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Attention-Deficit/Hyperactivity DisorderPhase 3NCT01106430

Comparison of Lisdexamfetamine Dimesylate With Atomoxetine HCl in Attention-Deficit/Hyperactivity Disorder (ADHD) Subjects With an Inadequate Response to Methylphenidate

A Phase 3 study testing Lisdexamfetamine Dimesylate and Atomoxetine Hydrochloride in people with Attention-Deficit/Hyperactivity Disorder, run by Shire at 64 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

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. Read more about this study

Who is it for?
Ages 6 to 17 years
Conditions the study is for
Attention-Deficit/Hyperactivity Disorder
What is being tested?
Lisdexamfetamine Dimesylate and Atomoxetine Hydrochloride
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
267 participants
Where
64 sitesin 10 countries
Study dates
28 Jun 2010to 19 Jul 2012
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 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.

Who cannot join

  • 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.

Trial locations and contacts

64 sites in 10 countries.

64 sites in 10 countries

United States34 sites
  • Future Search Clinical Trials

    Austin, Texas, 78731

  • Shanti Clinical Trials

    Colton, California, 92324

  • Harmonex Neuroscience Research, Inc

    Dothan, Alabama, 36303

  • Triangle Neuropsychiatry, PLLC

    Durham, North Carolina, 27707

  • Innovis Health

    Fargo, North Dakota, 58103

  • Sarkis Clinical Trials

    Gainesville, Florida, 32607

  • Cyn3rgy Research

    Gresham, Oregon, 97030

  • Amedica Research Institute, Inc.

    Hialeah, Florida, 33013

  • Red Oak Psychiatry Association, PA

    Houston, Texas, 77090

  • Eastside Therapeutic Resource

    Kirkland, Washington, 98033

  • Center for Psychiatry and Behavioral Medicine, Inc.

    Las Vegas, Nevada, 89128

  • Fidelity Clinical Research, Inc.

    Lauderhill, Florida, 33319

  • Capstone Clinical Research

    Libertyville, Illinois, 60048

  • Premier Psychiatric Research Institute, LLC

    Lincoln, Nebraska, 68526

  • Clinical Study Centers, LLC

    Little Rock, Arkansas, 72205

  • Western Clinical Investigations

    Lubbock, Texas, 79423

  • Baber Psychiatric Associates

    Naperville, Illinois, 60563

  • Louisianna Research Associates

    New Orleans, Louisiana, 70114

  • IPS Research Company

    Oklahoma City, Oklahoma, 73103

  • Clinical Neuroscience Solutions, INC

    Orlando, Florida, 32806

  • Four Rivers Clinical Research, Inc

    Paducah, Kentucky, 42003

  • CRI Worldwide, LLC Kirkbride Division

    Philadelphia, Pennsylvania, 19139

  • Rochester Center for Behavioral Medicine

    Rochester Hills, Michigan, 48307

  • Office of Marc Hertzman, MD, PC

    Rockville, Maryland, 20852

  • Northwest Behavioral Research Center

    Roswell, Georgia, 30076

  • Midwest Research Group/Saint Charles Psychiatric Associates

    Saint Charles, Missouri, 63301

  • Lifetree Clinical Research

    Salt Lake City, Utah, 84106

  • Cerebral Research, LLC

    San Antonio, Texas, 78247

  • Psychiatric Centers at San Diego Feighner Research

    San Diego, California, 92108

  • Richmond Behavioral Associates

    Staten Island, New York, 10312

  • Clinco

    Terre Haute, Indiana, 47802

  • Children's Specialized Hospital

    Toms River, New Jersey, 08755

  • Heartland Research Associates, LLC

    Wichita, Kansas, 67207

  • Elite Clinical Trials, Inc.

    Wildomar, California, 92595

Other trials in United States

Germany6 sites
  • Schwerpunktpraxis für Entwicklung und Lernen

    Bamberg, Bavaria, 96047

  • Klinikum Frankfurt/Oder

    Frankfurt (Oder), Brandenburg, 15236

  • Albert-Ludwigs-Universitat Freiburg

    Freiburg im Breisgau, Baden-Wurttemberg, 79104

  • Praxis Dr. Wolff

    Hagen, North Rhine-Westphalia, 58093

  • Zentralinstitut für Seelische Gesundheit Mannheim

    Mannheim, Baden-Wurttemberg, 68159

  • Medizinisches Studienzentrum Würzburg

    Würzburg, Bavaria, 97070

Other trials in Germany

Spain6 sites
  • Complejo Hospitalario Universitario de Badajoz

    Badajoz, 6010

  • Hospital Clinic i Provincial de Barcelona

    Barcelona, 8036

  • Hospital Sant Joan de Deu

    Esplugues de Llobregat, Barcelona, 08950

  • Hospital Son Llàtzer

    Palma de Mallorca, Balearic Islands, 7198

  • Hospital Universitario de Canarias

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

  • Hospital Marítimo, Unidad de Salud Mental Infanto-Juvenil (USMI-J

    Torremolinos, Malaga, 29620

Other trials in Spain

Canada5 sites
  • Child and Adolescent Centre

    Edmonton, Alberta, T6H 1P7

  • Centre for Anxiety Attention Deficit and Trauma

    Hamilton, Ontario, L8S 1B7

  • AK Karan Holdings, Ltd.

