yekaterinburg, 620144
    Russian Federation

    Site Not Available

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