Adult Attention Deficit Hyperactivity DisorderPhase 3NCT02160262
Open-label Safety Study in Adults With ADHD
A Phase 3 study testing Dasotraline in people with Adult Attention Deficit Hyperactivity Disorder, run by Sumitomo Pharma America, Inc. at 65 sites in United States.
Trial summary
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with Attention Deficit Hyperactivity Disorder (ADHD) Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Adult Attention Deficit Hyperactivity Disorder
- What is being tested?
- Dasotraline
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 724 participants
- Where
- 65 sitesUnited States
- Study dates
- Jun 2014to May 2016
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Subject meets DSM 5 criteria for a primary diagnosis of ADHD (inattentive, hyperactive, or combined presentation) established by a comprehensive psychiatric evaluation that reviews DSM 5 criteria. Diagnosis is confirmed by CAADID Part 2 with checklist for DSM 5.
- Subject has an ADHD RS IV with adult prompts score of ≥ 22 at screening and baseline.
- Subject has agreed to participate by providing written informed consent and is willing and able to comply with the protocol, in the opinion of the investigator.
- Subject is 18 to 55 years old, inclusive, at the time of informed consent.
- Subject is male or a non-pregnant, non lactating female.
- Female subjects must have a negative serum pregnancy test; females who are post menopausal (defined as at least 12 months of spontaneous amenorrhea) and those who have undergone hysterectomy or bilateral oophorectomy will be exempted from the pregnancy test.
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- Female subjects of childbearing potential and male subjects with female partners of childbearing potential must agree to use an effective and medically acceptable form of birth control throughout the study period.
- Subject has a negative breath alcohol test and a negative urine drug screen (UDS) for any illicit drug at screening.
- Subject is judged by the investigator to be suitable for participation in a 12 month clinical trial involving open-label dasotraline treatment.
- Subject can read well enough to understand the informed consent form and other subject materials.
Who cannot join
- Subject has a psychiatric disorder other than ADHD that has been the primary focus of treatment at any time during the 12 months prior to screening.
- Subject has a past history of, or current presentation consistent with, bipolar disorder (including bipolar I and bipolar II), schizophrenia, schizoaffective disorder, or any other psychotic disorder, or a personality disorder per DSM 5 criteria.
- Subject has a history of substance abuse or drug dependence (excluding nicotine and caffeine) within the 12 months prior to screening, as defined by the DSM 5 criteria.
- Subject has a history of epilepsy, seizures (except childhood febrile seizures), unexplained syncope or other unexplained blackouts (except single incident), or head trauma with loss of consciousness lasting more than 5 minutes.
- Subject has a currently active medical condition (other than ADHD) that, in the opinion of the investigator, could interfere with the ability of the subject to participate in the study.
- Subject is currently taking or has taken within the previous 6 months an anticonvulsant medication (eg, phenytoin, carbamazepine, lamotrigine, valproic acid, etc); antipsychotic medication; or lithium (any lithium preparation or formulation).
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- Subject is currently taking an alpha 2 adrenergic receptor agonist (including clonidine and guanfacine), or serotonin-norepinephrine reuptake inhibitor (SNRI; eg, venlafaxine), or dopamine-norepinephrine reuptake inhibitor (DNRI; eg, bupropion), or monoamine oxidase [MAO] inhibitor. Note: Subjects who discontinue these medications and wash-out from them for a minimum of 7 days prior to the first dose of study drug will be allowed to enroll in the study.
- Subject is currently undergoing Cognitive Behavioral Therapy (CBT).
- Subject has a Body Mass Index (BMI) less than 18 or greater than 35 kg/m2 (see Appendix V).
- Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C SSRS assessment at screening (in the past month). Subjects who answer "yes" to this question must be referred to the investigator for follow up evaluation.
- Subject has attempted suicide within 1 year prior to the screening period.
- Subject has history of positive test for Hepatitis B surface antigen or Hepatitis C antibody and has liver function test results at screening above the upper limit of normal for the reference lab.
- Subject is known to have tested positive for human immunodeficiency virus (HIV).
- Subject has a clinically significant abnormality on screening evaluation including physical examination, vital signs, ECG, or laboratory tests that the investigator considers to be inappropriate to allow participation in the study.
- The subject's screening ECG shows a corrected QT interval using Fridericia's formula (QTcF) of ≥ 450 msec for male subjects or ≥ 470 msec for female subjects. Eligibility will be based on the core laboratory ECG interpretation report.
- The subject's screening serum chemistry results show an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value ≥ 2 times the upper limit of normal (ULN), or a blood urea nitrogen (BUN) value ≥ 1.5 times the ULN for the reference laboratory.
