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Adult Attention-deficit Hyperactivity Disorder (ADHD)Phase 1NCT02827513

A Phase 1 Study to Investigate the Safety, Tolerance, Food Effect, Pharmacokinetics and Pharmacodynamics of Single and Multiple Doses of Extended Release Formulations of Centanafadine (CTN) in Young Healthy Subjects

A Phase 1 study testing CTN SR1, CTN XR1 and CTN XR2 in people with Adult Attention-deficit Hyperactivity Disorder (ADHD), run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 1 site in Australia.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to investigate the safety, tolerance, food effect, pharmacokinetics (PK) and pharmacodynamics (PD) of single and multiple doses of extended release (XR) formulations of Centanafadine (CTN) in Young Healthy participants. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
CTN SR1, CTN XR1 and CTN XR2
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteAustralia
Study dates
Dec 2015to Jan 2016
Phase
Phase 1
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Body weight within the normal range for height (body mass index [BMI] between 19-30 kg/m2 inclusive);
  • Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential;
  • Women of child-bearing potential must agree to use adequate; contraception prior to study entry, for the duration of study participation, and for 90 days following completion of therapy;
  • Be in general good health without clinically significant medical history;
  • Have clinical laboratory test results that are within the laboratory reference range; or if out of range are not clinically relevant and are acceptable to the Investigator and Sponsor medical representative;
  • Negative Human Immunodeficiency Virus (HIV), Hepatitis B and Hepatitis C Screening test;
  • Able and willing to give written informed consent.

Who cannot join

  • Use of any of the following medications will exclude a participant:
  • investigational compound within 30 days prior to Screening;
  • antipsychotic, anxiolytic, or sedative-hypnotic medication within 30 days prior to Screening;
  • any antidepressant medication within 30 days prior to Screening;
  • clonidine within 30 days prior to Screening;
  • cough/cold preparations containing stimulants/sympathomimetic agent within 7 days prior to Day -1;
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  • norepinephrine reuptake inhibitors, such as tomoxetine (STRATTERA®) within 30 days prior to Day -1;
  • antihypertensive agents, including diuretics, are not permitted at any time prior to or during the study;
  • sedating antihistamines (as a single preparation or in combination) within 7 days prior to Day -1;
  • sympathomimetics, appetite suppressants, modafinil, methylphenidate, amphetamine and pemoline within 7 days prior to Day -1;
  • Use over the counter medications within 7 days of Investigational Product administration, with the exception of simple analgesics such as paracetamol, oral non-steroidal anti-inflammatory agents and the oral contraceptive pill (if applicable);
  • Use of any herbal preparations and melatonin is prohibited and should be discontinued prior to Day -1. The process for discontinuing use of herbal preparations and melatonin prior to Day -1 is at the discretion of the Investigator;
  • A history of, or current evidence for, suicidal ideation, based upon clinical interview and the Columbia Suicide Severity Rating Scale (C-SSRS);
  • A history of known or suspected seizures, spasms, infantile spasms, febrile convulsions, unexplained significant and recent loss of consciousness or history of significant head trauma with loss of consciousness or a family history (first degree relative) of epilepsy or seizures (fits);
  • Subject has a known history of hypertension or Subject has a supine systolic blood pressure (SBP) ≥140 mm Hg or diastolic blood pressure (DBP) ≥90 mm Hg. No more than one repeat measurement will be permitted;
  • Subject has a known history of orthostatic hypotension or has an orthostatic blood pressure (BP) drop of ≥20 mm Hg (based on the drop between supine and standing [3 minutes] SBP) at Screening or Day -1;
  • Note: The eligibility criteria list is not exhaustive.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Study site

    Melbourne

Other trials in Australia

About this study

Official title: A Phase 1 Study to Investigate the Safety, Tolerance, Food Effect, Pharmacokinetics and Pharmacodynamics of Single and Multiple Doses of Extended Release Formulations of Centanafadine (CTN) (Formerly Called EB-1020) in Young Healthy Subjects

The purpose of this study is to investigate the safety, tolerance, food effect, pharmacokinetics (PK) and pharmacodynamics (PD) of single and multiple doses of extended release (XR) formulations of Centanafadine (CTN) in Young Healthy participants.

Read the detailed description

The study will be divided into three parts: A, B, C.

Part A: Single Dose, extended release (XR) Formulation Selection. This part of the study is a single dose, open label, four-period crossover design in a group of 16 healthy participants.

