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Schizophrenia and Predominant Negative SymptomsPhase 2NCT00922272

Efficacy, Safety, and Tolerability of SPD489 in Adults With Schizophrenia and Predominant Negative Symptoms

A Phase 2 study testing SPD489 (lisdexamfetamine dimesylate) in people with Schizophrenia and Predominant Negative Symptoms, run by Shire at 27 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

To explore the efficacy of SPD489, as adjunctive therapy to a stable dose of atypical antipsychotic medication, on negative symptoms in adult subjects with clinically stable schizophrenia and predominant negative symptoms, as measured by the Scale for the Assessment of Negative Symptoms (SANS). Read more about this study

Who is it for?
Ages 18 to 55 years
What is being tested?
SPD489 (lisdexamfetamine dimesylate)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
92 participants
Where
27 sitesUnited States
Study dates
14 Sep 2009to 20 Jan 2011
Phase
Phase 2
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

  • Adults aged 18-55
  • Clinically stable Schizophrenia and predominant negative symptoms
  • Taking a stable dose of antipsychotic medication

Who cannot join

  • Clinically notable positive symptoms defined by PANSS

Trial locations and contacts

27 sites in 1 country.

27 sites in 1 country

United States27 sites
  • South Coast Clinical Trials

    Anaheim, California, 92804

  • Omega Clinical Trials

    Anaheim, California, 92805

  • Comprehensive NeuroScience

    Atlanta, Georgia, 30328

  • Community Clinical Research, Inc.

    Austin, Texas, 78756

  • Uptown Research Institute

    Chicago, Illinois, 60640

  • University of Cincinnati

    Cincinnati, Ohio, 45219

  • Clinical Innovations

    Costa Mesa, California, 92626

  • Advanced Bio-Behavioral Sciences

    Elmsford, New York, 10523

  • Collaborative Neuroscience Network, Inc.

    Garden Grove, California, 92845

  • Comprehensive Neuroscience, Inc.

    Hollis, New York, 11423

  • University Hills Clinical Research

    Irving, Texas, 75062

  • Accurate Clinical Trials

    Kissimmee, Florida, 34741

  • Behavioral Clinical Research, INC

    Lauderhill, Florida, 33319

  • K&S Professional Research Services

    Little Rock, Arkansas, 72201

  • Apostle Clinical Trials, Inc.

    Long Beach, California, 90813

  • Segal Institute for Clinical Research (Miami)

    North Miami, Florida, 33161

  • Excell Research, Inc.

    Oceanside, California, 92056

  • Medical Research Group of Central Florida

    Orange City, Florida, 32763

  • CRI Worldwide

    Philadelphia, Pennsylvania, 19139

  • Southcoast Clinical Trials

    San Bernardino, California, 92405

  • CNRI San Diego & Los Angeles

    San Diego, California, 92102

  • Affiliated Research Institute

    San Diego, California, 92108

  • Artemis Institute for Clinical Research

    San Diego, California, 92123

  • Neuropsychiatric Research Center of Orange County

    Santa Ana, California, 92701

  • J. Gary Booker, MD, APMC

    Shreveport, Louisiana, 71104

  • Stedman Clinical Trials

    Tampa, Florida, 33613

  • CRI Worldwide, LLC.

    Willingboro, New Jersey, 08046

Other trials in United States

About this study

Official title: A Phase 2, Multicenter Study With Open-label & Randomized Double-blind Placebo-controlled Withdrawal Phases to Evaluate the Efficacy, Safety, & Tolerability of SPD489 in Adults With Schizophrenia & Predominant Negative Symptoms Who Are Clinically Stable & Taking Stable Doses of Atypical Antipsychotic Medication

To explore the efficacy of SPD489, as adjunctive therapy to a stable dose of atypical antipsychotic medication, on negative symptoms in adult subjects with clinically stable schizophrenia and predominant negative symptoms, as measured by the Scale for the Assessment of Negative Symptoms (SANS).

Being tested
SPD489 (lisdexamfetamine dimesylate), Placebo matching SPD489 (lisdexamfetamine dimesylate)
Keywords
Schizophrenia
Medical subject headings
Schizophrenia

What participants receive

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

  • SPD489 (lisdexamfetamine dimesylate)Drug

    Also called Vyvanse

    oral, 20, 30, 40, 50, 60, or 70 mg once daily

  • Placebo matching SPD489 (lisdexamfetamine dimesylate)Drug

    oral, once daily

Study groups in NCT00922272
Study groupRoleWhat they receive
SPD489 (Lisdexamfetamine dimesylate)ExperimentalNot described
Receives: Drug: SPD489 (lisdexamfetamine dimesylate)
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Placebo matching SPD489 (lisdexamfetamine dimesylate)

What is being measured

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

  1. Change From Open-label Baseline in Modified Scale for the Assessment of Negative Symptoms (SANS-18) Total Score at Week 10 Open-label Phase, Last Observation Carried Forward (LOCF)

    The SANS was modified by eliminating the global and attention items; the score of the remaining non-global items is referred to as the SANS-18 total score. Each of the 18-items is scored on a scale from 0 (not at all) to 5 (severe) with a total scoring range of 0 to 90. Higher scores indicate more impairment.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  2. Change From Double-blind Randomization Baseline in SANS-18 Total Score at Week 4 Double-blind Phase, Termination Observation Carried Forward (TOCF)

    The SANS was modified by eliminating the global and attention items; the score of the remaining non-global items is referred to as the SANS-18 total score. Each of the 18-items is scored on a scale from 0 (not at all) to 5 (severe) with a total scoring range of 0 to 90. Higher scores indicate more impairment.

    Measured: Double-blind Randomization Baseline and Week 4 Double-blind Phase

Secondary outcomes (32)
  1. Percent of Participants In Open-label Phase Who Were SANS-18 Responders at Week 10 Open-label Phase

    Response is defined as reduction in total SANS score of greater than or equal to 20%. The SANS was modified by eliminating the global and attention items; the score of the remaining non-global items is referred to as the SANS-18 total score. Each of the 18-items is scored on a scale from 0 (not at all) to 5 (severe) with a total scoring range of 0 to 90. Higher scores indicate more impairment.

    Measured: Week 10 Open-label Phase

  2. Percent of Participants In Double-blind Phase Who Maintained SANS-18 Response at Week 4 Double-blind Phase

    Response is defined as reduction in total SANS score of greater than or equal to 20%. The SANS was modified by eliminating the global and attention items; the score of the remaining non-global items is referred to as the SANS-18 total score. Each of the 18-items is scored on a scale from 0 (not at all) to 5 (severe) with a total scoring range of 0 to 90. Higher scores indicate more impairment.

    Measured: Week 4 Double-blind Phase

  3. Change From Open-label Baseline in SANS Global Scores at Week 10 Open-label Phase

    The SANS assesses 5 symptom complexes to rate the negative symptoms of subjects. Each of the 18-items is scored on a scale from 0 (not at all) to 5 (severe) with a total scoring range of 0 to 90. Higher scores indicate more impairment.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  4. Change From Double-blind Randomization Baseline in SANS Global Scores at Week 4 Double-blind Phase

    The SANS assesses 5 symptom complexes to rate the negative symptoms of subjects. Each of the 18-items is scored on a scale from 0 (not at all) to 5 (severe) with a total scoring range of 0 to 90. Higher scores indicate more impairment.

    Measured: Double-blind Randomization Baseline and Week 4 Double-blind Phase

  5. Change From Open-label Baseline in Positive and Negative Syndrome Scale (PANSS) Scores at Week 10 Open-label Phase, LOCF

    The PANSS is a validated measure that evaluates the presence, absence, and severity of 30 symptoms of schizophrenia including both positive and negative symptoms and general psychopathology. Each of the 30-items are rated on a scale of 1 (absent) to 7 (extreme) with a total scoring range of 30 to 210. Higher scores indicate more impairment.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  6. Change From Double-blind Randomization Baseline in PANSS Scores at Week 4 Double-blind Phase, TOCF

    The PANSS is a validated measure that evaluates the presence, absence, and severity of 30 symptoms of schizophrenia including both positive and negative symptoms and general psychopathology. Each of the 30-items are rated on a scale of 1 (absent) to 7 (extreme) with a total scoring range of 30 to 210. Higher scores indicate more impairment.

    Measured: Double-blind Randomization Baseline and Week 4 Double-blind Phase

  7. Percent of Participants With Clinical Global Impression - Severity of Illness (CGI-S) at Open-label Baseline

    CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)

    Measured: Open-label Baseline

  8. Percent of Participants With CGI-S at Week 10 Open-label Phase

    CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)

    Measured: Week 10 Open-label Phase

  9. Percent of Participants With CGI-S at Double-blind Randomization Baseline

    CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)

    Measured: Double-blind Randomization Baseline

  10. Percent of Participants With CGI-S at Week 4 Double-blind Phase

    CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)

    Measured: Week 4 Double-blind Phase

  11. Percent of Participants With Improvement on Clinical Global Impression - Change (CGI-C) at Week 10 Open-label Phase

    CGI-C permits a global evaluation of the change of the subject's overall schizophrenia condition over time. It 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: Open-label Phase Week 10

  12. Percent of Participants With Improvement on CGI-C at Week 4 Double-blind Phase

    CGI-C permits a global evaluation of the change of the subject's overall schizophrenia condition over time. It 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: Double-blind Phase Week 4

  13. Change From Open-label Baseline in the Brief Assessment of Cognition in Schizophrenia (BACS) Total Score at Week 10 Open-label Phase

    BACS measures attention and speed of processing, and the test score is the total number correct. The measure of the test is the number of correct numerals where subjects write numerals 1-9 as matches to nonmeaningful symbols on a response sheet for 90 seconds, based upon a key provided to them.

    Measured: Open-label Baseline and week 10 Open-label Phase

  14. Change From Double-blind Randomization Baseline in BACS Total Score at Week 4 Double-blind Phase

    BACS measures attention and speed of processing, and the test score is the total number correct. The measure of the test is the number of correct numerals where subjects write numerals 1-9 as matches to nonmeaningful symbols on a response sheet for 90 seconds, based upon a key provided to them.

    Measured: Double-blind Randomization Baseline and Week 4

  15. Change From Open-label Baseline in Letter-Number Span Test (LNS) Total Score at Week 10 Open-label Phase

    LNS is a test of verbal working memory. Subjects are presented with a sequence of numbers and letters aurally and then asked to tell the rater the numbers first from lowest to highest followed by the letters in alphabetical sequence. The measure is the number of correct sequences.

    Measured: Open-label Baseline and week 10 Open-label Phase

  16. Change From Double-blind Randomization Baseline in LNS Total Score at Week 4 Double-blind Phase

    LNS is a test of verbal working memory. Subjects are presented with a sequence of numbers and letters aurally and then asked to tell the rater the numbers first from lowest to highest followed by the letters in alphabetical sequence. The measure is the number of correct sequences.

    Measured: Double-blind Randomization Baseline and Week 4

  17. Change From Open-label Baseline in Hopkins Verbal Learning Test - Revised (HVLT-R) Total Score at Week 10 Open-label Phase

    HVLT-R measures verbal learning. Test scores are the total number of words recalled correctly over 3 trials. The test consists of 12 nouns read aloud for 3 consecutive trials and each trial is followed by a recall test.

    Measured: Open-label Baseline and Week 10

  18. Change From Double-blind Randomization Baseline in HVLT-R Total Scores at Week 4 Double-blind Phase

    HVLT-R measures verbal learning. Test scores are the total number of words recalled correctly over 3 trials. The test consists of 12 nouns read aloud for 3 consecutive trials and each trial is followed by a recall test.

