Related Experiment Video
Updated: Dec 20, 2025

Remotely Supervised Transcranial Direct Current Stimulation: An Update on Safety and Tolerability
Published on: October 7, 2017
Effectiveness and Safety of a Clonidine Adhesive Patch for Children With Tic Disorders: Study in a Real-World
Chunsong Yang1,2, BingYao Kang3, Dan Yu4
1Department of Pharmacy, Evidence-Based Pharmacy Center, West China Second Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.
Insights
The clonidine adhesive patch (CAP) shows effectiveness and safety for managing tic disorders (TD) in children within a real-world setting. Further large-scale, long-term studies are recommended to confirm these findings.
Area of Science:
- Pediatric Neurology
- Pharmacology
- Real-World Evidence
Background:
- Real-world evidence (RWE) complements randomized controlled trials by offering insights from observational studies and registries.
- This study investigated the effectiveness and safety of the clonidine adhesive patch (CAP) for treating tic disorders (TD) in a real-world setting (RWS).
- Tic disorders affect children and can impact quality of life, necessitating effective treatment options.
Purpose of the Study:
- To evaluate the real-world effectiveness of the clonidine adhesive patch (CAP) in children with tic disorders (TD).
- To assess the safety profile of the CAP in pediatric patients within a real-world clinical environment.
- To compare CAP treatment with other pharmacologic interventions for TD in a Chinese pediatric neurology clinic.
Main Methods:
- An open-label, non-interventional, post-marketing observational study was conducted in a real-world setting.
- 150 children diagnosed with TD were enrolled and treated with either tiapride, CAP, or a combination of CAP and tiapride for 6 weeks.
- Tic symptom severity was assessed using the Yale Global Tic Severity Scale (YGTSS) at baseline and at weeks 4, 8, and 12.
Main Results:
- The mean YGTSS scores improved from baseline across all treatment groups (tiapride, CAP, CAP + tiapride).
- No statistically significant differences in YGTSS score reduction were observed between the different pharmacologic interventions.
- No serious adverse events were reported, and the prevalence of adverse events did not significantly differ between the groups.
Conclusions:
- The clonidine adhesive patch (CAP) demonstrates effectiveness and a favorable safety profile for managing tic disorders in a real-world setting.
- The study suggests CAP is a viable treatment option for pediatric TD, comparable to other interventions.
- Larger sample sizes and longer follow-up periods are needed to further validate these findings and explore long-term outcomes.
Abstract:
Background: Real-world evidence includes data from retrospective/prospective observational studies and observational registries, and provides insights beyond those addressed by randomized controlled trials. This study aimed to evaluate the effectiveness and safety of a clonidine adhesive patch (CAP) for children with tic disorder (TD) in a real-world setting (RWS). Methods: This was an open-label, non-interventional, post-marketing, observational study in a RWS. Children diagnosed with TDs were enrolled from a pediatric neurology clinic in China, and the change in tic symptom severity following 6 weeks pharmacologic treatments was investigated using Yale Global Tic Severity Scale (YGTSS) during visits at weeks 0, 4, 8, and 12. Results: Of 150 patients, 76% (114/150) were male (age range, 3.03-14.24 years; mean, 8.11 ± 2.48 years). Patients were divided into three groups: tiapride (n = 94), CAP (n = 14), and CAP + tiapride (n = 42). The mean YGTSS improved 11.02, 15.14, 11.13 points from baseline to posttreatment for tiapride, CAP, and CAP + tiapride, respectively, but variance analysis showed there was no significant difference in YGTSS related to different pharmacologic intervention during subsequent visits at weeks 4, 8, and 12. Repeated measure analysis showed there was no significant difference between different medication types for reducing the YGTSS score (F = 0.553, P = 0.576). No serious adverse events (AEs) occurred, and there was no significant difference in the prevalence of AEs between the three groups. Conclusion: The CAP is effective and safe for TD management in a RWS, because of the limitation of sample size and the period of follow up, observational studies with longer-term outcomes, and larger sample size are needed.
More Related Videos
Related Concept Videos
Drug Therapy
Antianxiety Medications
Patch Clamp
In this method, a glass micropipette containing electrolyte solution is tightly sealed against a small portion of the cell membrane. As a result, a patch of the cell...
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Cholinergic Antagonists: Pharmacokinetics
Drug Delivery: Miscellaneous Routes
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers

