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Attention Deficit Hyperactivity Disorder (ADHD)Phase 3NCT03325881

Efficacy and Safety of SHP465 at 6.25 mg in the Treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in Children Aged 6-12 Years

A Phase 3 study testing SHP465 in people with Attention Deficit Hyperactivity Disorder (ADHD), run by Shire at 41 sites in United States.

Completed

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

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of SHP465 at 6.25 mg in the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in children aged 6-12 years. Read more about this study

Who is it for?
Ages 6 to 12 years
What is being tested?
SHP465
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
89 participants
Where
41 sitesUnited States
Study dates
9 Dec 2017to 7 Jun 2018
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 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participant is male or female aged 6-12 years inclusive at the time of consent.
  • Participant's parent or legally authorized representative (LAR) must provide signature of informed consent, and there must be documentation of assent (as applicable) by the participant.
  • Participant must meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for a primary diagnosis of ADHD (any subtype).
  • Participant who is a female and of child-bearing potential must not be pregnant and agree to comply with any applicable contraceptive requirements.
  • Participant has an ADHD-RS-5 Child, Home Version Total Score of greater than or equal to (>=) 28 and Clinical Global Impression - Severity of Illness (CGI-S) score >=4 at baseline (Visit 2). Participant is currently not on ADHD therapy, or is not completely satisfied with their current ADHD therapy.

Who cannot join

  • Participant is required or anticipated to take medications that have central nervous system effects or affect performance. Stable use of bronchodilator inhalers is not exclusionary.
  • Participant has a concurrent chronic or acute illness, disability, or other condition that might confound the results of safety assessments conducted in the study or that might increase risk to the participant.
  • Participant has a documented allergy, hypersensitivity, or intolerance to amphetamine or to any excipients in the investigational product.
  • Participant has failed to fully respond, based on investigator judgment, to an adequate course of amphetamine therapy.
  • Participant has a known family history of sudden cardiac death or ventricular arrhythmia.
  • Participant has a blood pressure measurement >=95th percentile for age, sex, and height at screening (Visit 1) and/or baseline (Visit 2).
Show all 15Show fewer
  • Participant has a height less than or equal to (<=) 5th percentile for age and sex at screening (Visit 1) or baseline (Visit 2).
  • Participant has a weight <=5th percentile for age and sex at screening (Visit 1) or baseline (Visit 2).
  • Participant has a known history of symptomatic cardiovascular disease, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac conditions placing them at increased vulnerability to the sympathomimetic effects of a stimulant drug.
  • Participant has a history of seizures (other than infantile febrile seizures).
  • Participant is taking any medication that is excluded per the protocol.
  • Participant had any clinically significant ECG or clinical laboratory abnormalities at the screening (Visit 1) or baseline visit (Visit 2).
  • Participant has current abnormal thyroid function, defined as abnormal thyroid-stimulating hormone and thyroxine at the screening or baseline visit. Treatment with a stable dose of thyroid medication for at least 3 months is permitted.
  • Participant has a current, controlled (requiring medication or therapy) or uncontrolled, comorbid psychiatric disorder.
  • Participant is currently considered a suicide risk in the opinion of the investigator, has previously made a suicide attempt, or has a prior history of or currently demonstrating suicidal ideation.

Trial locations and contacts

41 sites in 1 country.

41 sites in 1 country

United States41 sites
  • Advanced Research Center

    Anaheim, California, 92805

  • GA Psychiatric Services, LLC.

    Atlanta, Georgia, 30338-6520

  • Kentucky Pediatric/Adult Research

    Bardstown, Kentucky, 40004

  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

  • Neurobehavioral Medicine Group

    Bloomfield Hills, Michigan, 48302

  • Buford Family Practice

    Buford, Georgia, 30519

  • Coastal Pediatric Associates

    Charleston, South Carolina, 29414

  • University of Virginia Health System

    Charlottesville, Virginia, 22903

  • Ohio Pediatric Research Association

    Dayton, Ohio, 45414

  • Care Research Center

    Doral, Florida, 33166

  • Harmonex Neuroscience Research

    Dothan, Alabama, 36303

  • Triangle Neuropsychiatry

    Durham, North Carolina, 27707

  • El Campo Clinical Trials

    El Campo, Texas, 77437

  • Pedia Research, LLC

    Evansville, Indiana, 47715

  • Power MD Clinical Research Institute

    Hialeah, Florida, 33012

  • Houston Clinical Trials, LLC

    Houston, Texas, 77098

  • Clinical Neuroscience Solutions, Inc.

