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ADHDPhase 3NCT00763971

Randomized, Double-blind Safety and Efficacy Study of Lisdexamfetamine Dimesylate (LDX) in Children and Adolescents Aged 6-17

A Phase 3 study testing Lisdexamfetamine Dimesylate (LDX) and Methylphenidate Hydrochloride in people with ADHD, run by Shire at 49 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The main aim of this study is to see if giving LDX to children and adolescents aged 6-17 years with ADHD decreases symptoms of ADHD. Read more about this study

Who is it for?
Ages 6 to 17 years
Conditions the study is for
ADHD
What is being tested?
Lisdexamfetamine Dimesylate (LDX) and Methylphenidate Hydrochloride
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
336 participants
Where
49 sitesin 10 countries
Study dates
17 Nov 2008to 16 Mar 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 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 blood pressure measurements within the 95th percentile for age, gender, and height at Screening and Baseline.
  • Subject is able to swallow a capsule.

Who cannot join

  • Subject has failed to respond to more than one adequate course (dose and duration) of stimulant therapy. One course must have been a long-acting formulation.
  • Subject has a conduct disorder. Oppositional Defiant Disorder is not exclusionary.
  • Subject is currently considered a suicide risk, has previously made a suicide attempt or has a prior history of, or is currently, demonstrating active suicidal ideation.
  • Subject has glaucoma.
  • Subject weighs less than 22.7kg (50lbs).
  • Subject is significantly overweight based on Centre for Disease Control and Prevention Body Mass Index (BMI)-for-age gender specific charts at Screening. Significantly overweight is defined as a BMI >97th percentile for this study.
Show all 13Show fewer
  • Subject has a documented allergy, hypersensitivity, or intolerance to amphetamine or methylphenidate.
  • Subject has a documented allergy, hypersensitivity, or intolerance to any excipients in the test or reference products.
  • Subject has a history of seizures (other than infantile febrile seizures), a tic disorder, or a current diagnosis and/or a known family history of Tourette's Disorder.
  • Subject has a known history of symptomatic cardiovascular disease, advance arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a stimulant drug.
  • Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
  • Subject is well controlled on their current ADHD medication with acceptable tolerability.
  • Subject has a pre-existing severe gastrointestinal tract narrowing (pathologic or iatrogenic).

Trial locations and contacts

49 sites in 10 countries.

49 sites in 10 countries

Germany13 sites
  • Schwerpunktpraxis für Entwicklung und Lernen, Heinrichsdamm 6

    Bamberg, Bavaria, 96047

  • Universitätsmedizin Berlin

    Berlin, 13353

  • Albert-Ludwigs-Universitat Freiburg

    Freiburg im Breisgau, 79104

  • Praxis Dr. Walter Robert Otto

    Fulda, 36037

  • Universitat Gottingen

    Göttingen, Lower Saxony, 37075

  • Praxis Dr. Wolff

    Hagen, 58093

  • Praxis Dr. med. Friedrich Kaiser und Dr. med. Ingrid Marinesse

    Hamburg, 22415

  • Praxis für Neuropädiatrie, Schomburgstrasse 120

    Hamburg, 22767

  • Klinikum der Johannes Gutenberg-Universität Mainz, Klinik und Poliklinik für Kinder-und Jugendpsychiatrie und-psychotherapie,

    Mainz, Rhineland-Palatinate, 55131

  • Zentralinstitut für Seelische Gesundheit Mannheim, Klinik für Psychiatrie und Psychotherapie des Kindes-und Jug, J4/J5

    Mannheim, Baden Wuttemburg, 68159

  • Universitatsklinikum Gießen und Marburg GmbH, Hans-Sachs-Strasse 4

    Marburg, Hesse, 35039

  • Medizinisches Studienzentrum Würzburg, Augustinerstrasse 10

    Würzburg, Bavaria, 97070

  • Universität Würzburg, Klinik und Poliklinik fuer Kinder-und Jugendpsychiatrie und Psychotherapie

    Würzburg, Bavaria, 97080

Other trials in Germany

Spain7 sites
  • Complejo Hospitalario Universitario de Badajoz

    Badajoz, 6010

  • Mutua de Terrassa

    Barcelona, 8221

  • Hospital Sant Joan de Dèu

    Esplugues de Llobregat, Barcelona, 08950

  • Hospital Ramón y Cajal, Servicio de psiquiatría

    Madrid, 28034

  • Clínica Universitaria de Navarra, Unidad de Psiquiatría Infantil y Adolescente, Dept. de Psiquiatría y Psicología Médica

    Pamplona, Navarre, 31080

  • Hospital Universitario de Canarias C/Ofra

    San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320

  • Hospital Marítimo, Unidad de Salud Mental Infanto-Juvenil (USMI-J), Carretera del Sanatorio s/n

    Torremolinos, Malaga, 29630

Other trials in Spain

United Kingdom5 sites
  • Basildon Hospital, Child Developement Centre, Nethermayne

