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Enrolling by invitationNCT05301361Updated Dec 15, 2025

Sensitivity of the NIH Toolbox to Stimulant Treatment in Intellectual Disabilities

A Phase 1 interventional study of Methylphenidate Oral Solution in Intellectual Disability, Fragile X Syndrome and Down Syndrome, sponsored by University of California, Davis. Enrolling by invitation at 3 sites in United States. Open to participants aged 6 Years to 24 Years. Per ClinicalTrials.gov, last updated 2025-12-15.

Sponsored by University of California, Davis · Phase 1, Interventional, and Other

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Phase
Phase 1
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
6 Years to 24 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 121 studies in Intellectual Disability with a site in United States — 31 open to participants now, 39 under way, 3 of them phase 3. Intellectual Disability · United States.

Planned enrollment
27th of 81
68 · median 40
Started
2023
with 12 others
Phase 1
7 of 121
2 open now
Primary completion
2026-09
later than 10 of 37 live
Registered
79th of 121
by date
Lead sponsor
4 of 121
University of California, Davis

Among the 121 studies in Intellectual Disability with a site in United States, this one is the 27th largest by planned enrollment of the 81 interventional ones that give a count, is one of 13 that started in 2023, is one of 7 in phase 1, reaches primary completion later than 10 of the 37 other live ones, and was the 79th registered.

Intellectual Disability

388 studies on the registry are indexed under Intellectual Disability; 106 are open to participants now.

Browse Intellectual Disability studies →

Open to participants now

31 of the 121 studies in Intellectual Disability with a site in United States are open now. Recruiting first, the newest first:

26 more — sign in →

All 31 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 69 Intellectual Disability studies recruiting now, 27 (39%) set no upper age limit and 33 (48%) stop at 75 or younger; 49 take children under 18; 13 take healthy volunteers.

This study: 6 Years to 24 Years · all sexes · no healthy volunteers.

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02

Study summary

This study is a randomized, double-blind, placebo-controlled, crossover trial of extended-release liquid methylphenidate (XRMPH) to evaluate the sensitivity of the NIH Toolbox Cognition Battery (NIHTB-CB) to changes in cognition in children and adolescents ages 6 to 17 with intellectual disability (D) and comorbid Attention Deficit Hyperactivity Disorder (ADHD). The sample will include 68 males or females (expected male: female ratio of 1.8:1 with ID and ADHD as determined by structured diagnostic interview and Conners 3 scores. Additional inclusion criteria will include Full Scale IQ above 50 and mental age greater than or equal to 3 years. In addition, participants must be able to complete NIHTB-CB testing and provide valid scores at baseline. After baseline testing, participants will then be randomized to drug or placebo in a 1:1 ratio (N=34 per group) at the end of the baseline visit. XRMPH in oral suspension supplied as Quillivant XR in 5 mg/ml (Tris Pharma, Monmouth Junction, NJ) will be the active treatment. The XRMPH or matching placebo will be started at a dose of 0.3 mg/kg/day and individually titrated over two weeks. Phone calls at the end of weeks 1, 2, and 3 will be used to collect adverse event and response data. If there is no evidence of side effects and ongoing symptoms of ADHD, the dose will be increased to 0.5 mg/kg/day at one week and 0.7 mg/kg/day at 2 weeks (maximum dose of 60 mg per day consistent with FDA labeled use in youth). The Clinical Global Impression (CGI) will be used as a guide to define optimal dose. If side effects occur the dose will be reduced to the dose level at which there were no side effects. Final optimal dose will be established by the end of week 3 and this will be maintained for 2 weeks until 5 weeks post randomization, at which time the follow-up parent and teacher Conners scales, NIHTB-CB, Go/No-Go, and PedsQL will be completed. Participants will have a washout period of 1 week, will then complete re-assessment at the second baseline, and then will cross over to the other treatment (Quillivant to placebo; placebo to Quillivant), also in a double-blind fashion. In the second treatment arm, patients will have the same titration, monitoring and treatment periods as in the first arm, again followed by repeated assessments at the conclusion of 5 weeks. The accrual of participants and number of visits is shown in the Timeline per 6-month period.

03

Conditions studied

  • Intellectual Disability
  • Fragile X Syndrome
  • Down Syndrome
  • Attention Deficit Hyperactivity Disorder
04

Who can participate

Ages eligible
6 Years to 24 Years
Sexes eligible
All
Accepts healthy volunteers
No

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Inclusion criteria

  • IQ below 80
  • Mental age 3.0 or higher (Stanford Binet)
  • Diagnosis of Intellectual Disability
  • Diagnosis of ADHD
  • Ability to complete valid NIHTB-CB tests at screening/baseline

Exclusion criteria

Exclusion Criteria:

  • stimulant use within 2 weeks prior to randomization
  • history of a sensitivity reaction to stimulants
  • presence of significant comorbid psychiatric or medical disorder/illness deemed by the site physician as inappropriate for stimulant use (uncontrolled epilepsy, bipolar disorder, psychosis, severe OCD, hypertension, tachycardia hypertension, failure to thrive, psychosis for example)
  • a household resident with a current substance abuse disorder
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
68 participants (estimated)

Study arms

  • Active comparator
    Methylphenidate

    Drug: Methylphenidate Oral Solution

  • Placebo comparator
    Placebo

    Drug: Methylphenidate Oral Solution

Interventions

  • The XRMPH or matching placebo will be started at a dose of 0.3 mg/kg/day and individually titrated over two weeks. Phone calls at the end of weeks 1, 2, and 3 will be used to collect adverse event and response data. If there is no evidence of side effects and ongoing symptoms of ADHD, the dose will be increased to 0.5 mg/kg/day at one week and 0.7 mg/kg/day at 2 weeks (maximum dose of 60 mg per day consistent with FDA labeled use in youth).

06

What researchers measure

Primary outcomes

  1. Composite score of NIHTB-CB Flanker, Dimensional Change Card Sort, List Sorting and Speeded Matching tests.

    The composite score is calculated as the average of the non-age adjusted standard scores of each of these four tests. These standard scores have a mean of 100 and SD of 15. A minimum of 3/4 valid scores is required to calculate an average composite score.

    Time frame: 11 weeks

Secondary outcomes

  1. Conners 3 ADHD Rating Scale Inattention Scale

    Time frame: 11 weeks

  2. Conners 3 ADHD Rating Scale Hyperactivity/Impulsivity Scale

    Time frame: 11 weeks

07

Study locations

3 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2023 (actual). Primary completion is estimated for Sep 2026, 43 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 8, 2022
First posted
Mar 29, 2022
StartActual
Feb 1, 2023
Primary completionEst.
Sep 29, 2026
CompletionEst.
Sep 29, 2026
Last update
Dec 15, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05301361
Responsible party
Sponsor
First posted
Mar 29, 2022
Start date
Feb 1, 2023
Primary completion
Sep 29, 2026 (estimated)
Completion
Sep 29, 2026 (estimated)
Last update
Dec 15, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Methylphenidate

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