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Safety and Efficacy Study of SHP465 in Adults Aged 18-55 Years With Attention-deficit/ Hyperactivity Disorder (ADHD)

Phase 3
Completed
Conditions
Attention Deficit Hyperactivity Disorder (ADHD)
Interventions
Drug: SHP465 12.5mg capsules (one capsule daily)
Drug: SHP465 12.5mg, 25mg, or 37.5mg capsules (one capsule daily)
Other: Placebo
Registration Number
NCT02604407
Lead Sponsor
Shire
Brief Summary

The study is designed to evaluate the efficacy and safety of each dose of SHP465 (12.5 and 37.5 mg) given to participants daily in the morning compared to placebo in the treatment of adults aged 18 to 55 years diagnosed with ADHD.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
275
Inclusion Criteria

Subject must be 18-55 years of age

Subject is able to provide written, personally signed and dated informed consent.

Subject is willing and able to comply with all of the testing and requirements defined in the protocol

Subject, who is a female, must not be pregnant.

Subject must have a satisfactory medical assessment with no clinically significant or relevant abnormalities.

Subject has a primary diagnosis of ADHD.

Subject has an adult ADHD-RS with prompts total score ≥28 at the baseline visit.

Subject must have a minimum level of intellectual functioning, as determined by the investigator.

Subject is able to swallow a capsule.

Subject is currently not on ADHD therapy or is not completely satisfied with any aspect of their current ADHD therapy.

Exclusion Criteria

Subject has a current, comorbid psychiatric diagnosis with significant symptoms.

Subject is considered a suicide risk in the opinion of the investigator

Subject has a body mass index (BMI) of <18.5 kg/m2 at the screening visit.

Subject has a BMI ≥40 kg/m2 at the screening visit.

Subject has a concurrent chronic or acute illness, disability, or other condition.

Subject has a history of seizure, a chronic or current tic disorder, or a current diagnosis of Tourette's disorder.

Subject has a history of moderate to severe hypertension.

Subject has a known history of symptomatic cardiovascular disease

Subject has a known family history of sudden cardiac death or ventricular arrhythmia.

Subject has any clinically significant ECG or clinically significant laboratory abnormality at the screening visit.

Subject has current abnormal thyroid function

Subject has a documented allergy, hypersensitivity, or intolerance to amphetamine or to any excipients in the investigational product.

Subject has failed to respond, to an adequate course(s) of amphetamine therapy.

Subject has a history of suspected substance abuse or dependence disorder.

Subject has a positive urine drug result at the screening visit (with the exception of subject's current stimulant therapy, if any) or Subject has taken another investigational product or has taken part in a clinical study within 30 days prior to the screening visit.

Subject has previously completed, has discontinued, or was withdrawn from this study.

Subject is taking any medication that is excluded or has not been appropriately washed out according to the protocol requirements.

Subject is required to take or anticipates the need to take medications that have CNS effects or affect performance.

Subject is female and is pregnant or lactating.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SHP465 12.5 mgSHP465 12.5mg capsules (one capsule daily)Subjects will receive SHP465 12.5 mg
SHP465 37.5 mgSHP465 12.5mg, 25mg, or 37.5mg capsules (one capsule daily)Subjects will receive SHP465 titrated up to 37.5 mg
PlaceboPlaceboSubjects will receive matching placebo
Primary Outcome Measures
NameTimeMethod
Change From Baseline in the Adult Attention-deficit/Hyperactivity Disorder Rating Scale-4 (ADHD-RS) With Prompts Total Score at Visit 6 (Week 4)Baseline, Visit 6 (Week 4)

The ADHD-RS was developed to measure the behaviors of children with Attention deficit hyperactivity disorder (ADHD). The adult ADHD-RS with prompts consists of 18 items designated to reflect current symptomatology of ADHD based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. Each item is scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms), with the total score for the rating scale ranging from 0 to 54. Higher score = more severe symptoms.The scale is subdivided into 2 subscales of 9 symptoms each: hyperactivity/impulsivity and inattentiveness. Adult prompts are included with the ADHD-RS to create a semistructured measurement that allows the clinician to probe the extent, frequency, breadth, severity, and consequences of these symptoms to ascertain impairment in an adult population.

