Open-label Safety Study in Adults With ADHD
- Conditions
- Adult Attention Deficit Hyperactivity Disorder
- Interventions
- Registration Number
- NCT02160262
- Lead Sponsor
- Sumitomo Pharma America, Inc.
- Brief Summary
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with Attention Deficit Hyperactivity Disorder (ADHD)
- Detailed Description
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with ADHD by the incidence of adverse events (AEs; or serious AEs), AEs (or SAEs) leading to discontinuation
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 724
- Subject meets DSM 5 criteria for a primary diagnosis of ADHD (inattentive, hyperactive, or combined presentation) established by a comprehensive psychiatric evaluation that reviews DSM 5 criteria. Diagnosis is confirmed by CAADID Part 2 with checklist for DSM 5.
- Subject has an ADHD RS IV with adult prompts score of ≥ 22 at screening and baseline.
- Subject has agreed to participate by providing written informed consent and is willing and able to comply with the protocol, in the opinion of the investigator.
- Subject is 18 to 55 years old, inclusive, at the time of informed consent.
- Subject is male or a non-pregnant, non lactating female.
- Female subjects must have a negative serum pregnancy test; females who are post menopausal (defined as at least 12 months of spontaneous amenorrhea) and those who have undergone hysterectomy or bilateral oophorectomy will be exempted from the pregnancy test.
- Female subjects of childbearing potential and male subjects with female partners of childbearing potential must agree to use an effective and medically acceptable form of birth control throughout the study period.
- Subject has a negative breath alcohol test and a negative urine drug screen (UDS) for any illicit drug at screening.
- Subject is judged by the investigator to be suitable for participation in a 12 month clinical trial involving open-label dasotraline treatment.
- Subject can read well enough to understand the informed consent form and other subject materials.
- Subject has a psychiatric disorder other than ADHD that has been the primary focus of treatment at any time during the 12 months prior to screening.
- Subject has a past history of, or current presentation consistent with, bipolar disorder (including bipolar I and bipolar II), schizophrenia, schizoaffective disorder, or any other psychotic disorder, or a personality disorder per DSM 5 criteria.
- Subject has a history of substance abuse or drug dependence (excluding nicotine and caffeine) within the 12 months prior to screening, as defined by the DSM 5 criteria.
- Subject has a history of epilepsy, seizures (except childhood febrile seizures), unexplained syncope or other unexplained blackouts (except single incident), or head trauma with loss of consciousness lasting more than 5 minutes.
- Subject has a currently active medical condition (other than ADHD) that, in the opinion of the investigator, could interfere with the ability of the subject to participate in the study.
- Subject is currently taking or has taken within the previous 6 months an anticonvulsant medication (eg, phenytoin, carbamazepine, lamotrigine, valproic acid, etc); antipsychotic medication; or lithium (any lithium preparation or formulation).
- Subject is currently taking an alpha 2 adrenergic receptor agonist (including clonidine and guanfacine), or serotonin-norepinephrine reuptake inhibitor (SNRI; eg, venlafaxine), or dopamine-norepinephrine reuptake inhibitor (DNRI; eg, bupropion), or monoamine oxidase [MAO] inhibitor. Note: Subjects who discontinue these medications and wash-out from them for a minimum of 7 days prior to the first dose of study drug will be allowed to enroll in the study.
- Subject is currently undergoing Cognitive Behavioral Therapy (CBT).
- Subject has a Body Mass Index (BMI) less than 18 or greater than 35 kg/m2 (see Appendix V).
- Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C SSRS assessment at screening (in the past month). Subjects who answer "yes" to this question must be referred to the investigator for follow up evaluation.
- Subject has attempted suicide within 1 year prior to the screening period.
- Subject has history of positive test for Hepatitis B surface antigen or Hepatitis C antibody and has liver function test results at screening above the upper limit of normal for the reference lab.
- Subject is known to have tested positive for human immunodeficiency virus (HIV).
- Subject has a clinically significant abnormality on screening evaluation including physical examination, vital signs, ECG, or laboratory tests that the investigator considers to be inappropriate to allow participation in the study.
