Adding cognitive training to methylphenidate for adults with ADHD and addiction
Official title: MEthylphenidate in ADHD - Addiction(s) Comorbidity: Value of Adding a Cognitive Remediation Program to Improve Short- and Medium-term Therapeutic Response
Run by Nantes University Hospital · NCT06906328 · Data updated 2026-11-12
This study tests whether adding a cognitive training program to methylphenidate helps adults with ADHD and addiction improve day-to-day functioning.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 248 (estimated) |
| Sponsor | Nantes University Hospital Academic / other |
| Locations | 6 sites (Brest, Brittany Region and 5 other locations) |
| Status | Recruiting |
| Started | December 11, 2025 |
| Main results expected | December 11, 2028 |
| Study ends | December 11, 2029 |
| Registry record updated | February 19, 2026 |
| Trial ID | NCT06906328 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with ADHD confirmed by DIVA-5, an indication for methylphenidate, at least one addictive disorder, and French social security coverage are the intended participants.
✕Probably not a fit
People who are pregnant or breastfeeding, deprived of liberty or under compulsory psychiatric care, have severe cognitive or French language barriers, or are enrolled in another conflicting interventional study are unlikely to be eligible or to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults diagnosed with ADHD and at least one addictive disorder who are appropriate for methylphenidate receive standard MPH treatment and are assigned to either an intensive cognitive remediation program using PRESCO® or a control program using AUDITICO®. The intervention combines repeated cognitive exercises targeting deficient functions with training in compensatory strategies. Functional outcomes are measured at the end of treatment and in the medium term using clinical and objective assessments. The multicenter study is conducted at several French hospital sites and requires in-person participation for the training sessions and assessments.
Why it matters
Potential benefit: If successful, adding cognitive remediation could yield better and more durable improvements in daily functioning than medication alone for adults with ADHD and addiction.
How similar studies have gone: Cognitive training has shown benefits mainly in children with ADHD, but evidence in adults—especially those with comorbid addiction—is limited and the approach remains relatively untested in this population.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age over 18; * Diagnosis of ADHD confirmed by DIVA-5 interview following a specialized ADHD-addiction(s) consultation; * Indication for MPH treatment according to European recommendations (J. J. S. Kooij et al., 2019) and absence of contraindications (particularly cardiological); * Presence of at least one comorbid addictive disorder (SUD and/or BA); * Having given their consent to take part in the study; * Being affiliated to the French social security system or benefiting from such a system. Exclusion Criteria: * Presence of disorders of the higher functions or difficulties in reading or writing the French language making it impossible to collect data; * Pregnant or breast-feeding woman; * Person deprived of liberty; * Person under compulsory psychiatric care; * Participation in another interventional research protocol involving another psychotherapeutic or pharmacological intervention that may have an impact on clinical outcome; * Guardianship or safeguard of justice. * Patients who consumned psychoactive substances within 12 hours prior to their visit.
Where it's running
-
CHU Nantes
Nantes, France Recruiting -
CHRU Brest
Brest, Brittany Region, France Not yet recruiting -
EPSM du Finistère Sud
Quimper, Brittany Region, France Not yet recruiting -
EPSM Georges Daumézon (Fleury-les-Aubrais, Loiret)
Fleury-les-Aubrais, Centre-Val de Loire, France Not yet recruiting -
CHRU de Tours
Tours, Centre-Val de Loire, France Not yet recruiting -
CH Georges Daumézon - Bouguenais
Bouguenais, Loire-Atlantique, France Not yet recruiting
Study contacts
- Study coordinator: Clémence Dr Cabelguen, MD-Phd
- Email: clemence.cabelguen@chu-nantes.fr
- Phone: 33240846116
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Four-session focal shock wave therapy for vulvodynia in women
This study looks at whether four weekly sessions of low-intensity focal shock wave therapy help women with vulvodynia in real-life clinical practice.
-
Reproducibility of Digital Bite Mark Overlays in Adults
This study tests how consistently different people can create digital bite mark overlays from 3D dental scans in adults who need routine dental care.
-
Dental care for people living with HIV in Pays de la Loire
This study looks at whether people living with HIV in Pays de la Loire need any special dental management based on their health data.
-
68Ga-FAPI-46 PET imaging to stage ATTR-CM and spot progression
This study tests whether a gallium-68 labeled FAPI PET scan can help stage transthyretin cardiac amyloidosis and identify patients whose disease is progressing.
-
IL-1β blocker after pancreatic transplant to help prevent graft thrombosis
This trial tests whether adding Anakinra right after pancreatic transplant is safe for patients to see if it helps protect the new pancreas.
-
Synovial tissue biomarker study to guide PVNS management
Researchers will collect and analyze synovial tissue from adults with PVNS to see if tissue markers can help tailor treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.