ClinicalTrials.gg
CompletedNCT06854601MEGAUpdated Aug 17, 2025Results posted

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

A Phase 3 interventional study of Mexidol and Placebo in Attention Deficit Hyperactivity Disorder (ADHD) and Anxiety Disorders and Symptoms, sponsored by Pharmasoft. Completed at 14 sites in Russia. Open to participants aged 6 Years to 12 Years. Per ClinicalTrials.gov, last updated 2025-08-17.

Sponsored by Pharmasoft · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 6 months after the study started (first participant enrolled Jul 2019, registered Feb 2025).
Phase
Phase 3
Study type
Interventional
Enrollment
333
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

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.

02

Conditions studied

  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Anxiety Disorders and Symptoms

Keywords

  • Mexidol
  • hyperactivity
  • ADHD
  • oppositional defiant disorder
  • inattention
  • Neurodevelopmental disorders
  • Hyperactive behavior
  • Impulsive behavior
  • anxiety
03

In context

Attention Deficit Disorder with Hyperactivity

1,817 studies on the registry are indexed under Attention Deficit Disorder with Hyperactivity; 296 are open to participants now.

This study's enrollment of 333 is above the median of 71 across 1,437 interventional studies indexed under Attention Deficit Disorder with Hyperactivity.

Browse Attention Deficit Disorder with Hyperactivity studies →

Lead sponsor

Pharmasoft is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Signed written for participation in the study from the patient's parents.
  2. Patients - boys and girls aged 6 to 12 years, inclusive, at the time of signing the informed 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 in accordance with ICD-10 and 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 6 months
    3. Symptoms are present in at least two areas of functioning (in preschool or school and at home).

      - And/or according to ICD-10:

    4. Presence of at least 6 symptoms of inattention
    5. Presence of at least 3 symptoms of hyperactivity
    6. Presence of at least 1 symptom of impulsivity
    7. Persisting for at least 6 months.
  6. Moderate severity of ADHD as determined by the Clinical Global Impression - Severity Scale for ADHD (CGI-ADHD-S), not requiring hospitalization for treatment.
  7. No more than two comorbid disorders that do not require additional pharmacotherapy, in the investigator's opinion, during the study period.

Exclusion criteria

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 drug (ethylmethylhydroxypyridine succinate) and/or other components of the drug.
  2. Liver dysfunction: and/or AST ≥2.5 times the (ULN) based on 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 medications that may affect the efficacy of the investigational drug (including but not limited to: epilepsy, depression).
  10. Use of nootropic, vasoactive medications, neuroprotectors, antioxidants, or metabolic agents within 7 days or 5 half-lives (whichever is longer) prior to randomization.
  11. Presence of any oncological disease in the medical history within 5 years prior to the screening visit.
  12. Participation in any other clinical study of drugs and/or medical devices within 3 months prior to the screening visit and/or 5 half-lives, whichever is longer.
  13. Inability or unwillingness to comply with protocol requirements, including for physical, mental, or social reasons, in the opinion of the investigator.
  14. Lactose intolerance, lactase deficiency, glucose-galactose malabsorption.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
333 participants (actual)

Study arms

  • Other
    Main (Mexidol) + Control (Placebo)

    Participants received Mexidol 125 mg 1 tablet orally once a day and Mexidol Placebo matching Mexidol 125 mg 1 tablet orally once a day for 42 days.

    Drug: Mexidol + Placebo

  • Active comparator
    Main (Mexidol)

    Participants received Mexidol 125 mg 1 tablet orally twice a day for 42 days.

    Drug: Mexidol

  • Placebo comparator
    Control (Placebo)

    Participants received Mexidol Placebo matching Mexidol 125 mg 1 tablet orally twice a day for 42 days.

    Drug: Placebo

Interventions

  • 125 mg tablets

  • DrugPlacebo

    Placebo tablets

  • DrugMexidol + Placebo

    Combination of Mexidol and Placebo

06

What researchers measure

Primary outcomes

  1. The Average Change in the Total Score Across the "Inattention" and "Hyperactivity/Impulsivity" Subscales of the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) After 6 Weeks of Therapy Compared to the Baseline Level.

