Page last updated: 2024-10-28

guanfacine and Childhood Tic Disorders

guanfacine has been researched along with Childhood Tic Disorders in 11 studies

Guanfacine: A centrally acting antihypertensive agent with specificity towards ADRENERGIC ALPHA-2 RECEPTORS.

Research Excerpts

ExcerptRelevanceReference
"Guanfacine appears to be a safe and effective treatment for children with tic disorders and ADHD."2.70A placebo-controlled study of guanfacine in the treatment of children with tic disorders and attention deficit hyperactivity disorder. ( Arnsten, AF; Chappell, PB; Cohen, DJ; Katsovich, L; Kim, YS; Leckman, JF; Scahill, L; Schultz, RT; Shepherd, E, 2001)
" In one study, tics limited further dosage increases of methylphenidate."2.58Pharmacological treatment for attention deficit hyperactivity disorder (ADHD) in children with comorbid tic disorders. ( Osland, ST; Pringsheim, T; Steeves, TD, 2018)
" While medications for ADHD are generally well-tolerated, there are common, although less severe, as well as rare but severe adverse events AEs during treatment with ADHD drugs."2.49Practitioner review: current best practice in the management of adverse events during treatment with ADHD medications in children and adolescents. ( Banaschewski, T; Buitelaar, J; Coghill, D; Cortese, S; Danckaerts, M; Dittmann, RW; Graham, J; Holtmann, M; Sergeant, J; Taylor, E, 2013)
"Risperidone and clonidine were the most commonly recommended medications for tic disorders over the study period, with 36,868 and 35,500 recommendations in 2016, respectively."1.51Prescriptions for Alpha Agonists and Antipsychotics in Children and Youth with Tic Disorders: A Pharmacoepidemiologic Study. ( Cothros, N; Martino, D; McMorris, C; Pringsheim, T; Stewart, D; Tehrani, A, 2019)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (9.09)18.2507
2000's2 (18.18)29.6817
2010's6 (54.55)24.3611
2020's2 (18.18)2.80

Authors

AuthorsStudies
Roessner, V1
Eichele, H1
Stern, JS1
Skov, L1
Rizzo, R1
Debes, NM1
Nagy, P1
Cavanna, AE1
Termine, C1
Ganos, C1
Münchau, A1
Szejko, N1
Cath, D1
Müller-Vahl, KR1
Verdellen, C1
Hartmann, A1
Rothenberger, A1
Hoekstra, PJ1
Plessen, KJ1
Cothros, N1
Martino, D1
McMorris, C1
Stewart, D1
Tehrani, A1
Pringsheim, T3
de Groof, C1
De La Marche, W1
Danckaerts, M2
Yang, C1
Cheng, X1
Zhang, Q1
Yu, D1
Li, J1
Zhang, L1
Murphy, TK1
Fernandez, TV1
Coffey, BJ1
Rahman, O1
Gavaletz, A1
Hanks, CE1
Tillberg, CS1
Gomez, LI1
Sukhodolsky, DG1
Katsovich, L2
Scahill, L3
Osland, ST1
Steeves, TD1
Doja, A1
Gorman, D1
McKinlay, D1
Day, L1
Billinghurst, L1
Carroll, A1
Dion, Y1
Luscombe, S1
Steeves, T1
Sandor, P1
Cortese, S1
Holtmann, M1
Banaschewski, T1
Buitelaar, J1
Coghill, D1
Dittmann, RW1
Graham, J1
Taylor, E1
Sergeant, J1
Boon-yasidhi, V1
Kim, YS2
Newcorn, JH1
Schulz, K1
Harrison, M1
DeBellis, MD1
Udarbe, JK1
Halperin, JM1
Chappell, PB1
Schultz, RT1
Shepherd, E1
Arnsten, AF1
Cohen, DJ1
Leckman, JF1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Finalizing and Testing an Online Therapist Training and Assistance Program to Facilitate Implementation of Comprehensive Behavioral Intervention for Tic Disorders[NCT05547854]234 participants (Anticipated)Interventional2023-06-27Recruiting
Therapeutic Use of Repetitive Transcranial Magnetic Stimulation (rTMS) in Pediatric Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Cohorts (ADHD): a Randomized, Sham-controlled Study.[NCT06069323]80 participants (Anticipated)Interventional2023-06-01Recruiting
Transcranial Magnetic Stimulation for Individuals With Tourette's Syndrome[NCT00529308]Phase 220 participants (Actual)Interventional2007-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

"Number of Patients With Improved or Minimally Improved in Clinical Global Impression-Improvement (CGI) Scale"

"The CGI-I is a clinician-rated scales that have been used in clinical trials for over 25 years. Clinicians rate patient improvement compared to baseline. By convention, 4 = No Change; scores of 5, 6, and 7 move in the direction of worsening; scores of 3, 2, and 1 correspond to Minimal Improvement, Much Improved or Very Much Improved, respectively. CGI-I ratings of Much or Very Much Improved at post-treatment are used to identify treatment responders." (NCT00529308)
Timeframe: 3 weeks

Interventionparticipants (Number)
Active2
Sham8

"Number of Patients With Much Improved or Very Much Improved on Clinical Global Impression-Improvement (CGI) Scale"

"The CGI-I is a clinician-rated scales that have been used in clinical trials for over 25 years. Clinicians rate patient improvement compared to baseline. By convention, 4 = No Change; scores of 5, 6, and 7 move in the direction of worsening; scores of 3, 2, and 1 correspond to Minimal Improvement, Much Improved or Very Much Improved, respectively. CGI-I ratings of Much or Very Much Improved at post-treatment are used to identify treatment responders." (NCT00529308)
Timeframe: 3 weeks

