Effect of Atomoxetine on ADHD-Related Insomnia in Children and Adolescents

Rhode Island Hospital36 enrolled

Overview

Children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) very commonly experience difficulty in initiating and maintaining sleep. Studies have shown that daytime sleepiness resulting from insufficient sleep can affect attention and learning. Therefore, treating insomnia in children with ADHD may not only improve sleep, but it could potentially improve ADHD symptoms as well. The main purpose of this study is to examine the effects of atomoxetine on ADHD-related insomnia. Atomoxetine (Strattera®) is a non-stimulant drug used to treat ADHD symptoms in both children and adults, and there is evidence that it may also have a positive effect on sleep in children with ADHD. During the study, participants will receive either atomoxetine or placebo for a period of four weeks. We expect that the effects of atomoxetine on sleep will differ from those of placebo, with atomoxetine having a greater effect on improving sleep difficulties.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Attention-Deficit/Hyperactivity Disorder (ADHD)Insomnia

Eligibility

Sex: ALLMin age: 6 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Boy or girl aged 6-17 years, inclusive, and English-speaking * Meet the DSM-IV criteria for Attention-Deficit/Hyperactivity Disorder * Have sleep initiation defined by: 1. difficulty initiating or maintaining sleep that is viewed as a problem by the child or caregiver 2. sleep onset delay that is not exclusively related to direct or rebound effects of psychostimulant treatment * Have a parent or legal guardian willing to participate in the study Exclusion Criteria: * Have any other primary sleep disorder(s) (e.g. obstructive sleep apnea or periodic limb movement disorder) * Have a history of significant chronic medical (e.g. diabetes, severe asthma) or psychiatric (e.g. depression) illness * Have a history of chronic use of sedating (e.g. antihistamines) or alertness enhancing (e.g. caffeine) medications * Have a history of failure to respond to an adequate (defined as appropriate dose and adequate duration of therapy) previous trial with atomoxetine

Outcomes

Primary Outcomes

mean sleep onset latency

parent and child-reported evening settling difficulties

Secondary Outcomes

night wakings, sleep duration, and sleep efficiency

daytime sleepiness

ADHD symptom improvement

executive functions and functional outcomes/quality of life