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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7349 p576
14 May 2005

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Encouraging data for methylphenidate patch

Positive clinical trial data for methylphenidate transdermal system (MTS) to treat attention deficit/hyperactivity disorder in children were released by Shire Pharmaceuticals this week.

The results from two randomised controlled trials were reported — a phase II study involving 80 children and a phase III study involving 268 children.

The first trial involved a five-week open-label dose optimisation period followed by a two-week crossover period with placebo. The results showed that measurements of performance and behaviour were significantly better in the MTS group than the placebo group (P<0.0001). This difference was apparent two hours after application of the patch and was maintained for 12 hours. The safety profile for the patches was similar to that reported for approved methylphenidate products.

The second study was of a similar design but, in addition, it compared MTS with oral methylphenidate (Concerta XL). Children in the MTS and Concerta groups showed significant improvements in performance and behaviour compared with those in the placebo groups after two weeks of optimal dosing (P<0.0001). Again, the safety profile of MTS was similar to that of oral methylphenidate.

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