    Basildon, Essex, SS16 5NL

  • Tayside Childrens Hospital, Clinical Research Facility, Level 4

    Dundee, Scotland, DD1 9SY

  • Victoria Hospital, Paediatric Unit, Hayfield Road

    Kirkcaldy, Fife, Scotland, KY2 5AH

  • Ryegate Children's Centre, Tapton Crescent Road

    Sheffield, Yorkshire, S10 5DD

  • Lighthouse Child Development Centre, Snakes Lane

    Southend-on-Sea, Essex, SS2 6XT

Other trials in United Kingdom

France4 sites
  • Centre Hospitalier Charles Perrens, Bordeaux, Service de Psychiatrie de l'Enfant et de l'Adolescent

    Bordeaux Cédex, 33076

  • Hôpital Gui de Chauliac, 80, avenue Augustin Fliche

    Montpellier, 34295

  • Hospital Archet 2

    Nice, Cedex 03, 6202

  • Hôpital Robert Debré, Service de Psychopathologie de l'Enfant et de l'Adolescent

    Paris, Île-de-France Region, 75019

Other trials in France

Hungary4 sites
  • Vadaskert Kórház és Szakambulancia

    Budapest, 1021

  • Pándy Kálmán Kórház

    Gyula, 5700

  • Gyermek és Ifjúságpszichiátriai Szakrendelés és Gondozó

    Pécs, 7632

  • Szegedi Tudományegyetem

    Szeged, 6750

Other trials in Hungary

Poland4 sites
  • Szpital Uniwersytecki im. dr. Antoniego Jurasza w Bydgoszczy

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-094

  • Gdanski Uniwersytet Medyczna w Gdansku

    Gdansk, Pomeranian Voivodeship, 80-282

  • Wojewodzki Osrodek Lecznictwa Psychiatrycznego

    Torun, Kuyavian-Pomeranian Voivodeship, 87-100

  • Samodzielny Publiczny Dzieciecy Szpital Kliniczny

    Warsaw, Masovian Voivodeship, 00-576

Other trials in Poland

Sweden4 sites
  • Drottning Silvias Barnsjukhus

    Gothenburg, 41119

  • Utvecklingsneurologiska Enheten (UNE), BUC, Lockerudsv 12

    Mariestad, Vastergotland, 54224

  • Astrid Lindgren Children's Hospital, Karolinska University Hospital

    Stockholm, 171 76

  • Barn och Ungdomsmedicin klinik Mölnlycke, Ekdalavägen 2,Box 9

    Stockholm, 435 30

Other trials in Sweden

Belgium3 sites
  • Universitair Ziekenhuis Gent, Kinder-en Jeugdpsychiatrie, De Pintelaan 185

    Ghent, East Flanders, 9000

  • ZiekenhuisNetwerk Antwerpen, Commandant Weynsstraat 165, Campus Hoge Beuken

    Hoboken, Antwerp, 2660

  • Afdeling Psychiatrie, UZ Herestraat 49, Bus 07003

    Leuven, 3000

Other trials in Belgium

Italy3 sites
  • Università degli Studi di Cagliari, Dipartimento di Neuroscienze

    Cagliari, 9124

  • Azienda Ospedaliera Universitaria Policlinico G. Martino

    Messina, 98125

  • Azienda Ospedaliera della 2 Universita di Napoli

    Naples, 80131

Other trials in Italy

Netherlands2 sites
  • Academisch Ziekenhuis Maastricht

    Maastricht, 6229 HX

  • Universitair Medisch Centrum Sint Radboud, Reinier Postlaan 10

    Nijmegen, 6525 GC

Other trials in Netherlands

About this study

Official title: A Phase III, Randomised, Double-Blind, Multicentre, Parallel-Group, Placebo- and Active-Controlled, Dose-Optimisation Safety and Efficacy Study of Lisdexamfetamine Dimesylate (LDX) in Children and Adolescents Aged 6-17 With Attention-Deficit/Hyperactivity Disorder (ADHD)

The main aim of this study is to see if giving LDX to children and adolescents aged 6-17 years with ADHD decreases symptoms of ADHD.

Conditions
ADHD
Being tested
Lisdexamfetamine Dimesylate (LDX), Methylphenidate Hydrochloride, Placebo
Medical subject headings
Attention Deficit Disorder with Hyperactivity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lisdexamfetamine Dimesylate (LDX)Drug

    Also called Vyvanse™

    30, 50 or 70mg capsule once per day (Overencapsulated)

  • Methylphenidate HydrochlorideDrug

    Also called Concerta®, OROS MPH

    18, 36, or 54mg tablet one per day (Overencapsulated)

  • PlaceboDrug

    Placebo capsule once per day (Overencapsulated)

Study groups in NCT00763971
Study groupRoleWhat they receive
Lisdexamfetamine Dimesylate (LDX)ExperimentalOverencapsulated LDX 30, 50, or 70mg
Receives: Drug: Lisdexamfetamine Dimesylate (LDX)
Methylphenidate HydrochlorideActive comparatorOverencapsulated Concerta 18, 36, or 54mg
Receives: Drug: Methylphenidate Hydrochloride
PlaceboPlacebo comparatorOverencapsulated Placebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at up to 7 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. A decrease in score indicates an improvement in ADHD symptomology.

