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RecruitingNCT07242625Updated Nov 21, 2025

A Pilot Study on Efficacy of Digital Therapeutic NDTx-02 for Executive Function in Children and Adolescents With ADHD or ASD

An interventional study of NDTx-02 + TAU and TAU in Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder, sponsored by Neudive Inc.. Recruiting at 3 sites in South Korea. Open to participants aged 5 Years to 12 Years. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Neudive Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Oct 2025; still recruiting 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
5 Years to 12 Years
Sex
All
01

Study summary

The purpose of this study is to explore the preliminary safety and effectiveness of the digital therapeutic device 'NDTx-02' in supporting improvements of executive function in children and adolescents diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD).

Read the detailed description

This pilot clinical trial aims to evaluate the preliminary safety and effectiveness of NDTx-02 in combination with Treatment-As-Usual (TAU) compared with TAU alone (waitlist control).

The study will employ a randomized waitlist-control design, in which participants will be assigned to either experimental group (immediate intervention) or waitlist control group (delayed intervention) with a 1:1 ratio.

  • Experimental group (immediate intervention): NDTx-02 + TAU for the first 6 weeks (stage 1), followed by TAU only for the following 6 weeks (stage 2).
  • Waitlist control group (delayed intervention): TAU only during the first 6 weeks (stage 1), followed by NDTx-02 + TAU for the following 6 weeks (stage 2).

Efficacy will be assessed using the K-BRIEF-2, K-VABS-II, K-ARS-5, KAT, WMT, C-TMT, Stroop Color and Word Test Children's Version, Digit Span test, CGI-S, and CGI-I.

The primary efficacy analysis will compare the experimental group and the waitlist control group during Stage 1 (weeks 0-6). The delayed intervention period (Stage 2) will be analyzed as secondary/exploratory.

02

Conditions studied

  • Attention-Deficit/Hyperactivity Disorder
  • Autism Spectrum Disorder

Keywords

  • Attention-Deficit/Hyperactivity Disorder
  • Autism Spectrum Disorder
  • Digital therapeutics
  • Executive function
  • Children
  • Adolescents
  • Self-management skills
  • Cognitive Behavior Therapy
  • Intervention
03

In context

Attention Deficit Disorder with Hyperactivity

1,514 studies on the registry are indexed under Attention Deficit Disorder with Hyperactivity; 255 are open to participants now.

This study's planned enrollment of 48 is below the median of 72 across 1,207 interventional studies indexed under Attention Deficit Disorder with Hyperactivity.

Browse Attention Deficit Disorder with Hyperactivity studies →

Lead sponsor

Neudive Inc. is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Children and adolescents aged 5 to 12 years at the time of screening
  • Diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD)* by a psychiatrist according to DSM-5 diagnostic criteria

    *For ASD, diagnosis can be supported by the Autism Diagnostic Interview-Revised (ADI-R) or the Autism Diagnostic Observation Schedule (ADOS), either version 1 or 2

  • Full-Scale Intelligence Quotient (FSIQ) of 65 or higher
  • Able to use the 'NDTx-02' installed on a tablet, alone or with the assistance of a guardian
  • Able to comply with the recommended application schedule for the investigational device (6 weeks, 30 sessions, 5 times per week)
  • Agree not to add or change any treatment/education/rehabilitation programs or medications, including Applied Behavior Analysis (ABA) or cognitive therapy, during the study period (continuation of pre-existing TAU [Treatment-As-Usual] is allowed)
  • Participant and parent (or legal guardian) voluntarily decide to join the trial and provide written informed consent
  • Participants willing to comply with the clinical trial procedures

Exclusion criteria

Exclusion Criteria:

  • A risk of clinically significant behavioral problems, emotion regulation problems, psychotic symptoms, self-harm, or other harm at a level that affects the treatment process
  • Severe acute/chronic medical or mental illness
  • Serious trauma or surgery performed within 4 weeks before the screening date
  • Participants with other disabilities such as severe neurological diseases (e.g. brain lesions, mental disorders, etc.)
  • Participants who are currently participating in another clinical trial or have participated in another clinical trial within 30 days before the screening date
  • Change in the dosage or regimen of medications that may significantly affect cognitive function within 4 weeks prior to the baseline visit
  • Change in participation in treatment/education/rehabilitation programs that may significantly affect cognitive function within 4 weeks prior to the baseline visit
  • Participation in a clinical trial of, or prior experience using, cognitive improvement or daily living improvement software within 12 weeks prior to the baseline visit
  • In other cases where the investigator determines that participation in the clinical trial is inappropriate due to ethical reasons or the possibility of influencing the results of the clinical trial
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
48 participants (estimated)

Study arms

  • Experimental
    The experimental group (immediate intervention)

    NDTx-02 + TAU for the first 6 weeks (stage 1), followed by TAU only for the following 6 weeks (stage 2).

    Device: NDTx-02 + TAU · Behavioral: TAU

  • Other
    The waitlist control group (delayed intervention)

    TAU only during the first 6 weeks (stage 1), followed by NDTx-02 + TAU for the following 6 weeks (stage 2).

