We attempted to replicate the observation of an excess of duplications at 15q13.3 by studying an additional 2,242 ADHD case subjects and 8,552 comparison subjects in four independent samples of European Caucasian descent from the United States, the United Kingdom, and Canada (Table 2). Duplications spanning chr15:29,811,982–30,232,981 were found in case and comparison subjects from all samples (Figure 1), and they were indeed enriched in the ADHD patients across the replication samples (p=0.00275; Table 2). Combined analysis of all samples investigated (2,966 cases, 10,556 comparison subjects) produced highly significant evidence that duplications at 15q13.3 are associated with ADHD (p=0.000178; odds ratio=2.22, 95% confidence interval=1.46–3.38).