    Measured: Baseline and up to 7 weeks

Secondary outcomes (7)
  1. Percentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) Scores

    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.

    Measured: Up to 7 weeks

  2. Change From Baseline in Conner's Parent Rating Scale - Revised (CPRS-R) Total Score at up to 7 Weeks

    The Conner's Parent rating Scale-revised short version (CPRS-R) consists of 27 questions graded on a scale from 0 (not true at all) to 3 (very much true) with a total score ranging from 0 to 81. Higher scores are indicative of increased ADHD. This scale allows parents to respond on the basis of the child's behavior and help assess ADHD and evaluate problem behavior.

    Measured: Baseline and up to 7 weeks

  3. Health Utilities Index-2 (HUI-2) Scores at up to 7 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.

    Measured: Baseline and up to 7 weeks

  4. Change From Baseline in the Child Health and Illness Profile, Child Edition: Parent Report Form (CHIP-CE:PRF) Global T-score at up to 7 Weeks

    The CHIP-CE:PRF evaluates health-related quality of life. It is composed of 5 domains (satisfaction, comfort, resilience, avoidance, and achievement) consisting of a total of 76 items. The global score is an average of the scores for the 5 domains. The majority of items assess frequency of events using a 5-point response format. There is no range for a total score. Raw scale scores are used to generate T-scores. Higher scores indicate better health.

    Measured: Baseline and up to 7 weeks

  5. Change From Baseline in Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Global Score at up to 7 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.

    Measured: Baseline and up to 7 weeks

  6. Change From Baseline in Brief Psychiatric Rating Scale for Children (BPRS-C) Total Score at up to 7 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.

    Measured: Baseline and up to 7 weeks

  7. Columbia-Suicide Severity Rating Scale (C-SSRS)

    C-SSRS is a 19-item semi-structured interview designed to capture suicide-related thoughts and behaviors.

    Measured: Up to 7 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Oct 2008 (estimated)
  2. Study start17 Nov 2008
  3. Primary completion16 Mar 2011
  4. Study completion16 Mar 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
336 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00763971
Sponsor's protocol ID
SPD489-325
Other IDs
2008-000679-90, 2008
Status last verified
Jun 2021
First submitted
30 Sep 2008
Last updated
14 Jun 2021

Publications

  • Coghill D, Banaschewski T, Lecendreux M, Soutullo C, Johnson M, Zuddas A, Anderson C, Civil R, Higgins N, Lyne A, Squires L. European, randomized, phase 3 study of lisdexamfetamine dimesylate in children and adolescents with attention-deficit/hyperactivity disorder. Eur Neuropsychopharmacol. 2013 Oct;23(10):1208-18. doi: 10.1016/j.euroneuro.2012.11.012. Epub 2013 Jan 15.

    PubMed 23332456
  • Coghill DR, Banaschewski T, Lecendreux M, Zuddas A, Dittmann RW, Otero IH, Civil R, Bloomfield R, Squires LA. Efficacy of lisdexamfetamine dimesylate throughout the day in children and adolescents with attention-deficit/hyperactivity disorder: results from a randomized, controlled trial. Eur Child Adolesc Psychiatry. 2014 Feb;23(2):61-8. doi: 10.1007/s00787-013-0421-y. Epub 2013 May 25.

    PubMed 23708466
  • Banaschewski T, Soutullo C, Lecendreux M, Johnson M, Zuddas A, Hodgkins P, Adeyi B, Squires LA, Coghill D. Health-related quality of life and functional outcomes from a randomized, controlled study of lisdexamfetamine dimesylate in children and adolescents with attention deficit hyperactivity disorder. CNS Drugs. 2013 Oct;27(10):829-40. doi: 10.1007/s40263-013-0095-5.

    PubMed 23893527
  • Setyawan J, Yang H, Cheng D, Cai X, Signorovitch J, Xie J, Erder MH. Developing a Risk Score to Guide Individualized Treatment Selection in Attention Deficit/Hyperactivity Disorder. Value Health. 2015 Sep;18(6):824-31. doi: 10.1016/j.jval.2015.06.005. Epub 2015 Aug 20.

    PubMed 26409610

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lisdexamfetamine Dimesylate (LDX) and Methylphenidate Hydrochloride in people with ADHD, run by Shire at 49 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in Germany, Spain, United Kingdom, France, Hungary and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Mar 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at up to 7 Weeks (time frame: Baseline and up to 7 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00763971, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jun 2021.

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