- Subject is currently participating or has participated in a clinical trial within the last 90 days or has participated in more than 2 clinical trials within the past year. This includes studies using marketed compounds or devices.
- Subject has a history of allergic reaction or has a known or suspected sensitivity to any substance that is contained in the study drug formulation.
- Subject has previously been randomized in a clinical trial of dasotraline.
- Subject is likely to be noncompliant in the investigator's opinion.
- Subject is an investigational site staff member or the relative of an investigational site staff member.
Trial locations and contacts
65 sites in 1 country.
65 sites in 1 country
United States65 sites
Institute for Advanced Medical Research
Alpharetta, Georgia, 30005
Atlanta Center for Medical Research
Atlanta, Georgia, 30308
Kennedy Krieger Institute
Baltimore, Maryland, 21205
Southern California Research LLC
Beverly Hills, California, 90210
Massachusetts General Hospital
Boston, Massachusetts, 02114
Florida Clinical Research Center LLC
Bradenton, Florida, 34208
Neuro-Behavioral Clinical Research
Canton, Ohio, 44718
Center for Emotional Fitness
Cherry Hill, New Jersey, 08002
MCB Clinical Research Centers, LLC
Colorado Springs, Colorado, 80910
FutureSearch Trials of Dallas, LP
Dallas, Texas, 75231
Pillar Clinical Research, LLC
Dallas, Texas, 75243
Midwest Clinical Research Center
Dayton, Ohio, 32350
iResearch Atlanta, LLC
Decatur, Georgia, 30030
Duke University Medical Center
Durham, North Carolina, 27705
Pharmacology Research Institute
Encino, California, 91316
Synergy Clinical Research of Escondido
Escondido, California, 92025
Gulfcoast Clinical Research
Fort Myers, Florida, 33912
Collaborative Neuroscience Network, LLC
Garden Grove, California, 92845
NeuroScience, Inc
Herndon, Virginia, 20170
Broward Research Group, Inc.
Hollywood, Florida, 33026
Houston Clinical Trials, LLC
Houston, Texas, 77098
Goldpoint Clinical Research
Indianapolis, Indiana, 46260
Clinical Neuroscience Solutions, Inc.
Jacksonville, Florida, 32256
Geroge M. Joseph MD, PA
Jacksonville Beach, Florida, 32350
Alpine Clinic
Lafayette, Indiana, 47905
Lake Charles Clinical Trials LLC
Lake Charles, Louisiana, 70601
Center for Psychiatry and Behavioral Medicine, Inc.
Las Vegas, Nevada, 89128
Compass Research North, LLC
Leesburg, Florida, 34748
Premeir Psychiatric Research Institute, LLC
Lincoln, Nebraska, 68526
Pharmacology Research Institute
Los Alamitos, California, 90720
Florida Clinical Research Center, LLC
Maitland, Florida, 32751
Suburban Research Associates
Media, Pennsylvania, 19063
Acumentality
Melbourne, Florida, 32901
Clinical Neuroscience Solutions
Memphis, Tennessee, 38119
Research Strategies of Memphis, LLC
Memphis, Tennessee, 38119
Dean Foundation
Middleton, Wisconsin, 53562
Eastside Therapeutic Resource
Middleton, Wisconsin, 53562
Bioscience Research
Mount Kisco, New York, 10549
Coastal Carolina Research Center
Mt. Pleasant, South Carolina, 29464
Village Clinical Research Inc.
New York, New York, 10003
NYU School of Medicine
New York, New York, 10016
Medical & Behavioral Health Research
New York, New York, 10023
The Medical Research Network, LLC
New York, New York, 10128
Fieve Clinical Research
New York, New York, 10168
Keystone Clinical Studies, LLC
Norristown, Pennsylvania, 19403
Psychiatric Care & Research Center
O'Fallon, Missouri, 63368
Excell Research, Inc
Oceanside, California, 92056
IPS Research Company
Oklahoma City, Oklahoma, 73103
Cutting Edge Research Group
Oklahoma City, Oklahoma, 73116
Clinical Neuroscience Solutions, Inc
Orlando, Florida, 32801
Psychiatric Associates
Overland Park, Kansas, 90720
Summit Research Network
Portland, Oregon, 97210
Oregon Center for Clinical Investigations, Inc.
Portland, Oregon, 97214
Rochester Center for Behavioral Medicine
Rochester Hills, Michigan, 48307
Midwest Research Group
Saint Charles, Missouri, 63304
Clinical Trials of Texas, Inc
San Antonio, Texas, 78229
Artemis Institute for Clinical Research
San Diego, California, 92103
Summit Research Network (Seattle) LLC
Seattle, Washington, 98104
Carman Research
Smyrna, Georgia, 30080
Woodhull Medical & Mental Health Center
Staten Island, New York, 10305
Richmond Behavioral Associates
Staten Island, New York, 10312
Stedman Clinical Trials
Tampa, Florida, 33613
Family Psychiatry of the Woodlands
The Woodlands, Texas, 77381
Sleep Diagnosists and Treatment Centers
West Chester, Pennsylvania, 19380
Neuropsychiatric Associates
Woodstock, Vermont, 05091
About this study
Official title: A Phase 3, 12-Month, Multicenter, Open-label, Flexibly-dosed, Safety Study of SEP 225289 in Adults With Attention Deficit Hyperactivity Disorder (ADHD)
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with Attention Deficit Hyperactivity Disorder (ADHD)
Read the detailed description
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with ADHD by the incidence of adverse events (AEs; or serious AEs), AEs (or SAEs) leading to discontinuation
- Being tested
- Dasotraline
- 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.
DasotralineDrug
Dasotraline 4 mg, 6 mg, 8 mg, flexibly dosed, once daily
| Study group | Role | What they receive |
|---|---|---|
| Dasotraline | Experimental | Dasotraline 4 mg, 6 mg, 8 mg, flexibly dosed Receives: Drug: Dasotraline |
What is being measured
The primary outcome is the main question the study is designed to answer.
The incidence of AEs (or SAEs), and AEs (or SAEs) leading to discontinuation.
Measured: 12 months
Secondary outcomes (14)
Clinical evaluations (vital signs, physical examination, body weight, and 12 lead ECG)
Measured: 12 Months
Clinical laboratory evaluations (serum chemistry, hematology, lipid panel, thyroid panel, and urinalysis)
Measured: 12 months
Drug Effects Questionnaire (DEQ)
Measured: 12 months
Frequency and severity of suicidal ideation and suicidal behavior using the Columbia - Suicide Severity Rating Scale (C SSRS)
Measured: 12 months
Change from baseline in ADHD RS IV with adult prompts total score
Measured: 12 months
Change from baseline in Clinical Global Impression - Severity (CGI S) score
Measured: 12 months
Change from baseline in the ADHD RS IV with adult prompts inattentiveness and hyperactivity-impulsivity subscale scores
Measured: 12 months
Change from baseline in AIM A in global domain scores (Performance and Daily Functioning, Impact of Symptoms: Daily Interference, Impact of Symptoms: Bother/Concern, Relationships/Communication, Living with ADHD, and General Well-being)
Measured: 12 months
Change from baseline in Sheehan Disability Scale (SDS) total score
Measured: 12 months
Change from baseline in Sheehan Disability Scale (SDS) domain scores: work/school, family life, social life
Measured: 12 months
Change from baseline in Behavior Rating Inventory of Executive Function®-Adult Version (BRIEF®) A Global Executive Composite raw score and Behavioral Regulation Index (BRI) raw score and Metacognition Index (MI) raw score.
Measured: 12 months
Change from baseline in Pittsburgh Sleep Quality Index (PSQI) global score and 7 component scores.
Measured: 12 months
Change from baseline in BRIEF-A Global Executive Composite T-score and BRI T-score and MI T-score.
Measured: 12 months
Symptoms of withdrawal using Physician Withdrawal Checklist (PWC) scores, Study Medication Withdrawal Questionnaire (SMWQ) scores, Montgomery-Asberg Depression Rating Scale (MADRS) scores, Hamilton Anxiety Rating Scale (HAM-A) scores
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jun 2014 (estimated)
- Study startJun 2014
- Primary completionMay 2016
- Study completionMay 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Adult Attention Deficit Hyperactivity DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 724 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma America, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- SEP289 Medical Director, Study director, Sumitomo Pharma America, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02160262
- Sponsor's protocol ID
- SEP360-304
- Status last verified
- May 2017
- First submitted
- 8 Jun 2014
- Last updated
- 2 May 2017
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 2 May 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, 12-Month, Multicenter, Open-label, Flexibly-dosed, Safety Study of SEP 225289 in Adults With Attention Deficit Hyperactivity Disorder (ADHD)
- ClinicalTrials.gov ID
- NCT02160262
- Acronym / sponsor ID
- SEP360-304
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 724 participants (actual)
- Lead sponsor
- Sumitomo Pharma America, Inc.Industry (pharma, biotech, devices)
- Study start
- Jun 2014
- Primary completion
- May 2016 (actual)
- Study completion
- May 2016 (actual)
- First posted
- 10 Jun 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with Attention Deficit Hyperactivity Disorder (ADHD)
Detailed description
To evaluate the long-term safety and tolerability of SEP 225289 in adult subjects with ADHD by the incidence of adverse events (AEs; or serious AEs), AEs (or SAEs) leading to discontinuation
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Dasotraline | Experimental | Drug: DasotralineDasotraline 4 mg, 6 mg, 8 mg, flexibly dosed |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Subject meets DSM 5 criteria for a primary diagnosis of ADHD (inattentive, hyperactive, or combined presentation) established by a comprehensive psychiatric evaluation that reviews DSM 5 criteria. Diagnosis is confirmed by CAADID Part 2 with checklist for DSM 5.