    Jacksonville, Florida, 32256

  • Children's Clinic

    League City, Texas, 77573

  • PEWMD, PA, ARCSM, PLLC, PRP, Inc.

    Little Rock, Arkansas, 72211

  • Advanced Clinical Research Inc.

    Meridian, Idaho, 83642

  • Acevedo Medical Group

    Miami, Florida, 33142

  • Pharmacology Research, LLC

    Miami, Florida, 33175

  • Coastal Pediatric Associates

    Mt. Pleasant, South Carolina, 29464

  • Conventions Psychiatry and Counseling

    Naperville, Illinois, 60563

  • Access Clinical Trials, Inc.

    Nashville, Tennessee, 37203

  • One Health Research Clinic, Inc.

    Norcross, Georgia, 30093

  • Scientific Clinical Research Inc.

    North Miami, Florida, 33161

  • IPS Research Company

    Oklahoma City, Oklahoma, 73103

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida, 32801

  • Clinical Associates of Orlando, Llc

    Orlando, Florida, 32806

  • Psychiatric Associates

    Overland Park, Kansas, 66211

  • Pedia Research, LLC

    Owensboro, Kentucky, 42301

  • VA South Psychiatric & Family Services

    Petersburg, Virginia, 23805

  • Mid-Columbia Research

    Richland, Washington, 99352

  • Riverside Medical Clinic

    Riverside, California, 92506

  • Neuroscientific Insights

    Rockville, Maryland, 20852

  • Peninsula Research Associates - CRN

    Rolling Hills, California, 90274

  • St Charles Psychiatric Associates

    Saint Charles, Missouri, 63304

  • University of Texas

    San Antonio, Texas, 78229-7822

  • Institute for Behavioral Medicine

    Smyrna, Georgia, 30082

  • Family Practice Center of Wadsworth, Inc.

    Wadsworth, Ohio, 44281

Other trials in United States

About this study

Official title: A Phase 3, Randomized, Double-blind, Multicenter, Placebo-controlled, Fixed-Dose, Efficacy, and Safety Study of SHP465 in Children Aged 6-12 Years With Attention-Deficit/Hyperactivity Disorder (ADHD)

The purpose of this study is to evaluate the efficacy and safety of SHP465 at 6.25 mg in the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in children aged 6-12 years.

Being tested
SHP465, Placebo
Keywords
ADHD, Hyperactivity, SHP465
Medical subject headings
Attention Deficit Disorder with Hyperactivity, Spasm

What participants receive

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

  • SHP465Drug

    SHP465 capsule 6.25 mg orally once daily for 4 weeks

  • PlaceboDrug

    Placebo matching to SHP465 capsule orally once daily for 4 weeks

Study groups in NCT03325881
Study groupRoleWhat they receive
SHP465ExperimentalParticipants will be randomized to receive SHP465 capsule 6.25 milligram (mg) orally once daily for 4 weeks.
Receives: Drug: SHP465
PlaceboPlacebo comparatorParticipant will receive placebo matching to SHP465 capsule orally once daily for 4 weeks.
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-5 (ADHD-RS-5) Total Score at Week 4

    Clinician administered ADHD-RS-5, child, home version total score were analyzed. ADHD-RS-5 consisted of 18 items designed to reflect current symptomatology of ADHD based on diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) criteria. Each item was scored on a 4-point scale ranging from 0 (reflecting no symptoms) to 3 (reflecting severe symptoms) with total scores ranging from 0-54. The 18 items were grouped into 2 subscales: hyperactivity or impulsivity (9 items) and inattentiveness (9 items). Higher total scores indicated higher impairment and lower scores indicated no impairment. Least square (LS) mean was calculated based on restricted maximum likelihood (REML) method of estimation and utilized an unstructured covariance type.

    Measured: Baseline, Week 4

Secondary outcomes (10)
  1. Clinical Global Impression of Improvement (CGI-I) at Week 4

    CGI scale was measured to rate the overall improvement of a participants condition on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). LS mean was calculated based on restricted maximum likelihood (REML) method of estimation and utilized an unstructured covariance type.

    Measured: Week 4

  2. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. TEAEs were defined as AEs that start or deteriorate on or after the date of the first dose of investigational product and no later than 3 days following the last dose of investigational product.

    Measured: From start of study drug administration up to follow-up (Week 5)

  3. Number of Participants With Clinically Significant Change in Vital Signs Were Reported as Adverse Event (AE)

    Vital sign assessments included systolic and diastolic blood pressure and pulse. Participants with clinically significant deviations from baseline values which are deemed clinically significant in the opinion of the investigator were considered as AE's. An AE was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.

