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The Safety and Efficacy of OPC-64005 in the Treatment of Adult Attention-deficit/Hyperactivity Disorder

Phase 2
Completed
Conditions
Adult Attention Deficit Hyperactivity Disorder
Interventions
Registration Number
NCT03324581
Lead Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Brief Summary

A trial to assess the safety and efficacy of OPC-64005 in the treatment of adult attention-deficit/hyperactivity disorder.

Detailed Description

A multicenter, randomized, double-blind, active- and placebo-controlled, parallel-design trial.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
239
Inclusion Criteria

Not provided

Exclusion Criteria
  • Participants with a history of inadequate response or suboptimal tolerability to atomoxetine.
  • Participants who report allergies (lifetime treatment history) to stimulant or nonstimulant ADHD medications.
  • Participants with other DSM-5 disorders including psychosis (current or lifetime), bipolar disorder (current or lifetime), current major depressive disorder, or current panic disorder; or another psychiatric diagnosis that the investigator believes is primary or that will confound efficacy or safety assessments of the trail or interfere with participation in the trial otherwise.
  • Participants with a clinically significant current DSM-5 diagnosis of borderline, antisocial, paranoid, schizoid, schizotypal, histrionic, narcissistic, avoidant, obsessive compulsive, or dependent personality disorders.
  • Participants who currently have clinically significant dermatological, neurological, hepatic, renal, metabolic, hematological, immunological, cardiovascular, pulmonary, or gastrointestinal disorders such as any history of myocardial infarction, congestive heart failure, HIV (human immunodeficiency virus) seropositive status/acquired immunodeficiency syndrome, or active or chronic hepatitis B or C.
  • Participants with a history of obstructive sleep apnea.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
OPC-64005PlaceboDuring the titration period, participants received OPC-64005 two 10 milligram (mg) tablets, and one OPC-64005-matching placebo tablet along with two atomoxetine-matching placebo capsules, orally, once daily (QD), from Day 1 up to Day 4. During the treatment period, participants received OPC-64005 three 10 mg tablets, and two atomoxetine-matching placebo capsules, orally, QD, from Day 5 up to Day 56. The dose was reduced to 20 mg if the 30 mg dose in the treatment period was not tolerable.
AtomoxetinePlaceboDuring the titration period, participants received atomoxetine one 40 mg capsule and one atomoxetine-matching placebo capsule along with three OPC-64005-matching placebo tablets, orally, QD, from Day 1 up to Day 4. During the treatment period, participants received two atomoxetine 40 mg capsules and three OPC-64005-matching placebo tablets, orally, QD, from Day 5 up to Day 56. The dose was reduced to 40 mg if the 80 mg dose in the treatment period was not tolerable.
PlaceboPlaceboParticipants received three OPC-64005-matching placebo tablets and two atomoxetine-matching placebo capsules, orally, QD, from Day 1 up to Day 56.
OPC-64005OPC-64005During the titration period, participants received OPC-64005 two 10 milligram (mg) tablets, and one OPC-64005-matching placebo tablet along with two atomoxetine-matching placebo capsules, orally, once daily (QD), from Day 1 up to Day 4. During the treatment period, participants received OPC-64005 three 10 mg tablets, and two atomoxetine-matching placebo capsules, orally, QD, from Day 5 up to Day 56. The dose was reduced to 20 mg if the 30 mg dose in the treatment period was not tolerable.
AtomoxetineAtomoxetineDuring the titration period, participants received atomoxetine one 40 mg capsule and one atomoxetine-matching placebo capsule along with three OPC-64005-matching placebo tablets, orally, QD, from Day 1 up to Day 4. During the treatment period, participants received two atomoxetine 40 mg capsules and three OPC-64005-matching placebo tablets, orally, QD, from Day 5 up to Day 56. The dose was reduced to 40 mg if the 80 mg dose in the treatment period was not tolerable.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Conners' Adult ADHD Rating Scales-Observer: Screening Version (CAARS-O:SV) 18-item ADHD Symptoms Total Score at Day 56Baseline, Day 56

The investigator-administered CAARS-O:SV consists of 18 items based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It includes a 9-item inattentive symptom subscale and a 9-item hyperactive and impulsive symptoms subscale. Each item is rated on a scale of 0 to 3 where 0=not at all, never; 1=just a little, once a while; 2=pretty much, often; and 3=very much, very frequently. The score for each subscale can range from 0 to 27. The total score is the sum of individual scores and can range from 0 to 54. Higher scores indicate worsening of symptoms. A negative change from Baseline indicates improvement.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (24)

iResearch Atlanta

🇺🇸

Decatur, Georgia, United States

Premier Psychiatric Research Institute, LLC

🇺🇸

Lincoln, Nebraska, United States

Psychiatric Associates

🇺🇸

Overland Park, Kansas, United States

Center for Psychiatry and Behavioral Medicine Inc.

🇺🇸

Las Vegas, Nevada, United States

IPS Research Company

🇺🇸

Oklahoma City, Oklahoma, United States

Paradigm Research Professionals

🇺🇸

Oklahoma City, Oklahoma, United States

Clinical Trials of Texas, Inc.

🇺🇸

San Antonio, Texas, United States

Collaborative Neuroscience Network, LLC

🇺🇸

Garden Grove, California, United States

Clinical Neuroscience Solutions Inc.

🇺🇸

Orlando, Florida, United States

The Medical Research Network, LLC

🇺🇸

New York, New York, United States

Meridien Research

🇺🇸

Bradenton, Florida, United States

Southern California Research, LLC

🇺🇸

Beverly Hills, California, United States

Northwest Behavioral Research Center

🇺🇸

Marietta, Georgia, United States

Neuropsychiatric Associates

🇺🇸

Woodstock, Vermont, United States

Clinical Neuroscience Solutions, Inc

🇺🇸

Jacksonville, Florida, United States

Behavioral Clinical Research, Inc.

🇺🇸

North Miami, Florida, United States

BTC of Lincoln

🇺🇸

Lincoln, Rhode Island, United States

Aspen Clinical Research

🇺🇸

Orem, Utah, United States

Clinical Neuroscience Solutions, Inc.

🇺🇸

Orlando, Florida, United States

Artemis Institute for Clinical Research

🇺🇸

San Marcos, California, United States

Innovative Clinical Research, Inc.

🇺🇸

Lauderhill, Florida, United States

MCB Clinical Research Centers, LLC

🇺🇸

Colorado Springs, Colorado, United States

Eastside Comprehensive Medical Center, LLC.

🇺🇸

New York, New York, United States

Oregon Center for Clinical Investigators, Inc.

🇺🇸

Salem, Oregon, United States

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