Secondary Outcome Measures
NameTimeMethod
Clinical Global Impression of Improvement (CGI-I) Score at Visit 6 (Week 4)Visit 6 (Week 4)

CGI scales permit a global evaluation of the participant's severity and improvement over time. CGI-I was performed to rate the severity of a participant's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants).

Trial Locations

Locations (43)

Nyu Langone Medical Center

🇺🇸

New York, New York, United States

Premier Psychiatric Research Institutute

🇺🇸

Lincoln, Nebraska, United States

Princeton Medical Institute

🇺🇸

Princeton, New Jersey, United States

Bayou City Research, Ltd

🇺🇸

Houston, Texas, United States

Red Oak Psychiatry Associates

🇺🇸

Houston, Texas, United States

Houston Clinical Trials, Llc

🇺🇸

Houston, Texas, United States

Summit Research Network (Seattle) Llc

🇺🇸

Seattle, Washington, United States

Center For Psychiatry and Behavioral Medicine, Inc

🇺🇸

Las Vegas, Nevada, United States

Qps Mra, Llc

🇺🇸

Miami, Florida, United States

Psychiatric Associates

🇺🇸

Overland Park, Kansas, United States

Pharmacology Research Institute (Pri)

🇺🇸

Newport Beach, California, United States

Elite Clinical Trials

🇺🇸

Wildomar, California, United States

McB Clinical Research

🇺🇸

Colorado Springs, Colorado, United States

Florida Clinical Research Center Llc

🇺🇸

Bradenton, Florida, United States

Gulfcoast Clinical Research Center

🇺🇸

Fort Myers, Florida, United States

Florida Clinical Research Center, Llc

🇺🇸

Maitland, Florida, United States

Medical Research Group of Central Florida

🇺🇸

Orange City, Florida, United States

Northwest Behavioral Research Center

🇺🇸

Marietta, Georgia, United States

Capstone Clinical

🇺🇸

Libertyville, Illinois, United States

Baber Research Group, Inc

🇺🇸

Naperville, Illinois, United States

Rochester Center For Behavioral Medicine

🇺🇸

Rochester Hills, Michigan, United States

Psychiatric Care and Research Center

🇺🇸

O'Fallon, Missouri, United States

Bioscience Research Llc

🇺🇸

Mount Kisco, New York, United States

Richard H Weisler, Md, Pa & Associates

🇺🇸

Raleigh, North Carolina, United States

Midwest Clinical Research Center

🇺🇸

Dayton, Ohio, United States

Oregon Center For Clinical Investigations

🇺🇸

Salem, Oregon, United States

Omega Medical Research

🇺🇸

Warwick, Rhode Island, United States

Futuresearch Trials of Dallas, Lp

🇺🇸

Dallas, Texas, United States

Clinical Neuroscience Solutions

🇺🇸

Memphis, Tennessee, United States

Rainbow Research, Inc.

🇺🇸

Barnwell, South Carolina, United States

Neuroscience, Inc

🇺🇸

Herndon, Virginia, United States

Research Across America

🇺🇸

Plano, Texas, United States

Eastside Therapeutic Resource

🇺🇸

Kirkland, Washington, United States

Pharmacology Research Institute

🇺🇸

Encino, California, United States

Nrc Research Institute

🇺🇸

Orange, California, United States

Clinical Neurophysiology Services

🇺🇸

Sterling Heights, Michigan, United States

Coastal Carolina Research

🇺🇸

Mount Pleasant, South Carolina, United States

Sarkis Clinical Trials

🇺🇸

Gainesville, Florida, United States

Ips Research Company

🇺🇸

Oklahoma City, Oklahoma, United States

Midwest Research Group

🇺🇸

Saint Charles, Missouri, United States

Clinical Neuroscience Solutions, Inc

🇺🇸

Orlando, Florida, United States

Louisiana Research Associates, Inc.

🇺🇸

New Orleans, Louisiana, United States

Oregon Center For Clinical Investigations, Inc

🇺🇸

Portland, Oregon, United States

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