    Measured: From start of study drug administration up to follow-up (Week 5)

  4. Number of Participants With Clinically Significant Change in Clinical Laboratory Test Results Assessed by the Investigator

    Clinical laboratory tests included biochemistry, endocrinology, hematology and urinalysis. The investigator assessed out-of-range clinical laboratory values for clinical significance, if the value(s) were not clinically significant or clinically significant.

    Measured: From start of study drug administration up to follow-up (Week 5)

  5. Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) Assessed by the Investigator

    Participants with clinically significant deviations from baseline values which are deemed clinically significant in the opinion of the investigator were considered in 12-lead ECG and reported.

    Measured: From start of study drug administration up to follow-up (Week 5)

  6. Number of Participants With Quality of Sleep Assessed by Post Sleep Questionnaire (PSQ) at Baseline and Week 4

    The PSQ was a 7-item questionnaire typically used to assess sleep quality with pharmacologic treatment. The questionnaire collected data on average time to sleep, sleep latency, frequency of interrupted sleep, duration of interrupted sleep, total sleep time and sleep quality over the last week. Participants analyzed for number of times woke up per night category were only the participants who responded as yes for the woke up during the night category in this outcome measure.

    Measured: Baseline, Week 4

  7. Change From Baseline in Length of Time Awake Per Night and Length of Time to Fall Asleep Per Night Assessed by PSQ at Week 4

    The PSQ was a 7-item questionnaire typically used to assess sleep quality with pharmacologic treatment. The questionnaire collected data on average time to sleep, sleep latency, frequency of interrupted sleep, duration of interrupted sleep, total sleep time and sleep quality over the last week.

    Measured: Baseline, Week 4

  8. Change From Baseline in Length of Time Sleeping Per Night Assessed by PSQ at Week 4

    The PSQ was a 7-item questionnaire typically used to assess sleep quality with pharmacologic treatment. The questionnaire collected data on average time to sleep, sleep latency, frequency of interrupted sleep, duration of interrupted sleep, total sleep time and sleep quality over the last week.

    Measured: Baseline, Week 4

  9. Total Sleep Disturbance Score of Children's Sleep Habits Questionnaire (CSHQ ) at Week 4

    The CSHQ is a validated, retrospective, parent-reported sleep screening tool. The questionnaire consists of 35 items that yield a TSD score, as well as 8 subscale scores, including bedtime resistance, sleep duration, parasomnias, sleep disordered breathing, night wakings, daytime sleepiness, sleep anxiety, and sleep onset delay. Parents were asked to think of a recent "typical" week of their child's sleep and to indicate how often sleep disturbance behaviors occurred. A 3-point scale was used for rating: "usually" if the sleep behavior occurs 5 to 7 times per week, "sometimes" for 2 to 4 times per week, and "rarely" for once or not at all during the week. The TSD score, which is the sum of all responses, included all items of the 8 subscales, but consisted of only 33 items because two on the bedtime resistance and sleep anxiety subscales were identical (range: 0, 99). A negative value indicates less sleep disturbance.

    Measured: Week 4

  10. Number of Participants With a Positive Response in Columbia-suicide Severity Rating Scale (C-SSRS) at Week 4

    C-SSRS was a semi-structured interview that captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. The number of participants with clinical significant change in suicidal ideation and suicidal behavior were reported.

    Measured: Week 4

Timeline

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

  1. First posted30 Oct 2017
  2. Study start9 Dec 2017
  3. Primary completion7 Jun 2018
  4. Study completion7 Jun 2018

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
Double blind
Who is masked
Participant, Investigator
Enrolment
89 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03325881
Sponsor's protocol ID
SHP465-309
Status last verified
May 2021
First submitted
26 Oct 2017
Last updated
2 Jun 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Publications

  • Mattingly G, Arnold V, Yan B, Yu M, Robertson B. A Phase 3, Randomized Double-Blind Study of the Efficacy and Safety of Low-Dose SHP465 Mixed Amphetamine Salts Extended-Release in Children with Attention-Deficit/Hyperactivity Disorder. J Child Adolesc Psychopharmacol. 2020 Nov;30(9):549-557. doi: 10.1089/cap.2020.0005. Epub 2020 Oct 13.

    PubMed 33185468

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SHP465 in people with Attention Deficit Hyperactivity Disorder (ADHD), run by Shire at 41 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 5 inclusion and 15 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 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 41 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. 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 13 Aug 2019). 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-5 (ADHD-RS-5) Total Score at Week 4 (time frame: Baseline, Week 4). 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 NCT03325881, which also lists 1 linked publication.

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 Jun 2021.

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