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Attention Deficit Hyperactivity DisorderPhase 3NCT00337285

An Open-label Study of NRP104 in Adults With Attention Deficit Hyperactivity Disorder (ADHD)

A Phase 3 study testing Vyvanse (lisdexamfetamine dimesylate), NRP104 in people with Attention Deficit Hyperactivity Disorder and Attention Deficit Disorders With Hyperactivity, run by New River Pharmaceuticals at 45 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 assess the long-term safety and efficacy of three NRP104 doses of 30 mg, 50 mg, or 70 mg, administered at the same time daily, in the treatment of adults with ADHD. Read more about this study

Who is it for?
Ages 18 to 55 years
What is being tested?
Vyvanse (lisdexamfetamine dimesylate), NRP104
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
349 participants
Where
45 sitesUnited States
Study dates
Jul 2006to Jun 2008
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 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subject must be 18-55 years of age, inclusive, at the time of consent of the NRP104.303 study.
  • Subject must have been randomized and must have met all inclusion/exclusion criteria in the NRP104.303 study.
  • Subject must be male or non-pregnant female. Females of childbearing potential (FOCP) must comply with contraceptive restrictions noted in the protocol.
  • Subject must have a satisfactory medical assessment with no clinically significant or relevant abnormalities as determined by medical history, PE, clinical and laboratory evaluation.
  • In the opinion of the investigator, the subject understands and is able, willing, and likely to fully comply with the study procedures and restrictions.
  • Subject must have given written, personally signed and dated informed consent to participate in the study in accordance with the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) Guidelines and applicable regulations before completing any study specific procedures.
  • Subject experienced no adverse events in a previous study of NRP104 or elsewhere that would preclude continued exposure to NRP104.

Who cannot join

  • Subject has any concurrent chronic or acute illness or unstable medical condition that could confound the results of safety assessments, increase risk to the subject or lead to difficulty complying with the protocol. Subjects who have a history of mental retardation or a severe learning disability are excluded.
  • Subject has a known cardiac structural abnormality or any other condition that may affect cardiac performance.
  • Subject has any clinically significant ECG or laboratory abnormality known to the investigator prior to dispensation of study medication.
  • Subject has a resting sitting systolic blood pressure or diastolic blood pressure deemed clinically significant by the investigator.
  • Subject has used any prohibited prescription medication except for medications used to treat ADHD within 30 days of screening visit. Hormonal contraceptives are acceptable.
  • Subject has a positive urine drug result at Screening (with the exception of subject's current stimulant therapy, if any).
  • Subject has taken an investigational drug or taken part in a clinical trial within 30 days prior to Screening (except for participating in an NRP104 study).
  • The female subject is pregnant or lactating.

Trial locations and contacts

45 sites in 1 country.

45 sites in 1 country

United States45 sites
  • FutureSearch Trials

    Austin, Texas, 78756

  • Claghorn-Lesem Research Clinic

    Bellaire, Texas, 77401

  • Alpine Clinical Research Center

    Boulder, Colorado, 80304

  • The Clinical Study Center

    Burlington, Vermont, 05401

  • Masschusetts General Hospital

    Cambridge, Massachusetts, 02138

  • Psychiatric Alliance of the Blue Ridge Clinical Research

    Charlottesville, Virginia, 22903

  • CNS Research Institute (CRI)

    Clementon, New Jersey, 08021

  • The Ohio State University

    Columbus, Ohio, 43210

  • Duke University ADHD Program

    Durham, North Carolina, 27705

  • Valley Clinical Research, Inc.

    El Centro, California, 92243

  • Summit Research Network (Michigan) Inc.

    Flint, Michigan, 48507

  • Gulfcoast Clinical Research Center

    Fort Myers, Florida, 33912

  • NeuroScience, Inc.

    Herndon, Virginia, 20170

  • Bayou City Research

    Houston, Texas, 77007

  • Red Oak Psychiatry Associates, P.A.

    Houston, Texas, 77090

  • University of California, Irvine Child Development Center

    Irvine, California, 92612

  • Bay Area Research Institute

    Lafayette, California, 94549

  • R/D Clinical Research, Inc.

    Lake Jackson, Texas, 77566

  • Center for Psychiatry and Behavioral Medicine

    Las Vegas, Nevada, 89128

  • Clinical Study Centers, LLC

    Little Rock, Arkansas, 72205

  • John M. Turnbow, MD, PA

    Lubbock, Texas, 79423

  • Johns Hopkins at Green Spring Station

    Lutherville, Maryland, 21093

  • Miami Research Associates

    Miami, Florida, 33173

  • Psychiatric Medicine Center

    New London, Connecticut, 06320

  • VA New York Harbor Healthcare System

    New York, New York, 10010

  • IPS Research Company

    Oklahoma City, Oklahoma, 73103

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida, 32806

  • Psychiatric Associates

    Overland Park, Kansas, 66211

  • Vince and Associates Clinical Research

    Overland Park, Kansas, 66212

  • CNS Research Institute, P.C.