    Oakville, Ontario, L6J 0B2

  • University of Saskatchewan

    Saskatoon, Saskatchewan, S7N 0W8

  • The Kids Clinic

    Whitby, Ontario, L1N 8M7

Other trials in Canada

Hungary4 sites
  • Vadaskert Korhaz es Szakambulancia Gyermek es lfjusagpszichiatria

    Budapest

  • Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza

    Gyula, 5700

  • Gyermek- es lfjusagpszichiatriai Szakrendeles es Gondozo

    Pécs

  • Szegedi Tudományegyetem Gyermek es lfjusagpszichlatrlai Osztaly

    Szeged, Csongrád megye, 6720

Other trials in Hungary

Belgium2 sites
  • ZiekenhuisNetwerk Antwerpen

    Hoboken, Antwerpen, 2660

  • Universitair Ziekenhuis Gasthuisberg

    Leuven, Flemish Brabant, 3000

Other trials in Belgium

Poland2 sites
  • Katedra i Klinika Psychiatarii

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-096

  • Samodzielny Publiczny Dzieciecy Szpital Kliniczny

    Warsaw, Masovian Voivodeship, 00-576

Other trials in Poland

Sweden2 sites
  • Drottning Silvias Barnsjukhus

    Gothenburg, 411 18

  • Astrid Lindgren Children's Hospital/Karolinska University Hospital

    Stockholm, 141 86

Other trials in Sweden

United Kingdom2 sites
  • Basildon Hospital

    Basildon, Essex, SS16 5NL

  • Tayside Children's Hospital

    Dundee, Scotland, DD1 9SY

Other trials in United Kingdom

Italy1 site
  • Azienda Ospedaliero-Universitaria di Cagliari

    Cagliari, 9124

Other trials in Italy

About this study

Official title: A Phase 3b, Double-blind, Randomised, Active-controlled, Parallel Group Study to Assess the Time to Response of Lisdexamfetamine Dimesylate to Atomoxetine Hydrochloride in Children and Adolescents Aged 6-17 Years With Attention-Deficit/Hyperactivity Disorder (ADHD) Who Have Had an Inadequate Response to Methylphenidate Therapy

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.

Being tested
Lisdexamfetamine Dimesylate, Atomoxetine Hydrochloride
Keywords
ADHD
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 DimesylateDrug

    Also called Vyvanse

    Oral 30, 50, or 70mg once-daily for 9 weeks

  • Atomoxetine HydrochlorideDrug

    Also called Strattera

    Oral 10mg to 100mg once-daily for 9 weeks

Study groups in NCT01106430
Study groupRoleWhat they receive
Lisdexamfetamine DimesylateExperimentalNot described
Receives: Drug: Lisdexamfetamine Dimesylate
Atomoxetine HydrochlorideActive comparatorNot described
Receives: Drug: Atomoxetine Hydrochloride

What is being measured

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

  1. Time to First Response

    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).

    Measured: 9 weeks

Secondary outcomes (7)
  1. Percent of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) Scores - Last Observation Carried Forward (LOCF)

    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: 9 weeks

  2. Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-Fourth Edition (ADHD-RS-IV) Total Score at 9 Weeks - LOCF

    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.

    Measured: Baseline and 9 weeks

  3. Change From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Global Score at 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.

    Measured: Baseline and up to 9 weeks

  4. Health Utilities Index-2 (HUI-2) Scores at 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.

    Measured: up to 9 weeks

  5. Change From Baseline in Brief Psychiatric Rating Scale for Children (BPRS-C) Total Score at 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.

    Measured: Baseline and up to 9 weeks

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

    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.

    Measured: 9 weeks

  7. Udvalg for Kliniske Undersogelser Side Effect Rating Scale - Clinician (UKU-SERS-Clin) With Side Effects Scores >=1

    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.

    Measured: 9 weeks

Timeline

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

  1. First posted19 Apr 2010 (estimated)
  2. Study start28 Jun 2010
  3. Primary completion19 Jul 2012
  4. Study completion19 Jul 2012

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
267 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01106430
Sponsor's protocol ID
SPD489-317
Other IDs
2009-011745-94, 2009
Status last verified
May 2021
First submitted
14 Apr 2010
Last updated
11 Jun 2021
Data monitoring committee
No

Publications

  • Dittmann RW, Cardo E, Nagy P, Anderson CS, Bloomfield R, Caballero B, Higgins N, Hodgkins P, Lyne A, Civil R, Coghill D. Efficacy and safety of lisdexamfetamine dimesylate and atomoxetine in the treatment of attention-deficit/hyperactivity disorder: a head-to-head, randomized, double-blind, phase IIIb study. CNS Drugs. 2013 Dec;27(12):1081-92. doi: 10.1007/s40263-013-0104-8.

    PubMed 23959815
  • Nagy P, Hage A, Coghill DR, Caballero B, Adeyi B, Anderson CS, Sikirica V, Cardo E. Functional outcomes from a head-to-head, randomized, double-blind trial of lisdexamfetamine dimesylate and atomoxetine in children and adolescents with attention-deficit/hyperactivity disorder and an inadequate response to methylphenidate. Eur Child Adolesc Psychiatry. 2016 Feb;25(2):141-9. doi: 10.1007/s00787-015-0718-0. Epub 2015 May 22.

    PubMed 25999292
  • Dittmann RW, Cardo E, Nagy P, Anderson CS, Adeyi B, Caballero B, Hodgkins P, Civil R, Coghill DR. Treatment response and remission in a double-blind, randomized, head-to-head study of lisdexamfetamine dimesylate and atomoxetine in children and adolescents with attention-deficit hyperactivity disorder. CNS Drugs. 2014 Nov;28(11):1059-69. doi: 10.1007/s40263-014-0188-9.

    PubMed 25038977

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lisdexamfetamine Dimesylate and Atomoxetine Hydrochloride in people with Attention-Deficit/Hyperactivity Disorder, run by Shire at 64 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 4 inclusion and 6 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 11 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 64 sites in United States, Germany, Spain, Canada, 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. 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 24 Jun 2013). 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?

Time to First Response (time frame: 9 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 NCT01106430, which also lists 3 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 11 Jun 2021.

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