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. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Gau 2006.

Methods An open, randomised, parallel, active‐controlled equivalent 28 day trial with
  1. Immediate release methylphenidate

  2. Osmotic release oral system (OROS) methylphenidate

Participants Number of participants screened: not stated
Number of participants included: 64
Number randomised to immediate release methylphenidate: 32, and to OROS methylphenidate: 32
Number followed up in each arm: immediate release methylphenidate: 32, OROS methylphenidate: 32
Number of withdrawals in each arm: 0
Diagnosis of ADHD: DSM‐IV/ICD‐10 (combined 50 (78.1%), hyperactive‐impulsive 2 (3.1%), inattentive 12 (18.9%))
Age: mean: 10.5, range: 6‐15 years old
IQ: > 80
Sex: 58 males, 6 females
Methylphenidate‐naïve: 0
Ethnicity: Asian 100%
Country: Taiwan
Comorbidity: no
Comedication: no
Sociodemographics: parents education: college: 55%, high school: 30%, junior high school: 10%, other: 5%
Inclusion criteria
  1. Been taking methylphenidate 10‐40 mg for the past 3 months

  2. Able to comply with the study visit schedules

  3. Their mothers and teacher were willing and able to complete the weekly assessments


Exclusion criteria
  1. Significant gastrointestinal problems

  2. A history of hypertension

  3. Known hypersensitivity to methylphenidate

  4. Co‐existing medical condition

  5. Concurrent medication (such as monoamine oxidase inhibitors, and medicines used to treat depression, prevent seizure, or prevent blood clots) likely to interfere with the safe administration of methylphenidate

  6. Glaucoma, Tourette syndrome, active seizure disorder or psychotic disorder

  7. Girls who had reached menarche

Interventions Methylphenidate type: immediate release and osmotic release oral system methylphenidate
Mean methylphenidate dosage: OROS: 27.7 mg/day (SD 13.5); immediate release: 26.7 mg/day (SD 7.6)
Administration schedule: OROS: once daily; immediate release: 3 times daily
Duration of intervention: 28 days
Treatment compliance: parents were required to record the time of drug administration on an adherence sheet. Pill counting was performed for each participant. Days forgetting to take medication: immediate release group 8.6 (SD 5.7); OROS group 2.0 (SD 3.9)
Outcomes Non‐serious adverse events:
Barkley's Side Effects Questionnaire at baseline, on day 14 and day 28
Vital signs. At baseline, on day 14 and day 28
Notes Sample calculation: no
Ethics approval: IRB of National Taiwan University Hospital
Funding/vested interest/authors' affiliations: the study was supported by Janssen‐Cilag, Taiwan. Drs. Susan S.F. Gau and Wei‐Tsuen Soong have conducted clinical trials on behalf of Janssen‐Cilag, Taiwan and Eli Lilly and Company, Taiwan. They have also been speakers for Janssen‐Cilag, Taiwan and Eli Lilly and Company, Taiwan
Any withdrawals due to adverse events: no
Key conclusions of the study authors: OROS methylphenidate has similar efficacy to immediate release methylphenidate, with less severity of decreased appetite. OROS methylphenidate is superior over immediate release methylphenidate in treating ADHD children and adolescents in the context of Chinese culture
Comments from the study authors: the short study period limits our understanding regarding long‐term efficacy of methylphenidate and the possible side effects on appetite, cardiovascular functioning, and so on in the Chinese population
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: yes
Supplemental information regarding IQ and diagnostic criteria received through personal email correspondence with the authors in October 2013 (Gau 2013 [pers comm])