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Methylphenidate

Phase 3FDA approved

Attention Deficit Disorder With Hyperactivity | Small molecule | Psychiatry |Johnson & Johnson|Trials Updated: Sep 9, 2026

Methylphenidate development status

FDA approval on record Jun 19, 2017
Approval holderNeos Theraps Inc
ApplicationNDA205489
Highest phase Phase 3
Registered trials 10 across 8 sponsors since Oct 2005

Label indication COTEMPLA XR-ODT is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in pediatric patients 6 to 17 years of age [see Clinical Studies (14) ]. Limitations of Use The use of COTEMPLA XR-ODT is not recommended in pediatric patients younger than 6 years of age because they had higher plasma exposure and a higher incidence of adverse reactions (e.g., weight loss) than patients 6 years and… FDA label

Methylphenidate target and mechanism

Molecular targetSLC6A3, SLC6A2
Target classInhibitor
ModalitySmall molecule
ChEMBLCHEMBL796

Also known as Methylphenidate HCl, Ritalin-SR, Ritalin, methylphenidate hydrochloride, Concerta, Concerta AG formulation, Concerta EG formulation

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials5
Total Enrollment711

FDA Designations

No designations recorded

Methylphenidate clinical trials

Methylphenidate · 5 trials · 8 indications

Phase 3 3Phase 2 1Phase 1 1
NCT00246233CONCERTA® (Methylphenidate Hydrochloride) as add-on Therapy in the Treatment of Adult Major Depressive Disorder.Depressive Disorder, Major
COMPLETED145 Analytics
NCT00246220A Study of the Effectiveness and Safety of Prolonged-release Methylphenidate Hydrochloride in Adult Patients With Attention Deficit/Hyperactivity Disorder.Attention Deficit Disorder With Hyperactivity
COMPLETED402 Analytics
NCT00246207CONCERTA (OROS Methylphenidate Hydrochloride) for the Treatment of Attention Deficit Hyperactivity Disorder in AdultsAttention Deficit Disorder With Hyperactivity
COMPLETED32 Analytics
PHASE3COMPLETED
CONCERTA® (Methylphenidate Hydrochloride) as add-on Therapy in the Treatment of Adult Major Depressive Disorder.
Depressive Disorder, MajorUnlock trial analytics
PHASE3COMPLETED
A Study of the Effectiveness and Safety of Prolonged-release Methylphenidate Hydrochloride in Adult Patients With Attention Deficit/Hyperactivity Disorder.
Attention Deficit Disorder With HyperactivityUnlock trial analytics
PHASE3COMPLETED
CONCERTA (OROS Methylphenidate Hydrochloride) for the Treatment of Attention Deficit Hyperactivity Disorder in Adults
Attention Deficit Disorder With HyperactivityUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in total Montgomery Asberg Depression Rating Scale (MADRS) score between the two groups from baseline to the final visit.
Change from baseline in the sum of the inattention and hyperactivity/impulsivity subscale scores of the investigator-rated Conners' Adult ADHD Rating Scale at the end of the double-blind phase (5 weeks) compared with placebo.
The primary effectiveness outcomes will be the changes in the inattention and hyperactivity/impulsivity subscale scores of the investigator-rated CAARS (Conners' Adult ADHD Rating Scale) from baseline to the end of treatment.
Apathy Evaluation Scale (AES)
6 weeks

This measure is an 18-item scale initially developed as a method for measuring apathy resulting from brain-related pathology.

Clinical Global Impression of Change (CGIC)
6 weeks

The CGIC is a systematic method, developed for the Alzheimer's disease (AD) setting to assess clinically significant change in a clinical trial as viewed by an independent, skilled, and experienced clinician and has been used as an outcome in Parkinson disease trials

Assess feasibility of methylphenidate
Feasibility is measured during the initial recruitment process for each participant.

Feasibility is measured by the participation rate (i.e., ratio of those who agree to participate to those approached).

Assess acceptability of methylphenidate
Acceptability ratings are captured at baseline and after 4 weeks of treatment with methylphenidate.

Acceptability is captured by parent- and self-report ratings on the Acceptability of Intervention Measure (AIM).

Assess adherence to methylphenidate
Adherence is measured on a weekly basis through 4 weeks of treatment

Adherence is measured through weekly pill counts. The primary adherence outcome is the ratio of the number of pills taken to those dispersed.

