Comparison of Lisdexamfetamine Dimesylate With Atomoxetine HCl in Attention-Deficit/Hyperactivity Disorder (ADHD) Subjects With an Inadequate Response to Methylphenidate
- Conditions
- Attention-Deficit/Hyperactivity Disorder
- Interventions
- Registration Number
- NCT01106430
- Lead Sponsor
- Shire
- Brief Summary
This study will evaluate how long it takes for ADHD symptoms to improve in subjects who are judged by the Investigator to have had an inadequate response to methylphenidate therapy. The study will also test the safety of Lisdexamfetamine Dimesylate and how well it works.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 267
- Subject has had an historical or current inadequate response to methylphenidate (MPH) treatment. Inadequate response includes but is not limited to the presence of some residual symptoms, with associated impairment inadequate duration of action and/or variability of symptom control, and/or Investigator feels that the subject may derive benefit from an alternative drug treatment to MPH therapy.
- Subject is a male or female aged 6-17 years inclusive at the time of consent
- Subject must meet Diagnostic and Statistical Manual of Mental Disorders, fourth edition. - Text Revision (DSM IV TR) criteria for a primary diagnosis of ADHD based on a detailed psychiatric evaluation
- Subject must have a baseline ADHD-RS-IV total score 28.
- Subject has taken more than 1 MPH treatment (for example, 2 or more different MPH treatments). Examples include but are not limited to RITALIN immediate release (IR) and EQUASYM IR; MEDIKINET IR and CONCERTA; RITALIN long-acting LA and CONCERTA. Note: this does not include subjects who have taken IR MPH for dose titration on a short-term basis (for example, £4 weeks) with an adequate response
- In the Investigator's judgement, subject has failed to respond to more than 1 previous course(s) of MPH treatment. Failure to respond includes worsening of symptoms or no change/minimal improvement of symptoms.
- Subject has previously been exposed to STRATTERA or to amphetamine therapy
- Subject has previously demonstrated intolerable side effects to 1 MPH treatment which limited titration to acceptable efficacy or that required a decrease in dose resulting in unacceptable tolerability and/or efficacy
- Subject has a current, controlled (requiring a restricted medication) or uncontrolled, comorbid psychiatric diagnosis with significant symptoms such as any severe comorbid Axis II disorder or severe Axis I disorder or other symptomatic manifestations, such as agitated states, marked anxiety, or tension that, in the opinion of the examining physician, will contraindicate treatment with SPD489 or STRATTERA or confound efficacy or safety assessments.
- Subject has a conduct disorder. Oppositional Defiant Disorder is not exclusionary.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Atomoxetine Hydrochloride Atomoxetine Hydrochloride - Lisdexamfetamine Dimesylate Lisdexamfetamine Dimesylate -
- Primary Outcome Measures
Name Time Method Time to First Response 9 weeks Time to first response was defined as a Clinical Global Impression-Improvement (CGI-I) value of 1 (very much improved) or 2 (much improved) first recorded following first dose of investigational product. CGI-I consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse).
- Secondary Outcome Measures
Name Time Method Change From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Global Score at Up to 9 Weeks Baseline and up to 9 weeks The WFIRS-P is a 50-item scale with each item scored from 0 (never/not at all) to 3 (very often/very much). Mean scores range from 0 to 3. Higher scores indicate greater functional impairment.
Percent of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) Scores - Last Observation Carried Forward (LOCF) 9 weeks Clinical Global Impression-Improvement (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.
Columbia-Suicide Severity Rating Scale (C-SSRS) 9 weeks C-SSRS is a semi-structured interview that captures the occurence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. The interview includes definitions and suggested questions to solicit the type of information needed to determine if a suicide-related thought or behaviour occurred. The assessment is done by the nature of the responses, not by a numbered scale.
Udvalg for Kliniske Undersogelser Side Effect Rating Scale - Clinician (UKU-SERS-Clin) With Side Effects Scores >=1 9 weeks UKU-SERS-Clin is composed of 48 items each of which asks about a single side effect. Each side effect is rated based on a 4-point scale ranging from 0 (no or doubtful presence) to 3 (the least favorable rating). The rating is independent of whether the symptom is regarded as related to the investigational product.
Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-Fourth Edition (ADHD-RS-IV) Total Score at 9 Weeks - LOCF Baseline and 9 weeks ADHD-RS-IV consists of 18 items scored on a 4-point scale from 0 (no symptoms) to 3 (severe symptoms) with total score ranging from 0 to 54. A decrease in score indicates an improvement in ADHD symptomology.
Health Utilities Index-2 (HUI-2) Scores at Up to 9 Weeks up to 9 weeks HUI is used to describe health status and to obtain utility scores by collecting data using one or more questionnaires in formats selected to match the specific study design criteria. Scoring ranges from 0.00 (dead) to 1.00 (perfect health). Higher scores represent better health status.
Change From Baseline in Brief Psychiatric Rating Scale for Children (BPRS-C) Total Score at Up to 9 Weeks Baseline and up to 9 weeks The BPRS-C characterizes psychopathology. A total of 21 items are rated on a scale from 0 (not present) to 6 (extremely severe) with a total score ranging from 0 to 126. A decrease in score indicates a reduction in psychopathology.
