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Trial · NCT00794040

A Controlled Trial of Serotonin Reuptake Inhibitors Added to Stimulant Medication in Youth With Severe Mood Dysregulation

NCT00794040, Phase 2, Completed, National Institute of Mental Health (NIMH); results first posted 2019-05-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Controlled Trial of Serotonin Reuptake Inhibitors Added to Stimulant Medication in Youth With Severe Mood Dysregulation. Trials, record NCT00794040. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00794040

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Controlled Trial of Serotonin Reuptake Inhibitors Added to Stimulant Medication in Youth With Severe Mood Dysregulation
NCT number
NCT00794040
Status
Completed
Phases
Phase 2
Enrollment
103 participants, actual
Lead sponsor
National Institute of Mental Health (NIMH)
Conditions
Mood Disorder, Mental Disorder Diagnosed in Childhood, Attention Deficit and Disruptive Behavior Disorder, Attention Deficit Hyperactivity Disorder
Interventions
Add-on citalopram following optimized methylphenidate, Add-on placebo following optimized methylphenidate
First posted
2008-11-19
Last updated
2019-05-07
Results first posted
2019-05-07
Limitations and caveats
The sample size was smaller than initially planned. Our primary measure of irritability Aberrant Behavior Checklist - Irritability subscale, did not prove suitable for the current study due to its design (i.e., different environments and informants)

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Percentage of Participants That "Much Improved" (Score of 2) in, or "Completely Recovered" (Score of 1) From Their Irritability Severity, as Measured With the Clinical Global Impression-Improvement (CGI-I).
Collected weekly during the 8-week trial. The 8th-week outcome is reported.
A measure of change of irritability severity taking the baseline before randomization as a reference. Scores range 1 to 8, in which 1=Completely recovered,... 5=Unchanged,... 8=Much worse. Percentage of participants who responded are based on an estimation and might not match exactly with discrete numbers of participants based on the denominator.
SecondaryIrritability Severity at 8th Week of Trial.Collected weekly during the 8th week trial. The 8th-week outcome is reported.Clinical Global Impression-Severity (CGI-S): A measure of severity of irritability scale (from 1=Normal, not at all ill to 7=Among the most extremely ill patients).
SecondaryFunctional Impairment at 8th Week of TrialCollected weekly during the 8th week trial. The 8th-week outcome is reported.Difference in functional impairment at 8th week of trial as measured with Children's Global Impression Scale (CGAS) with scores ranging from 1=Most impaired to 100=Not impaired at all.
SecondaryDepressive Symptoms at 8th Week of TrialCollected weekly during the 8th week trial. The 8th-week outcome is reported.
Difference in depressive symptoms at 8th week of trial as measured with Children's Depression Rating Scale (CDRS) with scores ranging 17-113, where scores \>40 are considered over the clinical threshold, and scores \<28 are considered within the healthy range.
SecondaryAnxiety Symptoms at 8th Week of TrialCollected weekly during the 8th week trial. The 8th-week outcome is reported.Difference in anxiety symptoms at 8th week of trial as measured with the Pediatric Anxiety Rating Scale (PARS) with scores ranging 0-25. Higher values represent a worse outcome.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Percentage of Participants That Much Improved (Score of 2) in, or Completely Recovered (Score of 1) From Their Irritability Severity, as Measured With the Clinical Global Impression-Improvement (CGI-I).
Collected weekly during the 8-week trial. The 8th-week outcome is reported.
Whereas 53 participants were randomized, 49 participants were analyzed using intent-to-treat analysis. The first 4 participants recruited were excluded because a different version of the primary outcome measure (i.e., CGI) was collected in these participants and therefore was not comparable to the remaining participants
estimated percentage of participantsNUMBER
SECONDARYIrritability Severity at 8th Week of Trial.Collected weekly during the 8th week trial. The 8th-week outcome is reported.
Whereas 53 participants were randomized, 49 participants were analyzed using intent-to-treat analysis. The first 4 participants recruited were excluded because a different version of the primary outcome measure (i.e., CGI) was collected in these participants and therefore was not comparable to the remaining participants.
units on a scaleMEAN
SECONDARYFunctional Impairment at 8th Week of TrialCollected weekly during the 8th week trial. The 8th-week outcome is reported.
Whereas 53 participants were randomized, 49 participants were analyzed using intent-to-treat analysis. The first 4 participants recruited were excluded because a different version of the primary outcome measure (i.e., CGI) was collected in these participants and therefore was not comparable to the remaining participants.
units on a scaleMEAN
SECONDARYDepressive Symptoms at 8th Week of TrialCollected weekly during the 8th week trial. The 8th-week outcome is reported.
Whereas 53 participants were randomized, 49 participants were analyzed using intent-to-treat analysis. The first 4 participants recruited were excluded because a different version of the primary outcome measure (i.e., CGI) was collected in these participants and therefore was not comparable to the remaining participants.
units on a scaleMEAN
SECONDARYAnxiety Symptoms at 8th Week of TrialCollected weekly during the 8th week trial. The 8th-week outcome is reported.
Whereas 53 participants were randomized, 49 participants were analyzed using intent-to-treat analysis. The first 4 participants recruited were excluded because a different version of the primary outcome measure (i.e., CGI) was collected in these participants and therefore was not comparable to the remaining participants.
units on a scaleMEAN