- Subject has an ADHD RS IV with adult prompts score of ≥ 22 at screening and baseline.
- Subject has agreed to participate by providing written informed consent and is willing and able to comply with the protocol, in the opinion of the investigator.
- Subject is 18 to 55 years old, inclusive, at the time of informed consent.
- Subject is male or a non-pregnant, non lactating female.
Key exclusion criteria (21 listed)
- Subject has a psychiatric disorder other than ADHD that has been the primary focus of treatment at any time during the 12 months prior to screening.
- Subject has a past history of, or current presentation consistent with, bipolar disorder (including bipolar I and bipolar II), schizophrenia, schizoaffective disorder, or any other psychotic disorder, or a personality disorder per DSM 5 criteria.
- Subject has a history of substance abuse or drug dependence (excluding nicotine and caffeine) within the 12 months prior to screening, as defined by the DSM 5 criteria.
- Subject has a history of epilepsy, seizures (except childhood febrile seizures), unexplained syncope or other unexplained blackouts (except single incident), or head trauma with loss of consciousness lasting more than 5 minutes.
- Subject has a currently active medical condition (other than ADHD) that, in the opinion of the investigator, could interfere with the ability of the subject to participate in the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DasotralineDasotraline 4 mg, 6 mg, 8 mg, flexibly dosed, once daily | Drug | Dasotraline |
Primary outcome
The incidence of AEs (or SAEs), and AEs (or SAEs) leading to discontinuation.
Time frame: 12 months
14 secondary outcomes
Clinical evaluations (vital signs, physical examination, body weight, and 12 lead ECG)
Time frame: 12 Months
Clinical laboratory evaluations (serum chemistry, hematology, lipid panel, thyroid panel, and urinalysis)
Time frame: 12 months
Drug Effects Questionnaire (DEQ)
Time frame: 12 months
Frequency and severity of suicidal ideation and suicidal behavior using the Columbia - Suicide Severity Rating Scale (C SSRS)
Time frame: 12 months
Change from baseline in ADHD RS IV with adult prompts total score
Time frame: 12 months
Change from baseline in Clinical Global Impression - Severity (CGI S) score
Time frame: 12 months
Change from baseline in the ADHD RS IV with adult prompts inattentiveness and hyperactivity-impulsivity subscale scores
Time frame: 12 months
Change from baseline in AIM A in global domain scores (Performance and Daily Functioning, Impact of Symptoms: Daily Interference, Impact of Symptoms: Bother/Concern, Relationships/Communication, Living with ADHD, and General Well-being)
Time frame: 12 months
Change from baseline in Sheehan Disability Scale (SDS) total score
Time frame: 12 months
Change from baseline in Sheehan Disability Scale (SDS) domain scores: work/school, family life, social life
Time frame: 12 months
Change from baseline in Behavior Rating Inventory of Executive Function®-Adult Version (BRIEF®) A Global Executive Composite raw score and Behavioral Regulation Index (BRI) raw score and Metacognition Index (MI) raw score.
Time frame: 12 months
Change from baseline in Pittsburgh Sleep Quality Index (PSQI) global score and 7 component scores.
Time frame: 12 months
Change from baseline in BRIEF-A Global Executive Composite T-score and BRI T-score and MI T-score.
Time frame: 12 months
Symptoms of withdrawal using Physician Withdrawal Checklist (PWC) scores, Study Medication Withdrawal Questionnaire (SMWQ) scores, Montgomery-Asberg Depression Rating Scale (MADRS) scores, Hamilton Anxiety Rating Scale (HAM-A) scores
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 May 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
SEP289 Medical Director study director
Sumitomo Pharma America, Inc.
65 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dasotraline in people with Adult Attention Deficit Hyperactivity Disorder, run by Sumitomo Pharma America, Inc. at 65 sites in United States.
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 10 inclusion and 21 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 2 May 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 65 sites in United States. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
The incidence of AEs (or SAEs), and AEs (or SAEs) leading to discontinuation. (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 2 May 2017.