    The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder and oppositional defiant disorder symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores are calculated by summing the scores on the subset and dividing by the number of items in the subset. The main criterion for the treatment efficacy was the mean change in the total score on the "inattention" and "hyperactivity/impulsivity" subscales after 6 weeks of therapy. A conclusion of superiority of Mexidol over placebo can be made if the upper limit of the 95% confidence interval for the difference in mean changes is negative. 55 point scale: min value 0, max value 54, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)

Secondary outcomes

  1. Average Change in the the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Inattention"

    The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 28 point scale: min value 0, max value 27, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)

  2. Average Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Hyperactivity/Impulsivity"

    The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 28 point scale: min value 0, max value 27, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)

  3. Average Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Oppositional Defiant Disorder"

    The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 25 point scale: min value 0, max value 24, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)

  4. Average Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Connors Index"

    The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 31 point scale: min value 0, max value 30, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)

  5. Average Change in the Spence Children's Anxiety Scale - Parent Version (SCAS-Parent) Score

    The Spence Children's Anxiety Scale - Parent Version (SCAS-Parent) is a 39-item parent report measure designed to assess anxiety symptoms in children. Built upon contemporary diagnostic frameworks, the SCAS-Parent evaluates six distinct domains of anxiety that align with clinical diagnostic categories. Each question on the test addresses the frequency of certain anxiety symptoms, measured on a 0-3 scale from "never", "sometimes", "often", to "always". SCAS-Parent scores consist of a total raw score (range from 0 to 114) and six sub-scale scores, with higher scores indicating greater severity of anxiety symptoms. 124 point scale: min value 0, max value 123, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)

  6. Average Change in the Attention Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS-IV) Score

    The Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS) is an 18-question inventory used to aid in the diagnosis of attention deficit hyperactivity disorder (ADHD) in children. Each question measures the frequency of the behavior on a 0-3 scale from "rarely or never", "sometimes", "often", to "very often". The questionnaire is intended to be filled out by parents and teachers. Higher scores indicate greater severity of ADHD symptoms. 55 point scale: min value 0, max value 54, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)

  7. Assessment Using the Clinical Global Impressions for Attention Deficit Hyperactivity Disorder Severity (CGI-ADHD-S) Scale

    The Clinical Global Impressions-ADHD-Severity (CGI-ADHD-S) is a clinician-rated scale used to assess the severity of Attention Deficit Hyperactivity Disorder (ADHD) symptoms. This tool is part of the Clinical Global Impressions (CGI) scales. It typically consists of a single item that rates the severity of ADHD on a 7-point scale, ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). 7 point scale: min value 1, max value 7, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)

  8. Assessment Using the Clinical Global Impressions Scale for Improvement (CGI-I)

    The Clinical Global Impressions (CGI) Scale is a standardized assessment tool used to rate the severity of illness, change over time, and efficacy of medication. It consists of 3 subscales. The subscale Clinical Global Impression-Improvement (CGI-I) is a 7-point scale that assesses how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention, and rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. 7 point scale: min value 1, max value 7, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (before treatment)

  9. Assessment Using the Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS), Days

    The Pediatric Migraine Disability Assessment questionnaire (PedMIDAS) is used to assess the impact of headaches on school performance (three questions), activities at home (one question on homework or chores), and social and/or sports functions (two questions). The PedMIDAS is scored by summing the answers across the six questions. The frequency and severity are not scored but can be used for clinical reference. PedMIDAS score range from 0 to 10 indicates little to none disability grade, score range from 11 to 30 indicates mild disability grade, score range from 31 to 50 indicates moderate disability grade and score range greater than 50 indicates severe disability grade. Min value 0, max value 240, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day1 = Randomization Visit)

  10. Assessment Using the Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS), Headache Severity

    The Pediatric Migraine Disability Assessment questionnaire (PedMIDAS) is used to assess the impact of headaches on school performance (three questions), activities at home (one question on homework or chores), and social and/or sports functions (two questions). The PedMIDAS is scored by summing the answers across the six questions. The frequency and severity are not scored but can be used for clinical reference. PedMIDAS score range from 0 to 10 indicates little to none disability grade, score range from 11 to 30 indicates mild disability grade, score range from 31 to 50 indicates moderate disability grade and score range greater than 50 indicates severe disability grade. Min value 0, max value 240, higher scores mean a worse outcome.

    Time frame: Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day1 = Randomization Visit)

07

Results

Posted Aug 17, 2025

Participant flow

Participants were recruited based on protocol requirements at 14 clinical sites between July 2019 and May 2020. The first participant was enrolled on 13 July, 2019 and the last participant was enrolled on 22 May, 2020.