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants That Much Improved (Score of 2) in, or Completely Recovered (Score of 1) From Their Irritability Severity, as Measured With the Clinical Global Impression-Improvement (CGI-I).
Add-on Citalopram Following Optimized Methylphenidate35estimated percentage of participants
Percentage of Participants That Much Improved (Score of 2) in, or Completely Recovered (Score of 1) From Their Irritability Severity, as Measured With the Clinical Global Impression-Improvement (CGI-I).
Add-on Placebo Following Optimized Methylphenidate6estimated percentage of participants
Irritability Severity at 8th Week of Trial.Add-on Citalopram Following Optimized Methylphenidate3.1Standard Error 0.3units on a scale
Irritability Severity at 8th Week of Trial.Add-on Placebo Following Optimized Methylphenidate3.9Standard Error 0.3units on a scale
Functional Impairment at 8th Week of TrialAdd-on Citalopram Following Optimized Methylphenidate52.6Standard Error 2.3units on a scale
Functional Impairment at 8th Week of TrialAdd-on Placebo Following Optimized Methylphenidate47.2Standard Error 2.1units on a scale
Depressive Symptoms at 8th Week of TrialAdd-on Citalopram Following Optimized Methylphenidate28.6Standard Error 1.8units on a scale
Depressive Symptoms at 8th Week of TrialAdd-on Placebo Following Optimized Methylphenidate30.1Standard Error 1.8units on a scale
Anxiety Symptoms at 8th Week of TrialAdd-on Citalopram Following Optimized Methylphenidate12.0Standard Error 1.2units on a scale
Anxiety Symptoms at 8th Week of TrialAdd-on Placebo Following Optimized Methylphenidate13.4Standard Error 1.2units on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAdd-on Citalopram Following Optimized Methylphenidate25
Overall StudySTARTEDAdd-on Placebo Following Optimized Methylphenidate28
Overall StudyCOMPLETEDAdd-on Citalopram Following Optimized Methylphenidate22
Overall StudyCOMPLETEDAdd-on Placebo Following Optimized Methylphenidate23
Overall StudyNOT COMPLETEDAdd-on Citalopram Following Optimized Methylphenidate3
Overall StudyNOT COMPLETEDAdd-on Placebo Following Optimized Methylphenidate5

Adverse events94

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDry mouthGastrointestinal disordersAdd-on Citalopram Following Optimized Methylphenidate323
otherDry mouthGastrointestinal disordersAdd-on Placebo Following Optimized Methylphenidate426
otherDroolingGastrointestinal disordersAdd-on Citalopram Following Optimized Methylphenidate223
otherDroolingGastrointestinal disordersAdd-on Placebo Following Optimized Methylphenidate026
otherIncreased thirstGastrointestinal disordersAdd-on Citalopram Following Optimized Methylphenidate323
otherIncreased thirstGastrointestinal disordersAdd-on Placebo Following Optimized Methylphenidate326
otherTrouble swallowingGastrointestinal disordersAdd-on Citalopram Following Optimized Methylphenidate223
otherTrouble swallowingGastrointestinal disordersAdd-on Placebo Following Optimized Methylphenidate326
otherNauseaGastrointestinal disordersAdd-on Citalopram Following Optimized Methylphenidate1023
otherNauseaGastrointestinal disordersAdd-on Placebo Following Optimized Methylphenidate826

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAdd-on Citalopram Following Optimized Methylphenidate023
Total, all-cause mortalityAdd-on Placebo Following Optimized Methylphenidate026
Total, other adverse eventsAdd-on Citalopram Following Optimized Methylphenidate2323
Total, other adverse eventsAdd-on Placebo Following Optimized Methylphenidate2426
Total, serious adverse eventsAdd-on Citalopram Following Optimized Methylphenidate023
Total, serious adverse eventsAdd-on Placebo Following Optimized Methylphenidate026

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15923042BACKGROUNDPubMed
16437535BACKGROUNDPubMed
16945343BACKGROUNDPubMed
31128268DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Add-on Citalopram Following Optimized Methylphenidate vs Add-on Placebo Following Optimized Methylphenidate: deaths from any causeTrial comparisons
Add-on Citalopram Following Optimized Methylphenidate vs Add-on Placebo Following Optimized Methylphenidate: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00794040

GET https://conductscience.org/api/trials/v1/NCT00794040/events?page=2