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

Goez 2012.

Methods A randomised, double‐blind, cross‐over study design where participants were randomly assigned to receive a single dose of either
  1. Modafinil (100 mg); or

  2. Methylphenidate (10 mg)


Follow‐up 90 minutes
Participants Number of participants screened: not stated
Number of participants included: 28
Number of participants followed up: 28
Number of withdrawals: none
Diagnosis of ADHD: DSM‐IV (subtype; combined (100%))
Age: mean 10.1 years, range 6‐15 years old
IQ: > 70
Sex: 26 males, 2 females
Country: Canada and Israel
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Comorbidity: no major psychiatric conditions
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. Children and adolescents aged 6 to 15 years with classic combined subtype ADHD (DSM‐IV) and a score of ≥ 65 on the parent and teacher‐rated Conners Rating Scale


Exclusion criteria
  1. Children and adolescents with DSM‐IV major psychiatric conditions, mental retardation, autism spectrum disorder, epilepsy, heart disease, hypertension, sleep disorders, Steven Johnson syndrome or hypersensitivity to modafinil, methylphenidate or other psychostimulants

Interventions Methylphenidate type: not stated
Methylphenidate dosage: 10 mg
Administration schedule: single dose
Duration of treatment: single dose
Wash‐out: 2 weeks for those who received modafinil first
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Patients and their families were subsequently contacted and requested to report any adverse effects that might have occurred
7 participants (25%) reported adverse events, including abdominal pain, diarrhoea, hyposomnia, and headaches. All adverse events were minimal and resolved spontaneously
All appear to have been rated up to 90 minutes following administration of methylphenidate
Notes Sample calculation: not stated
Ethics approval: yes
Funding: the authors received no financial support for the research, authorship, and/or publication of this article
Vested interests/authors' affiliations: the authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Key conclusions of the study authors: Modifinil may serve as an effective alternative treatment for ADHD in paediatric patients who do not respond well to methylphenidate or other stimulants
Comments from the study authors: adverse events for both agents were mild and self‐limited. The study do not provide any information on long‐term drug effects and long‐term adverse effects. Furthermore, small number of participants and even smaller number of participants for whom numerical scores could be obtained.
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: participants who have had an hypersensitivity reaction to either drug were excluded
Supplemental information regarding the protocol and side effects requested from the study authors in October 2013 with no reply