- The subject's screening ECG shows a corrected QT interval using Fridericia's formula (QTcF) of ≥ 450 msec for male subjects or ≥ 470 msec for female subjects. Eligibility will be based on the core laboratory ECG interpretation report.
- The subject's screening serum chemistry results show an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value ≥ 2 times the upper limit of normal (ULN), or a blood urea nitrogen (BUN) value ≥ 1.5 times the ULN for the reference laboratory.
- Subject is currently participating or has participated in a clinical trial within the last 90 days or has participated in more than 2 clinical trials within the past year. This includes studies using marketed compounds or devices.
- Subject has a history of allergic reaction or has a known or suspected sensitivity to any substance that is contained in the study drug formulation.
- Subject has previously been randomized in a clinical trial of dasotraline.
- Subject is likely to be noncompliant in the investigator's opinion.
- Subject is an investigational site staff member or the relative of an investigational site staff member.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Dasotraline Dasotraline Dasotraline 4 mg, 6 mg, 8 mg, flexibly dosed
- Primary Outcome Measures
Name Time Method The incidence of AEs (or SAEs), and AEs (or SAEs) leading to discontinuation. 12 months
- Secondary Outcome Measures
Name Time Method Clinical evaluations (vital signs, physical examination, body weight, and 12 lead ECG) 12 Months Change from baseline in Sheehan Disability Scale (SDS) total score 12 months Clinical laboratory evaluations (serum chemistry, hematology, lipid panel, thyroid panel, and urinalysis) 12 months Drug Effects Questionnaire (DEQ) 12 months Frequency and severity of suicidal ideation and suicidal behavior using the Columbia - Suicide Severity Rating Scale (C SSRS) 12 months Change from baseline in ADHD RS IV with adult prompts total score 12 months Change from baseline in Clinical Global Impression - Severity (CGI S) score 12 months Change from baseline in the ADHD RS IV with adult prompts inattentiveness and hyperactivity-impulsivity subscale scores 12 months Change from baseline in AIM A in global domain scores (Performance and Daily Functioning, Impact of Symptoms: Daily Interference, Impact of Symptoms: Bother/Concern, Relationships/Communication, Living with ADHD, and General Well-being) 12 months Change from baseline in Sheehan Disability Scale (SDS) domain scores: work/school, family life, social life 12 months Change from baseline in Behavior Rating Inventory of Executive Function®-Adult Version (BRIEF®) A Global Executive Composite raw score and Behavioral Regulation Index (BRI) raw score and Metacognition Index (MI) raw score. 12 months Change from baseline in Pittsburgh Sleep Quality Index (PSQI) global score and 7 component scores. 12 months Change from baseline in BRIEF-A Global Executive Composite T-score and BRI T-score and MI T-score. 12 months Symptoms of withdrawal using Physician Withdrawal Checklist (PWC) scores, Study Medication Withdrawal Questionnaire (SMWQ) scores, Montgomery-Asberg Depression Rating Scale (MADRS) scores, Hamilton Anxiety Rating Scale (HAM-A) scores 12 months
Trial Locations
- Locations (64)
Premeir Psychiatric Research Institute, LLC
🇺🇸Lincoln, Nebraska, United States
Pillar Clinical Research, LLC
🇺🇸Dallas, Texas, United States
Family Psychiatry of the Woodlands
🇺🇸The Woodlands, Texas, United States
Summit Research Network (Seattle) LLC
🇺🇸Seattle, Washington, United States
Goldpoint Clinical Research
🇺🇸Indianapolis, Indiana, United States
Excell Research, Inc
🇺🇸Oceanside, California, United States
Atlanta Center for Medical Research
🇺🇸Atlanta, Georgia, United States
Florida Clinical Research Center, LLC
🇺🇸Maitland, Florida, United States
NYU School of Medicine
🇺🇸New York, New York, United States
Fieve Clinical Research
🇺🇸New York, New York, United States
Clinical Neuroscience Solutions, Inc.
