MedPath

SPD503 (Guanfacine Hydrochloride) in ADHD Plus Oppositional Symptoms

Phase 3
Completed
Conditions
ADHD
Interventions
Drug: SPD503 (Guanfacine hydrochloride)
Drug: Placebo
Registration Number
NCT00367835
Lead Sponsor
Shire
Brief Summary

To assess efficacy and safety of SPD503(guanfacine hydrochloride) in subjects with ADHD and oppositional symptoms.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
217
Inclusion Criteria
  • Healthy subjects with ADHD and oppositional symptoms
  • ADHD-RS>=24
  • CGI >=4
  • T-score of Opp subscale CPRS-R:L >=65
  • Normal ECG and BP
  • >= 55 lbs
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SPD503 (Guanfacine hydrochloride)SPD503 (Guanfacine hydrochloride)-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Change From Baseline in the Oppositional Subscale of the Conners' Parent Rating Scale-Revised Long Form (CPRS-R:L) Score at Up to 8 WeeksBaseline and up to 8 weeks

The oppositional subscale of the CPRS-R:L contains 10 items designed to reflect criteria for oppositional defiance disorder (ODD). Each item is scored on a range from 0 (not true at all) to 3 (very much true) with total scores ranging from 0 to 30. Higher scores are reflective of more severe symptoms.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Diastolic Blood Pressure at Up to 8 WeeksBaseline and up to 8 weeks
Assessment of Clinical Global Impression-Severity of Illness (CGI-S)up to 8 weeks

CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)

Change From Baseline in Electrocardiogram Results (QTcF Interval) at Up to 8 WeeksBaseline and up to 8 weeks

QTcF is the QT interval using Fridericia's correction formula. QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate (e.g., the faster the heart rate, the shorter the QT interval). The QT interval has to be corrected in order to aid interpretation.

Number of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I)up to 8 weeks

CGI-I consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale.

Change From Baseline in the Parent Stress Index-Short Form (PSI/SF) Score at Up to 8 WeeksBaseline and up to 8 weeks

The response to each of the 36 items on the PSI/SF is converted to a five-point scale from 1 (strongly agree) to 5 (strongly disagree) with total scores ranging from 36 to 180. A higher score is reflective of less stress for the parents.

Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS-IV) Total Score at Up to 8 WeeksBaseline and up to 8 weeks

The ADHD-RS-IV consists of 18 items scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms) with total score ranging from 0 to 54.

Change From Baseline in the 40-Item Conduct Problem Scale of the New York Parent's Rating Scale-School-aged (NYPRS-S) Score at Up to 8 WeeksBaseline and up to 8 weeks

Each item on the NYPRS-S is scored from a range of 0 (not at all) to 3 (very much) with total scores ranging from 0 to 120. Higher scores are reflective of increased disease severity.

Number of Participants With Overall Satisfaction on the Medication Satisfaction Survey (MSS)up to 8 weeks

The Medication Satisfaction Survey (MSS) consists of 11 questions each being answered with one of six responses (strongly agree, agree, somewhat agree, somewhat disagree, disagree, strongly disagree). Overall satisfaction with their child taking the study medication, Question #11, with a response of "strongly agree" or "agree".

Change From Baseline in Pulse Rate at Up to 8 WeeksBaseline and up to 8 weeks
Change From Baseline in Systolic Blood Pressure at Up to 8 WeeksBaseline and up to 8 weeks

Trial Locations

Locations (32)

Vince and Associates Clinical Research

🇺🇸

Overland Park, Kansas, United States

Pedia Research

🇺🇸

Owensboro, Kentucky, United States

CRI Worldwide, LLC

🇺🇸

Philadelphia, Pennsylvania, United States

Valley Clinical Research

🇺🇸

El Centro, California, United States

CORE Research, Inc

🇺🇸

Maitland, Florida, United States

Peninsula Research Associates Inc

🇺🇸

Rolling Hills Estates, California, United States

University of Rochester, School of Medicine and Dentistry

🇺🇸

Rochester, New York, United States

Piedmont Neuropsychiatry

🇺🇸

Charlotte, North Carolina, United States

Discovery and Wellness Center for Children

🇺🇸

Cleveland, Ohio, United States

Capstone Clinical Research

🇺🇸

Libertyville, Illinois, United States

Four Rivers Clinical Research

🇺🇸

Paducah, Kentucky, United States

Red Oak Psychiatry Associates, PA

🇺🇸

Houston, Texas, United States

Mount Sinai School of Medicine

🇺🇸

New York, New York, United States

BHI Inc

🇺🇸

Moore, Oklahoma, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

SUNY Upsate Medical University

🇺🇸

Syracuse, New York, United States

Dominion Clinical Research

🇺🇸

Midlothian, Virginia, United States

Claghorn-Lesem Research Clinic Inc

🇺🇸

Houston, Texas, United States

NeuroScience, Inc

🇺🇸

Herndon, Virginia, United States

HOPE Research Institute

🇺🇸

Phoenix, Arizona, United States

Miami Research Associates

🇺🇸

Miami, Florida, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

University of Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Duke Child & Family Study Center

🇺🇸

Durham, North Carolina, United States

IPS Research Company

🇺🇸

Oklahoma City, Oklahoma, United States

Amedica Research Institute, Inc

🇺🇸

Hialeah, Florida, United States

Childrens Developmental Center

🇺🇸

Winter Park, Florida, United States

Oregon Center for Clinical Investigations, Inc

🇺🇸

Salem, Oregon, United States

Eastside Therapeutic Resource

🇺🇸

Kirkland, Washington, United States

Sarkis Clinical Trials

🇺🇸

Gainesville, Florida, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Clinical Neuroscience Solutions, Inc

🇺🇸

Orlando, Florida, United States

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