Trial Locations
- Locations (64)
Midwest Research Group/Saint Charles Psychiatric Associates
🇺🇸Saint Charles, Missouri, United States
The Kids Clinic
🇨🇦Whitby, Ontario, Canada
Innovis Health
🇺🇸Fargo, North Dakota, United States
ZiekenhuisNetwerk Antwerpen
🇧🇪Hoboken, Antwerpen, Belgium
Office of Marc Hertzman, MD, PC
🇺🇸Rockville, Maryland, United States
Basildon Hospital
🇬🇧Basildon, Essex, United Kingdom
Drottning Silvias Barnsjukhus
🇸🇪Goteborg, Sweden
Cyn3rgy Research
🇺🇸Gresham, Oregon, United States
Hospital Clinic i Provincial de Barcelona
🇪🇸Barcelona, Spain
Zentralinstitut für Seelische Gesundheit Mannheim
🇩🇪Mannheim, Baden-wuerttemberg, Germany
Shanti Clinical Trials
🇺🇸Colton, California, United States
Baber Psychiatric Associates
🇺🇸Naperville, Illinois, United States
Clinco
🇺🇸Terre Haute, Indiana, United States
Hospital Sant Joan de Deu
🇪🇸Esplugues De Llobregat, Barcelona, Spain
Astrid Lindgren Children's Hospital/Karolinska University Hospital
🇸🇪Stockholm, Sweden
Praxis Dr. Wolff
🇩🇪Hagen, Nordrhein-Westfalen, Germany
Western Clinical Investigations
🇺🇸Lubbock, Texas, United States
Centre for Anxiety Attention Deficit and Trauma
🇨🇦Hamilton, Ontario, Canada
University of Saskatchewan
🇨🇦Saskatoon, Saskatchewan, Canada
Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza
🇭🇺Gyula, Hungary
Schwerpunktpraxis für Entwicklung und Lernen
🇩🇪Bamberg, Bayern, Germany
Albert-Ludwigs-Universitat Freiburg
🇩🇪Freiburg, Baden-Wuerttemberg, Germany
Universitair Ziekenhuis Gasthuisberg
🇧🇪Leuven, Flemish Brabant, Belgium
AK Karan Holdings, Ltd.
🇨🇦Oakville, Ontario, Canada
Complejo Hospitalario Universitario de Badajoz
🇪🇸Badajoz, Spain
Medizinisches Studienzentrum Würzburg
🇩🇪Wurzburg, Bayern, Germany
Hospital Marítimo, Unidad de Salud Mental Infanto-Juvenil (USMI-J
🇪🇸Torremolinos, Malaga, Spain
Vadaskert Korhaz es Szakambulancia Gyermek es lfjusagpszichiatria
🇭🇺Budapest, Hungary
Harmonex Neuroscience Research, Inc
🇺🇸Dothan, Alabama, United States
Amedica Research Institute, Inc.
🇺🇸Hialeah, Florida, United States
Four Rivers Clinical Research, Inc
🇺🇸Paducah, Kentucky, United States
Premier Psychiatric Research Institute, LLC
🇺🇸Lincoln, Nebraska, United States
CRI Worldwide, LLC Kirkbride Division
🇺🇸Philadelphia, Pennsylvania, United States
Heartland Research Associates, LLC
🇺🇸Wichita, Kansas, United States
Hospital Universitario de Canarias
🇪🇸San Cristobal De La laguna, Santa Cruz De Tenerife, Spain
Clinical Study Centers, LLC
🇺🇸Little Rock, Arkansas, United States
Elite Clinical Trials, Inc.
🇺🇸Wildomar, California, United States
Fidelity Clinical Research, Inc.
🇺🇸Lauderhill, Florida, United States
Northwest Behavioral Research Center
🇺🇸Roswell, Georgia, United States
Capstone Clinical Research
🇺🇸Libertyville, Illinois, United States
Rochester Center for Behavioral Medicine
🇺🇸Rochester Hills, Michigan, United States
Children's Specialized Hospital
🇺🇸Toms River, New Jersey, United States
Richmond Behavioral Associates
🇺🇸Staten Island, New York, United States
Eastside Therapeutic Resource
🇺🇸Kirkland, Washington, United States
Katedra i Klinika Psychiatarii
🇵🇱Bydgoszcz, Kujawsko-Pomorskie, Poland
Azienda Ospedaliero-Universitaria di Cagliari
🇮🇹Cagliari, Italy
Hospital Son Llàtzer
🇪🇸Palma de Mallorca, Baleares, Spain
Samodzielny Publiczny Dzieciecy Szpital Kliniczny
🇵🇱Warszawa, Mazowieckie, Poland
Szegedi Tudományegyetem Gyermek es lfjusagpszichlatrlai Osztaly
🇭🇺Szeged, Csongrad, Hungary
Tayside Children's Hospital
🇬🇧Dundee, Scotland, United Kingdom
Gyermek- es lfjusagpszichiatriai Szakrendeles es Gondozo
🇭🇺Pecs, Hungary
Klinikum Frankfurt/Oder
🇩🇪Frankfurt/Oder, Brandenburg, Germany
Red Oak Psychiatry Association, PA
🇺🇸Houston, Texas, United States
Cerebral Research, LLC
🇺🇸San Antonio, Texas, United States
Lifetree Clinical Research
🇺🇸Salt Lake City, Utah, United States
Psychiatric Centers at San Diego Feighner Research
🇺🇸San Diego, California, United States
Sarkis Clinical Trials
🇺🇸Gainesville, Florida, United States
Center for Psychiatry and Behavioral Medicine, Inc.
🇺🇸Las Vegas, Nevada, United States
Triangle Neuropsychiatry, PLLC
🇺🇸Durham, North Carolina, United States
IPS Research Company
🇺🇸Oklahoma City, Oklahoma, United States
Future Search Clinical Trials
🇺🇸Austin, Texas, United States
Clinical Neuroscience Solutions, INC
🇺🇸Orlando, Florida, United States
Louisianna Research Associates
🇺🇸New Orleans, Louisiana, United States
Child and Adolescent Centre
🇨🇦Edmonton, Alberta, Canada