🇺🇸Jacksonville, Florida, United States
Kennedy Krieger Institute
🇺🇸Baltimore, Maryland, United States
Carman Research
🇺🇸Smyrna, Georgia, United States
Suburban Research Associates
🇺🇸Media, Pennsylvania, United States
Clinical Neuroscience Solutions
🇺🇸Memphis, Tennessee, United States
Massachusetts General Hospital
🇺🇸Boston, Massachusetts, United States
Research Strategies of Memphis, LLC
🇺🇸Memphis, Tennessee, United States
Acumentality
🇺🇸Melbourne, Florida, United States
Center for Emotional Fitness
🇺🇸Cherry Hill, New Jersey, United States
Rochester Center for Behavioral Medicine
🇺🇸Rochester Hills, Michigan, United States
Midwest Research Group
🇺🇸Saint Charles, Missouri, United States
FutureSearch Trials of Dallas, LP
🇺🇸Dallas, Texas, United States
Midwest Clinical Research Center
🇺🇸Dayton, Ohio, United States
Neuropsychiatric Associates
🇺🇸Woodstock, Vermont, United States
Artemis Institute for Clinical Research
🇺🇸San Diego, California, United States
Center for Psychiatry and Behavioral Medicine, Inc.
🇺🇸Las Vegas, Nevada, United States
Cutting Edge Research Group
🇺🇸Oklahoma City, Oklahoma, United States
Oregon Center for Clinical Investigations, Inc.
🇺🇸Portland, Oregon, United States
Clinical Trials of Texas, Inc
🇺🇸San Antonio, Texas, United States
Psychiatric Care & Research Center
🇺🇸O'Fallon, Missouri, United States
Duke University Medical Center
🇺🇸Durham, North Carolina, United States
Southern California Research LLC
🇺🇸Beverly Hills, California, United States
Collaborative Neuroscience Network, LLC
🇺🇸Garden Grove, California, United States
Synergy Clinical Research of Escondido
🇺🇸Escondido, California, United States
MCB Clinical Research Centers, LLC
🇺🇸Colorado Springs, Colorado, United States
Compass Research North, LLC
🇺🇸Leesburg, Florida, United States
Broward Research Group, Inc.
🇺🇸Hollywood, Florida, United States
Gulfcoast Clinical Research
🇺🇸Fort Myers, Florida, United States
Geroge M. Joseph MD, PA
🇺🇸Jacksonville Beach, Florida, United States
Institute for Advanced Medical Research
🇺🇸Alpharetta, Georgia, United States
Psychiatric Associates
🇺🇸Overland Park, Kansas, United States
Alpine Clinic
🇺🇸Lafayette, Indiana, United States
Bioscience Research
🇺🇸Mount Kisco, New York, United States
Village Clinical Research Inc.
🇺🇸New York, New York, United States
Medical & Behavioral Health Research
🇺🇸New York, New York, United States
The Medical Research Network, LLC
🇺🇸New York, New York, United States
Richmond Behavioral Associates
🇺🇸Staten Island, New York, United States
Neuro-Behavioral Clinical Research
🇺🇸Canton, Ohio, United States
IPS Research Company
🇺🇸Oklahoma City, Oklahoma, United States
Keystone Clinical Studies, LLC
🇺🇸Norristown, Pennsylvania, United States
Coastal Carolina Research Center
🇺🇸Mount Pleasant, South Carolina, United States
Houston Clinical Trials, LLC
🇺🇸Houston, Texas, United States
Dean Foundation
🇺🇸Middleton, Wisconsin, United States
Eastside Therapeutic Resource
🇺🇸Middleton, Wisconsin, United States
NeuroScience, Inc
🇺🇸Herndon, Virginia, United States
Summit Research Network
🇺🇸Portland, Oregon, United States
iResearch Atlanta, LLC
🇺🇸Decatur, Georgia, United States
Florida Clinical Research Center LLC
🇺🇸Bradenton, Florida, United States
Pharmacology Research Institute
🇺🇸Los Alamitos, California, United States
Sleep Diagnosists and Treatment Centers
🇺🇸West Chester, Pennsylvania, United States
Woodhull Medical & Mental Health Center
🇺🇸Staten Island, New York, United States
Lake Charles Clinical Trials LLC
🇺🇸Lake Charles, Louisiana, United States
Stedman Clinical Trials
🇺🇸Tampa, Florida, United States
Clinical Neuroscience Solutions, Inc
🇺🇸Orlando, Florida, United States