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Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial.

Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial. Research Abstract Details 

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  • Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial. Abstract Text:

    l eugene arnoldL Eugene Arnold,antonino amatoAntonino Amato,hernan bozzoloHernan Bozzolo,jill hollwayJill Hollway,amy cookAmy Cook,yaser ramadanYaser Ramadan,lindsay crowlLindsay Crowl,dan zhangDan Zhang,susan thompsonSusan Thompson,giussepe testaGiussepe Testa,vernon kliewerVernon Kliewer,timothy wigalTimothy Wigal,keith mcburnettKeith McBurnett,michael manosMichael Manos,

    Objective: To determine whether acetyl-L-carnitine (ALC), a metabolite necessary for energy metabolism and essential fatty acid anabolism, might help attention-deficit/hyperactivity disorder (ADHD). Trials in Down's syndrome, migraine, and Alzheimer's disease showed benefit for attention. A preliminary trial in ADHD using L-carnitine reported significant benefit. Method: A multi-site 16-week pilot study randomized 112 children (83 boys, 29 girls) age 5-12 with systematically diagnosed ADHD to placebo or ALC in weight-based doses from 500 to 1500 mg b.i.d. The 2001 revisions of the Conners' parent and teacher scales (including DSM-IV ADHD symptoms) were administered at baseline, 8, 12, and 16 weeks. Analyses were ANOVA of change from baseline to 16 weeks with treatment, center, and treatment-by-center interaction as independent variables. Results: The primary intent-to-treat analysis, of 9 DSM-IV teacher-rated inattentive symptoms, was not significant. However, secondary analyses were interesting. There was significant (p = 0.02) moderation by subtype: superiority of ALC over placebo in the inattentive type, with an opposite tendency in combined type. There was also a geographic effect (p = 0.047). Side effects were negligible; electrocardiograms, lab work, and physical exam unremarkable. Conclusion: ALC appears safe, but with no effect on the overall ADHD population (especially combined type). It deserves further exploration for possible benefit specifically in the inattentive type.

    Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial. Publishing Authors By Initials

    le arnoldLE Arnold,a amatoA Amato,h bozzoloH Bozzolo,j hollwayJ Hollway,a cookA Cook,y ramadanY Ramadan,l crowlL Crowl,d zhangD Zhang,s thompsonS Thompson,g testaG Testa,v kliewerV Kliewer,t wigalT Wigal,k mcburnettK McBurnett,m manosM Manos,

    For similar abstracts research abstracts see: abstracts research

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    Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of child and adolescent psychopharmacology

    VOLUME: 17

    Page Numbers: 791-802

    Journal Abbreviation:

    ISSN: 1044-5463

    DAY: 4

    MONTH: Dec

    YEAR: 2007

    Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 9105358

    Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial. Keywords Mesh Terms:

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    Grant and Affiliation Information for Acetyl-L-Carnitine (ALC) in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial.

    AFFILIATION: The Ohio State University Nisonger Center, Columbus, OH.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Child Adolesc Psychopharmaco

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    Acetyl-L-Carnitine ALC in Attention-Deficit/Hyperactivity Disorder: A Multi-Site, Placebo-Controlled Pilot Trial Related Publications

     

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