    Behavioral: TAU

Interventions

  • DeviceNDTx-02 + TAU

    NDTx-02 intervention: Participants will be provided with a tablet pre-installed with NDTx-02 and instructed to use the device five times per week for six weeks, for a total of 30 sessions.

  • BehavioralTAU

    TAU (Treatment-As-Usual): Attention-Deficit/Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD)-related treatment/rehabilitation/education.

06

What researchers measure

Primary outcomes

  1. K-BRIEF-2 (Behavior Rating Inventory of Executive Function, Second Edition)

    The K-BRIEF-2 consists of 63 items rated on a 3-point scale (Never, Sometimes, Often). The K-BRIEF-2 comprises 9 scales (Inhibit, Self-Monitor, Shift, Emotional Control, Initiate, Working Memory, Plan/Organize, Task-Monitor, Organization of Materials) organized under 3 index scores (Behavior Regulation, Emotion Regulation, Cognitive Regulation). The 9 scales collectively yield the Global Executive Composite (GEC), which reflects overall executive functioning. Higher T scores indicate greater executive function difficulties.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

Secondary outcomes

  1. K-ARS-5 (Korean ADHD Rating Scale, 5th Edition)

    The K-ARS-5 is a parent-rated scale for children aged 5-12, developed based on DSM-5 diagnostic criteria for ADHD. It contains 30 items that assess the frequency and severity of ADHD symptoms, including inattention and hyperactivity/impulsivity. Higher scores indicate greater ADHD symptom severity.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  2. K-VABS-II (Korean Vineland Adaptive Behavior Scales-II)

    The K-VABS-II is a clinician-administered tool for individuals from 0 to 99 years of age, assessing social and adaptive functioning across Communication, Daily Living Skills, Socialization, and Motor Skills, as well as a Maladaptive Behavior Index. It consists of 433 items. Standard scores range from 55 to 145, with higher scores reflecting better adaptive functioning.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  3. KAT (Korean Attention Test System)

    The KAT is an assessment tool for children aged 5-15 that systematically evaluates visual and auditory attention. It provides measures such as omission errors, commission errors, mean reaction time, and ADHD indices, and is designed to identify attention deficits and impulsivity.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  4. WMT (Working Memory Test for Children)

    The WMT is an assessment tool for children aged 5-15, designed to measure working memory capacity. It evaluates performance in forward and backward sequencing tasks, as well as longest span achieved. Scores provide insight into attention and working memory deficits, particularly for ADHD diagnosis.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  5. C-TMT (Color Trail Making Test for Children)

    The C-TMT is an assessment tool for children aged 5-15 that measures executive function and cognitive flexibility. It assesses completion times, sequencing errors, and interference indices. Poorer performance (longer completion time, more errors) indicates executive dysfunction, often associated with ADHD.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  6. Stroop Color and Word Test - Children's Version

    The Stroop Children's Test assesses frontal lobe function and inhibitory control in children aged 5-14. It evaluates words, color, color-word, and interference scores. It is used in the diagnosis of ADHD, tic disorders, learning disabilities, and autism spectrum disorder, as well as in assessing neuropsychological deficits.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  7. Digit Span Test

    The Digit Span subtest of the K-WISC-V assesses auditory attention and working memory. It includes Digit Span Forward, Digit Span Backward, and Digit Span Sequencing, as well as the longest span achieved in each category. Higher scores indicate better memory capacity and attentional control.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  8. CGI-S (Clinical Global Impression-Severity)

    The CGI-S is a clinician-rated scale assessing overall illness severity on a 7-point scale (1 = normal, 7 = extremely severe). Clinicians rate current severity relative to past patients with the same diagnosis, providing a standardized severity assessment.

    Time frame: Baseline (V2,V4), Day 42 (V4,V6)

  9. CGI-I (Clinical Global Impression-Improvement)

    The CGI-I is a clinician-rated scale assessing overall improvement or worsening of the patient's condition compared to baseline. It is rated on a 7-point scale (1 = very much improved, 7 = very much worse). Lower scores indicate greater clinical improvement.

    Time frame: Day 42 (V4,V6)

07

Study locations

3 of 3 sites recruiting
  • Daegu Catholic University Medical Center
    Daegu, 42472, South Korea
    Recruiting
  • Samsung Medical Center
    Seoul, 06351, South Korea
    Recruiting
  • The Catholic University of Korea, Seoul St. Mary's Hospital
    Seoul, 06591, South Korea
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07242625
Lead sponsor
Neudive Inc.
Responsible party
Sponsor
First posted
Nov 21, 2025
Start date
Oct 16, 2025
Primary completion
Apr 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
Nov 21, 2025

Study contacts

SungJa Cho
Contact
sungja_cho@neudive.com
+82-2-6959-9933
Yoo-Sook Joung, MD, PhD
principal investigator · Samsung Medical Center

Oversight

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

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