    Philadelphia, Pennsylvania, 19149

  • Oregon Center for Clinical Investigations, Inc.

    Portland, Oregon, 97210-2659

  • Richard Weisler and Associates

    Raleigh, North Carolina, 27609

  • Rochester Center for Behavioral Medicine

    Rochester Hills, Michigan, 48307

  • Marc Hertzman, MD

    Rockville, Maryland, 20852

  • Peninsula Research Associates

    Rolling Hills Estate, California, 90274

  • Northwest Behavioral Research Center

    Roswell, Georgia, 30076

  • St Charles Psychiatric Associates-Midwest Research

    Saint Charles, Missouri, 63301

  • University of California, San Francisco, Dept. of Psychiatry

    San Francisco, California, 94143

  • Summit Research Network LLC (Seattle)

    Seattle, Washington, 98104

  • Carman Research

    Smyrna, Georgia, 30080

  • Encompass Clinical Research

    Spring Valley, California, 91978

  • Meridien Research

    Tampa, Florida, 33606

  • Brighton Research Group

    Virginia Beach, Virginia, 23452

  • Janus Center for Psychiatric Research LLC

    West Palm Beach, Florida, 33407

  • Neuropsychiatric Associates

    Woodstock, Vermont, 05091

Other trials in United States

About this study

Official title: A Long-Term, Open-Label, and Single-Arm Study of NRP104 30 mg, 50 mg, or 70 mg Per Day in Adults With Attention Deficit Hyperactivity Disorder (ADHD)

The purpose of this study is to assess the long-term safety and efficacy of three NRP104 doses of 30 mg, 50 mg, or 70 mg, administered at the same time daily, in the treatment of adults with ADHD.

Read the detailed description

This is a multi-center, open-label, and single-arm study to assess the safety of three NRP104 doses (30 mg, 50 mg, or 70 mg per day) for up to one (1) year in the treatment of adults with ADHD. Subjects who were randomized and met all inclusion/exclusion criteria in Protocol NRP104.303 are eligible for participation in this protocol. The study will consist of three periods: a screening/baseline period, a 4-week dose titration, and a long-term maintenance of up to 11 months. There are three possibilities for subjects that rollover from the NRP104.303 protocol. They are:

Subjects that rollover at the final visit of the NRP104.303 study (on the same day):

The screening and baseline procedures from this open label study will coincide with the final study visit of Protocol NRP104.303. Subject data from final study visit will be transferred and utilized for the open label study. On this same day, the subject will be consented for NRP104.304, inclusion/exclusion criteria will be assessed, the subject will be enrolled, and study medication will be dispensed.

Subjects that rollover not on the same day but within seven days of the NRP104.303 study:

If the subject returns to enroll into the NRP104.304 study within seven days of the final NRP104.303 study visit and has not taken any excluded medications for which a washout is required, the final study visit procedures and data from the NRP104.303 study will be transferred and utilized for the screening and baseline visit procedures of this study, where applicable. When the subject returns to the site, they will be consented, inclusion and exclusion criteria will be assessed, the subject will be enrolled, and study medication will be dispensed.

Subjects will require a full screening visit if more than 7 days have elapsed since they completed the NRP104.303 study:

After screening results have been received by the site, the site personnel will contact the subject via telephone to inform them of continued study eligibility. During this call the subject will be instructed to stop all medications for the treatment of ADHD, if any. This call starts the washout of all psychoactive medications, which should last 7 (±2) days. During the Washout Phone Contact, the visit dates for the Baseline visit (Visit 01) and Visits 02 through 05 should be scheduled at 7-day intervals as calculated from Baseline. After the washout is complete, subjects will return to the clinic for the baseline visit (Visit 01) to have the baseline procedures performed and to receive study medication.

Dose Titration

All subjects will initiate treatment at NRP104 30 mg for the 1st week. At the subsequent 4 weekly visits (Visits 02, 03, 04, and 05), the subject's daily dose of NRP104 may be increased or decreased by 20 mg at weekly intervals to achieve the optimal efficacy and tolerability, if deemed appropriate by the Investigator. In this study, the maximum daily dose of NRP104 that can be received by the subject is 70 mg, and the minimum daily dose of NRP104 the subject must take to continue the treatment is 30 mg.