Part B: Multiple Ascending Dose. Part B has been designed to assess the effect of multiple doses of one formulation of XR CTN. This part of the study will be a double-blind, randomized, placebo-controlled design.

Part C: Food Effect. Part C has been designed to determine the effect food has on XR CTN. The XR formulation and dose administered will be selected after review of Part B data. This part will be an open-label, two-period crossover design in a group of 16 healthy participants.

Being tested
CTN SR1, CTN XR1, CTN XR2, CTN XR3
Keywords
Centanafadine, Adult attention-deficit hyperactivity disorder, Healthy participants
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.

  • CTN SR1Drug

    Also called Centanafadine

  • CTN XR1Drug

    Also called Centanafadine

  • CTN XR2Drug

    Also called Centanafadine

  • CTN XR3Drug

    Also called Centanafadine

Study groups in NCT02827513
Study groupRoleWhat they receive
Arm 1ExperimentalParticipants will receive sustained release (SR) Tablet Formulation 1 (SR1) containing 100 mg of Centanafadine (CTN) (2 x 100 mg tablets taken orally by mouth [PO] in the morning at starting at approximately 7 am and 2 x 100 mg tablets PO 5 hours later) for a total daily dose (TTD) of 400 mg on Days 1, 4, 7, and 10.
Receives: Drug: CTN SR1
Arm 2ExperimentalParticipants will receive extended release (XR) Tablet Formulation 1 (XR1) containing 400 mg of CTN (1 x 400 mg tablet PO in the morning) on Days 1, 4, 7, and 10.
Receives: Drug: CTN XR1
Arm 3ExperimentalParticipants will receive XR Tablet Formulation 2 (XR2) containing 400 mg of CTN (1 x 400 mg tablet PO in the morning) on Days 1, 4, 7, and 10.
Receives: Drug: CTN XR2
Arm 4ExperimentalParticipants will receive XR Tablet Formulation 3 (XR3) containing 400 mg of CTN (1 x 400 mg tablet PO in the morning) on Days 1, 4, 7, and 10.
Receives: Drug: CTN XR3

What is being measured

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

  1. Number of participants with treatment emergent adverse events and serious adverse events

    Measured: Up to approximately 12 days

Secondary outcomes (9)
  1. Maximum observed plasma concentration (Cmax) of Centanafadine (CTN) and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  2. Time to maximum plasma concentration (Tmax) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  3. Area under the plasma concentration-time curve from time zero until the last quantifiable time point (AUC0-last) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  4. Apparent termination elimination rate constant (kel) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  5. Apparent terminal elimination half-life (t1/2) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  6. last measurable plasma concentration (Clast) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  7. Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf) from AUC0-last +Clast/kel of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  8. Dose normalized Cmax (Cmax/Dose) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

  9. Dose normalized AUC (AUC/Dose) of CTN and metabolite

    Blood samples for the determination of plasma concentrations of CTN and metabolite will be collected following dosing as follows: For Part A- on Days 1, 4, 7, and 10 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 18; Days 2, 5, 8, and 11 at hour 24, 30, and 36; Days 3, 6, 9, and 12 at hour 48. For Part B- on Day 1 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 2 at Hour 24/Pre-dose; Day 4 at Pre-dose; Day 5 at Pre-dose, hour 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, and 18; Day 6 at hour 24 and 36; Day 7 at hour 48. For Part C- on Days 1 and 4 at Pre-dose, hour 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 18; Days 2 and 5 at hour 24, 30, and 36; Days 3 and 6 at hour 48

    Measured: For Part A: From Day 1 to 12; For Part B: Day 1, Day 2, Day 4, Day 5, Day 6, and Day 7; For Part C: Day 1 to 6

Timeline

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

  1. First posted11 Jul 2016 (estimated)
  2. Study startDec 2015
  3. Primary completionJan 2016
  4. Study completionJan 2016

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02827513
Sponsor's protocol ID
NVI-EB1020-105
Status last verified
Jul 2016
First submitted
6 Jul 2016
Last updated
18 Feb 2022
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CTN SR1, CTN XR1 and CTN XR2 in people with Adult Attention-deficit Hyperactivity Disorder (ADHD), run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 1 site in Australia.

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 7 inclusion and 17 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: stopped early, as of the sponsor's last update on 18 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 was stopped early. Results are not available in the source record.

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?

Number of participants with treatment emergent adverse events and serious adverse events (time frame: Up to approximately 12 days). 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 18 Feb 2022.

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