ADHDPhase 4NCT07838311
Delayed-Release, Extended-Release Methylphenidate (Jornay PM) for Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder and Cannabis Use Disorder
A Phase 4 study testing Delayed-release, extended-release methylphenidate in people with ADHD and Cannabis Use Disorder, run by Massachusetts General Hospital at 1 site in United States.
Trial summary
The goal of this clinical trial is to look at how delayed-release, extended-release methylphenidate (Jornay PM), an FDA-approved medication for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD), works to treat ADHD symptoms in adolescents and young adults (ages 16-26) with ADHD and Cannabis Use… Read more about this study
- Who is it for?
- Ages 16 to 26 years
- Conditions the study is for
- ADHD, Cannabis Use Disorder
- What is being tested?
- Delayed-release, extended-release methylphenidate
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 66 participants
- Where
- 1 siteUnited States
- Study dates
- Nov 2026to Nov 2029
- Phase
- Phase 4
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 26 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Male or female subjects, 16-26 years of age at the time of consent
- An established diagnosis of ADHD and CUD based on the DSM-5
- ADHD severity of 4 or greater as determined by the Clinical Global Impression-Severity (CGI-S) scale
- Subject must be interested in or currently participating in some type of treatment for their CUD, including, but not limited to, outpatient individual therapy, outpatient group therapy, CUD-directed pharmacotherapy, Marijuana Anonymous, Alcoholics Anonymous, Narcotics Anonymous, or Smart Recovery
- Subject must report cannabis use on at least 3 of the 7 days prior to study enrollment
- Subject must have a level of understanding sufficient to communicate intelligently with the investigator and study staff to complete study tasks in English
- Subject must be willing to cooperate with all tests and examinations required by the protocol
- Subject must be domiciled in the state of Massachusetts
Who cannot join
- Subjects who are pregnant or nursing, or subjects unable or unwilling to use birth control. Birth control includes, but is not limited to:
- i. hormonal methods, such as birth control pills, patches, injections, vaginal rings, or implants
- ii. barrier methods (such as a condom or diaphragm) used with a spermicide (a foam, cream, or gel that kills sperm)
- iii. intrauterine device (IUD)
- iv. abstinence (no sex)
- Subjects who present a negative urine dipstick result for cannabis use at baseline or report fewer than 3 use days of cannabis in week preceding study enrollment
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- Subjects with major untreated psychopathology, psychosis, suicidality, or concurrent active non-nicotine SUD other than CUD that, in the investigators' opinion, place them at risk for the adverse effects or need for additional care
- Subjects who are unwilling or unable to comply with study procedures
- Subjects who refuse additional substance-related interventions
- Subjects with known medical risk factors (e.g., known untreated hypertension, arrhythmia, premature family history of sudden death) and active symptoms that, in the investigators' opinion, place them at risk for untoward adverse effects
- Subjects with previous poor response or poor tolerability to methylphenidate despite an adequate trial
- Investigator and his/her immediate family; defined as the investigator's spouse, parent, child, grandparent, or grandchild
- Subjects who are unable to swallow large capsules
- Subjects with a known allergy to study medication or known hypersensitivity to methylphenidate HCL or product components
- Subjects with concurrent treatment with a monoamine oxidase inhibitor (MAOI) or use of an MAOI within the preceding 14 days
- Subjects who have ever taken Jornay PM in the past
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
Massachusetts General Hospital, 55 Fruit Street, Yawkey 6A
Boston, Massachusetts, 02114
About this study
Official title: Randomized Controlled Study of Delayed-Release, Extended-Release Methylphenidate (Jornay PM) in Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder and Co-Occurring Cannabis Use Disorder
The goal of this clinical trial is to look at how delayed-release, extended-release methylphenidate (Jornay PM), an FDA-approved medication for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD), works to treat ADHD symptoms in adolescents and young adults (ages 16-26) with ADHD and Cannabis Use Disorder. Researchers will compare delayed-release, extended-release methylphenidate to a placebo (a look-alike substance that contains no drug).
Participants will be assigned to take either delayed-release, extended-release methylphenidate or a placebo every night over 12 weeks. Throughout the study, participants will provide urine samples and complete questionnaires about their ADHD symptoms, cannabis use, and other substance use.
- Conditions
- ADHD, Cannabis Use Disorder
- Being tested
- Delayed-release, extended-release methylphenidate, Placebo
- Keywords
- ADHD, Cannabis Use Disorder, Methylphenidate, Attention-deficit hyperactivity disorder, Cannabis, Substance use disorder, Substance use
- Medical subject headings
- Attention Deficit Disorder with Hyperactivity, Marijuana Abuse, Substance-Related Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Delayed-release, extended-release methylphenidateDrug
Also called Jornay PM
Active treatment arm
PlaceboDrug
Placebo treatment arm
| Study group | Role | What they receive |
|---|---|---|
| Delayed-release, extended release methylphenidate | Active comparator | Not described Receives: Drug: Delayed-release, extended-release methylphenidate |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
ADHD Symptom Change as Measured by Adult ADHD Investigator Symptom Rating Scale (AISRS)
ADHD symptom severity will be assessed using the AISRS, which consists of 18 items scored from 0 to 3, yielding a total score of 0-54; higher scores indicate greater symptom severity. The outcome is change in AISRS total score from baseline to week 12.
Measured: Baseline to week 12
Secondary outcomes (1)
Change in Cannabis Use as Measured by Timeline Followback (TLFB)
Cannabis use will be assessed using TLFB to determine the number of cannabis-use days within a 28-day period, ranging from 0 to 28. The outcome is change in the number of cannabis-use days during the preceding 28 days from baseline to week 12.
Measured: The 28 days preceding treatment initiation and the final 28 days of treatment (weeks 9-12)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Sep 2026
- Study startNov 2026 (estimated)
- Primary completionNov 2029 (estimated)
- Study completionNov 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ADHDStudies of the same condition, open and under way.
- More trials run by Massachusetts General HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 66 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Massachusetts General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA), Collegium Pharmaceutical, Inc.
- Responsible party
- Principal investigator, Aaron Quiggle, Massachusetts General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07838311
- Sponsor's protocol ID
- 2026P001748
- Other IDs
- K12DA000357
- Status last verified
- Sep 2026
- First submitted
- 17 Sep 2026
- Last updated
- 28 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No