Interventionparticipants (Number)
Active1
Sham0

Motor Cortex Excitability Normalization-Left Motor Threshold

Motor Threshold (MT) is thought to be a measure of membrane excitability in pyramidal neurons. MT is defined as the minimum magnetic flux needed to elicit a threshold EMG response (50 µV in peak to peak amplitude) in a resting target muscle in 5 out of 10 trials using single pulse TMS administered to the contralateral primary motor cortex. MT for both right and left hand are determined, and the lowest is used to select the intensity for rTMS. (NCT00529308)
Timeframe: 3 weeks

InterventionµV (Mean)
Active56.5
Sham63.8

Motor Cortex Excitability Normalization-Right Motor Threshold

Motor Threshold (MT) is thought to be a measure of membrane excitability in pyramidal neurons. MT is defined as the minimum magnetic flux needed to elicit a threshold EMG response (50 µV in peak to peak amplitude) in a resting target muscle in 5 out of 10 trials using single pulse TMS administered to the contralateral primary motor cortex. MT for both right and left hand are determined, and the lowest is used to select the intensity for rTMS. (NCT00529308)
Timeframe: 3 weeks

InterventionµV (Mean)
Active56
Sham59.8

Yale Global Tic Severity Scale (Y-GTSS)

Y-GTSS is a clinician-rated scale used to assess tic severity. Motor and phonic tics are rated separately from 0 to 5 on several scales including number, frequency, intensity, complexity, and interference. Thus Motor and Phonic Tic scores can range from 0 to 25; the combined Total Tic Score ranges from 0 to 50. There is also an Impairment score that rates the overall burden due to tics. The Impairment scale yields a single score from 0 to 50 with higher scores indicating higher levels of overall impairment associated with tics. (NCT00529308)
Timeframe: 3 weeks

Interventionunits on a scale (Mean)
Active29.5
Sham31.5

Reviews

7 reviews available for guanfacine and Childhood Tic Disorders

ArticleYear
European clinical guidelines for Tourette syndrome and other tic disorders-version 2.0. Part III: pharmacological treatment.
    European child & adolescent psychiatry, 2022, Volume: 31, Issue:3

    Topics: Adult; Attention Deficit Disorder with Hyperactivity; Child; Female; Guanfacine; Humans; Male; Rispe

2022
[Effectiveness of guanfacin on comorbid disorders in children and adolescents with adhd: a systematic literature review].
    Tijdschrift voor psychiatrie, 2019, Volume: 61, Issue:12

    Topics: Adolescent; Adrenergic alpha-2 Receptor Agonists; Anxiety Disorders; Attention Deficit Disorder with

2019
Interventions for tic disorders: An updated overview of systematic reviews and meta analyses.
    Psychiatry research, 2020, Volume: 287

    Topics: Antipsychotic Agents; Aripiprazole; Child; Cost-Benefit Analysis; Exercise; Guanfacine; Humans; Meta

2020
Pharmacological treatment for attention deficit hyperactivity disorder (ADHD) in children with comorbid tic disorders.
    The Cochrane database of systematic reviews, 2018, 06-26, Volume: 6

    Topics: Adolescent; Atomoxetine Hydrochloride; Attention Deficit Disorder with Hyperactivity; Central Nervou

2018
Canadian guidelines for the evidence-based treatment of tic disorders: pharmacotherapy.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2012, Volume: 57, Issue:3

    Topics: Adrenergic alpha-2 Receptor Agonists; Adult; Antipsychotic Agents; Canada; Child; Clonidine; Evidenc

2012
Practitioner review: current best practice in the management of adverse events during treatment with ADHD medications in children and adolescents.
    Journal of child psychology and psychiatry, and allied disciplines, 2013, Volume: 54, Issue:3

    Topics: Adolescent; Atomoxetine Hydrochloride; Attention Deficit Disorder with Hyperactivity; Blood Pressure

2013
Alpha 2 adrenergic agonists. Neurochemistry, efficacy, and clinical guidelines for use in children.
    Pediatric clinics of North America, 1998, Volume: 45, Issue:5

    Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-Agonists; Anxiety Disorders; Attention Defici

1998

Trials

2 trials available for guanfacine and Childhood Tic Disorders

ArticleYear
Extended-Release Guanfacine Does Not Show a Large Effect on Tic Severity in Children with Chronic Tic Disorders.
    Journal of child and adolescent psychopharmacology, 2017, Volume: 27, Issue:9

    Topics: Adolescent; Adrenergic alpha-2 Receptor Agonists; Child; Double-Blind Method; Female; Guanfacine; Hu

2017
A placebo-controlled study of guanfacine in the treatment of children with tic disorders and attention deficit hyperactivity disorder.
    The American journal of psychiatry, 2001, Volume: 158, Issue:7

    Topics: Adolescent; Adrenergic alpha-Agonists; Attention Deficit Disorder with Hyperactivity; Child; Comorbi

2001

Other Studies

2 other studies available for guanfacine and Childhood Tic Disorders

ArticleYear
Prescriptions for Alpha Agonists and Antipsychotics in Children and Youth with Tic Disorders: A Pharmacoepidemiologic Study.
    Tremor and other hyperkinetic movements (New York, N.Y.), 2019, Volume: 9

    Topics: Adolescent; Antipsychotic Agents; Aripiprazole; Child; Child, Preschool; Female; Guanfacine; Humans;

2019
An open-label, prospective study of guanfacine in children with ADHD and tic disorders.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2005, Volume: 88 Suppl 8

    Topics: Adolescent; Adrenergic alpha-Agonists; Attention Deficit Disorder with Hyperactivity; Blood Pressure

2005