Participant flow — Overall Study
MilestoneMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
Started111111111
Completed111111110
Not completed001

Outcome measures

PrimaryThe Average Change in the Total Score Across the "Inattention" and "Hyperactivity/Impulsivity" Subscales of the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) After 6 Weeks of Therapy Compared to the Baseline Level.

The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder and oppositional defiant disorder symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores are calculated by summing the scores on the subset and dividing by the number of items in the subset. The main criterion for the treatment efficacy was the mean change in the total score on the "inattention" and "hyperactivity/impulsivity" subscales after 6 weeks of therapy. A conclusion of superiority of Mexidol over placebo can be made if the upper limit of the 95% confidence interval for the difference in mean changes is negative. 55 point scale: min value 0, max value 54, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)
Reported as:
Mean · score on a scale
The Average Change in the Total Score Across the "Inattention" and "Hyperactivity/Impulsivity" Subscales of the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) After 6 Weeks of Therapy Compared to the Baseline Level.
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
SNAP-IV at Visit 525.41 (23.91 to 26.92)23.04 (21.49 to 24.58)29.10 (27.66 to 30.54)
Difference at Visit 5 compared to Visit 2-7.31 (-8.44 to -6.17)-9.33 (-10.59 to -8.07)-3.93 (-5.11 to -2.75)
SecondaryAverage Change in the the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Inattention"

The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 28 point scale: min value 0, max value 27, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)
Reported as:
Mean · score on a scale
Average Change in the the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Inattention"
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
SNAP-IV, Subscale "Inattention" at Visit 514.04 ± 3.7912.84 ± 4.5015.95 ± 3.85
Difference at Visit 5 compared to Visit 1-3.80 ± 3.62-4.54 ± 3.87-2.05 ± 3.55
SecondaryAverage Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Hyperactivity/Impulsivity"

The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 28 point scale: min value 0, max value 27, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)
Reported as:
Mean · score on a scale
Average Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Hyperactivity/Impulsivity"
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
SNAP-IV, Subscale "Hyperactivity/Impulsivity" at Visit 511.38 ± 5.0610.20 ± 4.5813.15 ± 4.76
Difference at Visit 5 compared to Visit 1-3.50 ± 3.36-4.79 ± 3.64-1.87 ± 3.28
SecondaryAverage Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Oppositional Defiant Disorder"

The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 25 point scale: min value 0, max value 24, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)
Reported as:
Mean · score on a scale
Average Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Oppositional Defiant Disorder"
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
SNAP-IV, Subscale "Oppositional Defiant Disorder" at Visit 54.06 ± 4.913.69 ± 4.884.43 ± 4.48
Difference at Visit 5 compared to Visit 1-1.10 ± 2.50-0.95 ± 2.57-0.81 ± 2.78
SecondaryAverage Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Connors Index"

The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV) is a 90-question self-report inventory designed to measure attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in children and young adults. The SNAP-IV is based on a 0 to 3 rating scale: Not at all = 0, Just a little = 1, Often = 2, and Very often = 3. The questions measure different domains of ADHD and ODD. Subscale scores on the SNAP-IV are calculated by summing the scores on the subset and dividing by the number of items in the subset. The score for any subset is expressed as the Average Rating-Per-Item. 31 point scale: min value 0, max value 30, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 1 Day 0 = Screening)
Reported as:
Mean · score on a scale
Average Change in the Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-IV), Subscale "Connors Index"
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
SNAP-IV), Subscale "Connors Index" at Visit 58.71 ± 4.838.21 ± 5.3910.33 ± 4.57
Difference at Visit 5 compared to Visit 1-3.32 ± 2.99-3.18 ± 3.17-2.00 ± 3.37
SecondaryAverage Change in the Spence Children's Anxiety Scale - Parent Version (SCAS-Parent) Score

The Spence Children's Anxiety Scale - Parent Version (SCAS-Parent) is a 39-item parent report measure designed to assess anxiety symptoms in children. Built upon contemporary diagnostic frameworks, the SCAS-Parent evaluates six distinct domains of anxiety that align with clinical diagnostic categories. Each question on the test addresses the frequency of certain anxiety symptoms, measured on a 0-3 scale from "never", "sometimes", "often", to "always". SCAS-Parent scores consist of a total raw score (range from 0 to 114) and six sub-scale scores, with higher scores indicating greater severity of anxiety symptoms. 124 point scale: min value 0, max value 123, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)
Reported as:
Mean · score on a scale
Average Change in the Spence Children's Anxiety Scale - Parent Version (SCAS-Parent) Score
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
SCAS-Parent at Visit 510.23 ± 13.6610.41 ± 15.3310.22 ± 10.64
Difference at Visit 5 compared to Visit 2-2.90 ± 5.45-2.86 ± 6.27-3.05 ± 6.76
SecondaryAverage Change in the Attention Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS-IV) Score

The Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS) is an 18-question inventory used to aid in the diagnosis of attention deficit hyperactivity disorder (ADHD) in children. Each question measures the frequency of the behavior on a 0-3 scale from "rarely or never", "sometimes", "often", to "very often". The questionnaire is intended to be filled out by parents and teachers. Higher scores indicate greater severity of ADHD symptoms. 55 point scale: min value 0, max value 54, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)
Reported as:
Mean · score on a scale
Average Change in the Attention Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS-IV) Score
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
ADHD-RS-IV at Visit 525.23 ± 8.0123.14 ± 8.2628.85 ± 7.68
Difference at Visit 5 compared to Visit 2-7.32 ± 6.15-9.54 ± 6.88-3.92 ± 6.16
SecondaryAssessment Using the Clinical Global Impressions for Attention Deficit Hyperactivity Disorder Severity (CGI-ADHD-S) Scale

The Clinical Global Impressions-ADHD-Severity (CGI-ADHD-S) is a clinician-rated scale used to assess the severity of Attention Deficit Hyperactivity Disorder (ADHD) symptoms. This tool is part of the Clinical Global Impressions (CGI) scales. It typically consists of a single item that rates the severity of ADHD on a 7-point scale, ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). 7 point scale: min value 1, max value 7, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day 1 = Randomization Visit)
Reported as:
Count of participants · Participants
Assessment Using the Clinical Global Impressions for Attention Deficit Hyperactivity Disorder Severity (CGI-ADHD-S) Scale
ParticipantsMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
Level 2 (borderline mentally ill)882
Level 3 (mildly ill)265823
Level 4 (moderately ill)774486
Level 5 (markedly ill)010
SecondaryAssessment Using the Clinical Global Impressions Scale for Improvement (CGI-I)

The Clinical Global Impressions (CGI) Scale is a standardized assessment tool used to rate the severity of illness, change over time, and efficacy of medication. It consists of 3 subscales. The subscale Clinical Global Impression-Improvement (CGI-I) is a 7-point scale that assesses how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention, and rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. 7 point scale: min value 1, max value 7, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (before treatment)
Reported as:
Count of participants · Participants
Assessment Using the Clinical Global Impressions Scale for Improvement (CGI-I)
ParticipantsMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
1, very much improved3132
2, much improved204510
3, minimally improved613738
4, no change271458
5, minimally worse013
6, much worse010
7, very much worse000
SecondaryAssessment Using the Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS), Days

The Pediatric Migraine Disability Assessment questionnaire (PedMIDAS) is used to assess the impact of headaches on school performance (three questions), activities at home (one question on homework or chores), and social and/or sports functions (two questions). The PedMIDAS is scored by summing the answers across the six questions. The frequency and severity are not scored but can be used for clinical reference. PedMIDAS score range from 0 to 10 indicates little to none disability grade, score range from 11 to 30 indicates mild disability grade, score range from 31 to 50 indicates moderate disability grade and score range greater than 50 indicates severe disability grade. Min value 0, max value 240, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day1 = Randomization Visit)
Reported as:
Mean · days
Assessment Using the Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS), Days
daysMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
Number of days with limited daily activities4.25 ± 10.970.22 ± 0.382.38 ± 2.03
No of days with limited activity: Visit 5 compared to Visit 2-6.71 ± 11.77-0.33 ± 0.330.76 ± 1.46
Number of days with a headache9.58 ± 10.735.11 ± 2.524.95 ± 2.52
No of days with headache: Visit 5 compared to Visit 20.54 ± 8.451.89 ± 4.720.10 ± 3.72
SecondaryAssessment Using the Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS), Headache Severity

The Pediatric Migraine Disability Assessment questionnaire (PedMIDAS) is used to assess the impact of headaches on school performance (three questions), activities at home (one question on homework or chores), and social and/or sports functions (two questions). The PedMIDAS is scored by summing the answers across the six questions. The frequency and severity are not scored but can be used for clinical reference. PedMIDAS score range from 0 to 10 indicates little to none disability grade, score range from 11 to 30 indicates mild disability grade, score range from 31 to 50 indicates moderate disability grade and score range greater than 50 indicates severe disability grade. Min value 0, max value 240, higher scores mean a worse outcome.