Secondary Endpoints

Safety and tolerability of study drug based on adverse events and clinical laboratory tests, ECG, vital signs and physical examination, finding changes from baseline to the final visit.
Changes from baseline to the end of treatment in: Conners' Adult ADHD Rating Scale; Clinical Global Impression; Sheehan's Disability Scale; Quality of Life Enjoyment and Satisfaction Questionnaire; and Global Assessment of Effectiveness
The changes in other effectiveness assessments will be secondary endpoints.
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TreatmentACTIVE_COMPARATORMethylphenidate 20 mg
PlaceboPLACEBO_COMPARATORPlacebo
Methylphenidate Treatment GroupEXPERIMENTALAll participants in this single-arm pilot study will receive extended-release methylphenidate for 4 weeks. The intervention is designed to evaluate feasibility, acceptability, adherence, and safety of stimulant treatment in children and adolescents with sickle cell disease (SCD) and executive functioning deficits.

Interventions

NameTypeDescription
methylphenidateDRUG -
methylphenidate hydrochlorideDRUG -
CONCERTA (OROS methylphenidate hydrochloride)DRUG -
Psychosocial interventionBEHAVIORALThe counseling session, in which a trained study clinician will counsel the primary caregiver, will take place at each study visit and after the randomization visit. It will last approximately 20-30 minutes. Each counseling session will consist of the following elements: * Review and adjustment of the patient and caregiver supportive care plans * Emotional support and the opportunity to ventilate feelings * Counseling regarding specific caregiving skills * Assistance with problem-solving of specific issues that the caregiver brings to the sessions * Answers to questions regarding the educational materials The educational materials will consist of a copy of the book "The 36-Hour Day" by Nancy L. Mace and Peter V. Rabins. The caregiver also will be provided with 24-hour phone access to the study nurse or physician for assistance with crises that may arise after hours.
Extended-Release MethylphenidateDRUGParticipants will receive a weight-based dose of extended-release methylphenidate (0.6 mg/kg/day), rounded to either 10 mg or 20 mg, taken orally once daily for 4 weeks.
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Currently having a Major Depressive Disorder episode without psychotic features * Has had an inadequate response to at least one but not more than 3 antidepressants given for 4 weeks * Is currently treated with an antidepressant for the past 4 weeks * Has a Montgomery Asberg D...

Countries:United States
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Recent Changes (Last 90 Days)

LOWSep 15, 2026NCT05669170primaryCompletionDate: changed
LOWSep 15, 2026NCT05669170primaryCompletionDate: changed
LOWSep 15, 2026NCT05669170primaryCompletionDate: changed

Frequently asked questions about Methylphenidate

What is methylphenidate?

Methylphenidate is a small molecule central nervous system stimulant studied for Attention Deficit Disorder With Hyperactivity, Major Depressive Disorder, and Parkinson Disease. It is also known as methylphenidate hydrochloride, methylphenidate HCl, Ritalin, and Ritalin-SR. Johnson & Johnson, ticker JNJ, is developing it, and it is in Phase 3 clinical development.

What is methylphenidate used for in ADHD?

Methylphenidate is being studied as prolonged-release methylphenidate hydrochloride for adults with Attention Deficit Disorder With Hyperactivity. A Phase 3 trial, NCT00246220, evaluated its effectiveness and safety in 402 adult patients with ADHD. It is also under study for Major Depressive Disorder and Parkinson Disease, so its use in ADHD remains investigational.

What does methylphenidate target?

Methylphenidate targets SLC6A3 and SLC6A2, which are dopamine and norepinephrine transporters. It acts as an inhibitor of these transporters. This target profile underlies its activity as a small molecule agent being studied across psychiatric and neurological conditions, including ADHD, Major Depressive Disorder, and Parkinson Disease.

Who makes methylphenidate?

Johnson & Johnson, which trades under the ticker JNJ, is the developer of methylphenidate. The company is associated with the clinical development program covering the drug's studied indications, including Attention Deficit Disorder With Hyperactivity, Major Depressive Disorder, and Parkinson Disease.

What phase is methylphenidate in?

Methylphenidate is in Phase 3 clinical development and is investigational. Its program includes Phase 3 trials in adults with Attention Deficit Disorder With Hyperactivity and in adults with Major Depressive Disorder, plus a Phase 2 trial in veterans with Parkinson Disease and apathy. It has not been described as approved for these studied uses.

What clinical trials is methylphenidate in?

Methylphenidate has been studied in NCT00246220, a completed Phase 3 trial of prolonged-release methylphenidate hydrochloride in 402 adults with ADHD, and NCT00246233, a completed Phase 3 trial of CONCERTA as add-on therapy in 145 adults with Major Depressive Disorder. NCT05669170 is a Phase 2 trial for apathy in veterans with Parkinson Disease.

Is methylphenidate the same as Ritalin?

Yes. Methylphenidate is also known as methylphenidate hydrochloride, methylphenidate HCl, Ritalin, and Ritalin-SR. These names refer to the same active drug, a small molecule inhibitor of SLC6A3 and SLC6A2 that Johnson & Johnson is developing for ADHD, Major Depressive Disorder, and Parkinson Disease.