About this study
People with sickle cell disease (SCD) can have complications that affect how their brain works. This may include problems paying attention, remembering things, or learning new information. These problems can affect how well school-age children and teens perform at school and function in daily life.
Methylphenidate is a medicine that is approved by the U.S. Food and Drug Administration (FDA). It is used to treat problems with brain function, such as attention deficit hyperactivity disorder (ADHD) and with sleep disorders like narcolepsy.
This study will test if taking methylphenidate is feasible, acceptable, and safe for children and teens who have problems with attention and learning that come from sickle cell disease. We also want to know what caregivers think about using this medicine.
Patients will have physical exams and screening electrocardiograms (EKGs) to check heart function. They will also take tests to study their thinking and attention. They will then take 1 dose of methylphenidate. After 90 minutes, they will do the same tests again to check for immediate changes in cognitive skills. They will be watched for 4 hours. Then they will be given methylphenidate to take at home as prescribed for 28 days (4 weeks).
During the 4-week take-home phase, they will have a video call meeting with a study nurse once a week. In this meeting, patients will report:
- Any side effects
- If they were able to take methylphenidate
- How many pills they used
The nurse will ask questions about their mood, behavior, thinking, and well-being.
At the beginning and end of this study, researchers will interview 12 caregivers of the patients to find out what they think about the drug.
Eligibility overview
- Has sickle cell disease
- Age 8–17
- Enrolled in Sickle Cell Clinical Research Intervention Program (SCCRIP)
- Has 1 family caregiver who is willing to take part in the study