Monthly Maintenance

At the end of the initial 4-week dose titration (Visit 05), subjects will enter the long-term maintenance of up to 11 months. Monthly visits, starting with Visit 06, will have a window of ±4 days. All visits will be scheduled relative to the Baseline Visit date. The last scheduled visit of the protocol is Visit 16 at Month 12. During the long-term maintenance, the subject's dose may be increased or decreased by 20 mg at any visit, if deemed appropriate by the Investigator, to maintain optimal treatment in terms of efficacy and tolerability. All reasons for dose changes should be well documented by the investigator during the maintenance period. Subjects who cannot maintain the minimum daily dose of NRP 30 mg due to intolerance will be withdrawn from the study.

Safety and Efficacy Assessments

ADHD Rating Scale (ADHD-RS) performed using adult prompts and Clinical Global Impression (CGI) will be assessed by the Investigator. The Pittsburgh Sleep Quality Index (PSQI) will be assessed once every three months following baseline.

Adverse events and concomitant medications will be recorded at each visit starting from the baseline visit. Vital signs will be measured at each visit from the screening visit. Physical exam and clinical laboratory tests (including pregnancy tests) will be assessed at Screening, Visit 10 and the final visit. Weight will be measured at the screening visit, baseline visit, and every month thereafter. Height will be measured at the screening visit and final visit. ECG parameters will be assessed at the screening visit, baseline visit, and every 3 months thereafter.

Being tested
Vyvanse (lisdexamfetamine dimesylate), NRP104
Keywords
Attention Deficit Hyperactivity Disorder, Attention Deficit Disorders with Hyperactivity, Attention Deficit Hyperactivity Disorders
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.

  • Vyvanse (lisdexamfetamine dimesylate), NRP104Drug

    NRP104 capsule once-a-day orally beginning at 30mg/day and titrated by 20 mg per day at weekly intervals up to a maximum daily dose of 70 mg

Study groups in NCT00337285
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: Vyvanse (lisdexamfetamine dimesylate), NRP104

What is being measured

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

  1. Change in ADHD-RS-IV Total Score From Baseline at Up to One Year

    Change in the Attention Deficit Hyperactivity Disorder Rating Scale-fourth edition (ADHD-RS-IV) total score from baseline. 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.

    Measured: up to one year

Secondary outcomes (2)
  1. Number of Participants With Improvement on CGI-I

    Clinical Global Impression-Improvement (CGI-I) consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement includes 1 and 2 on the scale.

    Measured: Up to 1 year

  2. Change in PSQI Total Score From Baseline at Up to One Year

    Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire consisting of 18 items which generates seven component scores on a scale from 0 (better sleep) to 3 (worse sleep) resulting in a global score of 0-21, where a higher number reflects worse sleep quality.

    Measured: up to 1 year

Timeline

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

  1. First posted15 Jun 2006 (estimated)
  2. Study startJul 2006
  3. Primary completionNov 2007
  4. Study completionJun 2008

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
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
349 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00337285
Sponsor's protocol ID
NRP104.304
Status last verified
Aug 2012
First submitted
9 Jun 2006
Last updated
20 Aug 2012
Data monitoring committee
No

Publications

  • Ginsberg L, Katic A, Adeyi B, Dirks B, Babcock T, Lasser R, Scheckner B, Adler LA. Long-term treatment outcomes with lisdexamfetamine dimesylate for adults with attention-deficit/hyperactivity disorder stratified by baseline severity. Curr Med Res Opin. 2011 Jun;27(6):1097-107. doi: 10.1185/03007995.2011.567256. Epub 2011 Mar 28.

    PubMed 21438796
  • Mattingly G, Weisler R, Dirks B, Babcock T, Adeyi B, Scheckner B, Lasser R. Attention deficit hyperactivity disorder subtypes and symptom response in adults treated with lisdexamfetamine dimesylate. Innov Clin Neurosci. 2012 May;9(5-6):22-30.

    PubMed 22808446

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Vyvanse (lisdexamfetamine dimesylate), NRP104 in people with Attention Deficit Hyperactivity Disorder and Attention Deficit Disorders With Hyperactivity, run by New River Pharmaceuticals at 45 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 7 inclusion and 8 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 20 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 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?

Yes. Results are posted in the registry (first posted 17 Jul 2009). 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 in ADHD-RS-IV Total Score From Baseline at Up to One Year (time frame: up to one year). 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 NCT00337285, which also lists 2 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 20 Aug 2012.

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