Time frame:
Visit 5 (after 6 weeks of therapy) compared to the baseline level (Visit 2 Day1 = Randomization Visit)
Reported as:
Mean · score on a scale
Assessment Using the Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS), Headache Severity
score on a scaleMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
Moderate headache severity3.88 ± 2.103.00 ± 1.003.71 ± 1.25
Moderate headache: Visit 5 compared to Visit 2-0.38 ± 1.190.00 ± 0.00-0.14 ± 0.90
Maximal headache severity6.13 ± 3.005.33 ± 2.315.57 ± 1.51
Max headache: Visit 5 compared to Visit 20.38 ± 1.851.33 ± 2.31-0.57 ± 1.72

Adverse events

Collected over From Day 1 (Visit 2) to Day 50+3 (Visit 6) or Early Termination Visit. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Main (Mexidol) + Control (Placebo)0/111 (0%)0/111 (0%)14/111 (12.6%)
Main (Mexidol)0/111 (0%)1/111 (0.9%)26/111 (23.4%)
Control (Placebo)0/111 (0%)1/111 (0.9%)20/111 (18%)
Most frequent serious events
Most frequent serious events
EventMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
Respiratory tract infectionInfections and infestations0/1110/1111/111
FuruncleInfections and infestations0/1111/1110/111
Most frequent other events
Showing 10 of 28
Most frequent other events
EventMain (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)
Respiratory tract infectionInfections and infestations2/1112/1114/111
RhinitisInfections and infestations1/1114/1113/111
HeadacheNervous system disorders2/1113/1112/111
Abdominal pain upperGastrointestinal disorders1/1112/1110/111
NauseaGastrointestinal disorders2/1112/1112/111
EpistaxisRespiratory, thoracic and mediastinal disorders0/1112/1110/111
Irritable bowel syndromeGastrointestinal disorders0/1110/1111/111
NasopharyngitisInfections and infestations1/1111/1111/111
Herpes zosterInfections and infestations1/1110/1110/111
OtosalpingitisInfections and infestations0/1110/1111/111

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
<=18 years111111111333
Between 18 and 65 years0000
>=65 years0000
Age, Continuous
Age, Continuous(Years)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Median8 (7 to 10)9 (7 to 10)8 (7 to 10)8 (7 to 10)
Sex: Female, Male
Sex: Female, Male(Participants)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Female37293197
Male748280236
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Count of participants———0
Region of Enrollment
Region of Enrollment(Participants)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Russia111111111333
SNAP-IV, Subscales "Inattention" and "Hyperactivity/Impulsivity" at Visit 2 (Randomization Visit)
SNAP-IV, Subscales "Inattention" and "Hyperactivity/Impulsivity" at Visit 2 (Randomization Visit)(score on a scale)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Mean32.72 ± 6.7332.37 ± 6.9133.03 ± 7.1832.70 ± 6.93
SNAP-IV, Subscale "Inattention" at Visit 1 (Screening)
SNAP-IV, Subscale "Inattention" at Visit 1 (Screening)(score on a scale)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Mean17.84 ± 3.5217.38 ± 3.7918.00 ± 3.7617.74 ± 3.69
SNAP-IV, Subscale "Hyperactivity/Impulsivity at Visit 1 (Screening)
SNAP-IV, Subscale "Hyperactivity/Impulsivity at Visit 1 (Screening)(score on a scale)Main (Mexidol) + Control (Placebo)Main (Mexidol)Control (Placebo)Total
Mean14.88 ± 4.2714.99 ± 4.2215.03 ± 4.5114.96 ± 4.32

7 further baseline measures are reported on the registry.

08

Study locations

14 sites
  • State Autonomous Healthcare Institution of the Sverdlovsk Region "Multispecialty Clinical Medical Center 'Bonum'
    Yekaterinburg, Ural Region 620075, Russia
  • Federal State Budgetary Educational Institution of Higher Education "Kazan State Medical University" Ministry of Health of the Russian Federation
    Kazan', 420012, Russia
  • State Budgetary Healthcare Institution "Specialized Clinical Psychiatric Hospital №1" of the Ministry of Health of the Krasnodar Territory
    Krasnodar, 350007, Russia
  • Limited Liability Company "Center for Professional Therapy"
    Krasnodar, 350051, Russia
  • 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, Russia
  • State Budgetary Healthcare Institution of the City of Moscow "Scientific and Practical Center for Child Psychoneurology of the Moscow Department of Healthcare"
    Moscow, 129344, Russia
  • Limited Liability Company "NizhMedClinic"
    Nizhny Novgorod, 603006, Russia
  • State Budgetary Healthcare Institution "Orenburg Regional Clinical Psychiatric Hospital №1"
    Orenburg, 460015, Russia
  • Limited Liability Company "Medical Technologies"
    Saint Petersburg, 192148, Russia
  • Limited Liability Company "DNA Research Center"
    Saratov, 410005, Russia
  • Federal State Budgetary Educational Institution of Higher Education "Tver State Medical University" Ministry of Health of the Russian Federation
    Tver', 170100, Russia
  • Federal State Budgetary Educational Institution of Higher Education "Tyumen State Medical University" Ministry of Health of the Russian Federation
    Tyumen, 625000, Russia
  • State Healthcare Institution "Central Clinical Medical-Sanitary Unit named after Honored Doctor of Russia V.A. Egorov"
    Ulyanovsk, 432026, Russia
  • Limited Liability Company "European Medical Center 'UGMK-Health'"
    Yekaterinburg, 620144, Russia
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2019 to primary completion in Jul 2020, 12 months.

Results were first posted in Aug 2025, 5 years 1 month after primary completion.

Of 66 industry-sponsored phase 3 interventional studies under Attention Deficit Disorder with Hyperactivity, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 19. This study's 12 months is close to that.

Counting every sponsor, half of 80 studies reached it within 14 months; a quarter within 7 and three quarters within 32.

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

Registered
Feb 11, 2025
First posted
Mar 3, 2025
StartActual
Jul 13, 2019
Primary completionActual
Jul 13, 2020
CompletionActual
Jul 13, 2020
Results first posted
Aug 17, 2025
Last update
Aug 17, 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 Aug 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06854601
Lead sponsor
Pharmasoft
Responsible party
Sponsor
First posted
Mar 3, 2025
Start date
Jul 13, 2019
Primary completion
Jul 13, 2020
Completion
Jul 13, 2020
Results posted
Aug 17, 2025
Last update
Aug 17, 2025

Study contacts

Polina S. Nikiforova, MD
principal investigator · State Autonomous Healthcare Institution of the Sverdlovsk Region "Multispecialty Clinical Medical Center 'Bonum'
Nikolay N. Zavadenko, Dr.Med.Sci, Prof.
principal investigator · 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
Olga V. Khaletskaya, Dr.Med.Sci, Prof.
principal investigator · Limited Liability Company "NizhMedClinic"
Elena V. Levitina, Dr.Med.Sci, Prof.
principal investigator · Federal State Budgetary Educational Institution of Higher Education "Tyumen State Medical University" Ministry of Health of the Russian Federation,
Irina N. Vakula, MD
principal investigator · Limited Liability Company "Center for Professional Therapy"
Olga S. Panina, Cand.Med.Sci, MD
principal investigator · Limited Liability Company "DNA Research Center"
Dina D. Gainetdinova, Dr.Med.Sci, Prof.
principal investigator · Federal State Budgetary Educational Institution of Higher Education "Kazan State Medical University" Ministry of Health of the Russian Federation
Anna N. Platonova, Cand.Med.Sci, MD
principal investigator · State Budgetary Healthcare Institution of the City of Moscow "Scientific and Practical Center for Child Psychoneurology of the Moscow Department of Healthcare"
Yuliya O. Boychevskaya, MD
principal investigator · State Budgetary Healthcare Institution "Specialized Clinical Psychiatric Hospital №1" of the Ministry of Health of the Krasnodar Territory
Natalya E. Maksimova, Cand.Med.Sci, MD
principal investigator · Federal State Budgetary Educational Institution of Higher Education "Tver State Medical University" Ministry of Health of the Russian Federation
Elena M. Kryukova, MD
principal investigator · State Budgetary Healthcare Institution "Orenburg Regional Clinical Psychiatric Hospital №1"
Elmira S. Sagutdinova, Cand.Med.Sci, MD
principal investigator · Limited Liability Company "European Medical Center 'UGMK-Health'"
Anna S. Nezabudkina, MD
principal investigator · Limited Liability Company "Medical Technologies"
Viktor V. Mashin, Dr.Med.Sci, Prof.
principal investigator · State Healthcare Institution "Central Clinical Medical-Sanitary Unit named after Honored Doctor of Russia V.A. Egorov"

Oversight

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

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Studies of the drug tested here: Emoxypine succinate

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