    Measured: Double-blind Randomization Baseline and week 4 Double-blind Phase

  19. Change From Open-label Baseline in University of California Performance-Based Skills Assessment, Brief Version (UPSA-B) Scores at Week 10 Open-label Phase, LOCF

    UPSA-B assesses skills in 5 areas of life functioning. It contains 2 subscales. Percentages correct on these 2 subscales are multiplied by 50. Thus, scores can range from 0 to 50 on each of these 2 subscales, and total scores can range from 0 to 100. Scores of 75 or higher are associated with independent living.

    Measured: Open-label Baseline and week 10 Open-label Phase

  20. Change From Double-blind Randomization Baseline in UPSA-B Scores at Week 4 Double-blind Phase

    UPSA-B assesses skills in 5 areas of life functioning. It contains 2 subscales. Percentages correct on these 2 subscales are multiplied by 50. Thus, scores can range from 0 to 50 on each of these 2 subscales, and total scores can range from 0 to 100. Scores of 75 or higher are associated with independent living.

    Measured: Double-blind Randomization Baseline and Week 4 Double-blind Phase

  21. Change From Open-label Baseline in Behavioral Rating Inventory of Executive Function - Adult Version (BRIEF-A) T-scores at Week 10 Open-label Phase

    BRIEF-A is a validated 75-item questionnaire composed of three indexes (Global Executive Composite, Behavioral Recognition Index, and Metacognition Index). Items are rated 1 (never), 2 (sometimes), and 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  22. Change From Double-blind Randomization Baseline in BRIEF-A T-Scores at Week 4 Double-blind Phase

    BRIEF-A is a validated 75-item questionnaire composed of three indexes (Global Executive Composite, Behavioral Recognition Index, and Metacognition Index). Items are rated 1 (never), 2 (sometimes), and 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment.

    Measured: Double-blind Randomization Baseline and Week 4 Double-blind Phase

  23. Change From Open-label Baseline in Simpson Angus Scale (SAS) Total Score at Week 10 Open-label Phase

    SAS is a 10-item scale used to evaluate the presence and severity of extrapyramidal symptoms. The items are scored on a scale from 0 to 4 with item-specific definitions given for each point. Total scores range from 0 to 40. Lower scores indicate less impairment.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  24. Change From Open-label Baseline in SAS Total Score at Week 4 of Double-blind Phase

    SAS is a 10-item scale used to evaluate the presence and severity of extrapyramidal symptoms. The items are scored on a scale from 0 to 4 with item-specific definitions given for each point. Total scores range from 0 to 40. Lower scores indicate less impairment.

    Measured: Open-label Baseline and Week 4 Double-blind Phase

  25. Change From Open-label Baseline in Barnes Akathisia Scale (BAS) Scores at Week 10 Open-label Phase

    BAS scale has objective, subjective, and global impression components of akathisia (motor restlessness that manifests itself with an inability to sit still or remain motionless). Objective and subjective components are rated on a scale from 0 (normal/absence) to 3 (severe) and are summed yielding a total score of 0 to 9. Global impression is rated on a scale from 0 (absent) to 5 (severe) with a total score ranging from 0 to 5. Lower scores indicate reduced restlessness.

    Measured: Open-label Baseline and week 10 Open-label Phase

  26. Change From Open-label Baseline in BAS Scores at Week 4 of Double-blind Phase

    BAS scale has objective, subjective, and global impression components of akathisia (motor restlessness that manifests itself with an inability to sit still or remain motionless). Objective and subjective components are rated on a scale from 0 (normal/absence) to 3 (severe) and are summed yielding a total score of 0 to 9. Global impression is rated on a scale from 0 (absent) to 5 (severe) with a total score ranging from 0 to 5. Lower scores indicate reduced restlessness.

    Measured: Open-label Baseline and Week 4 Double-blind Phase

  27. Change From Open-label Baseline in Amphetamine Cessation Symptom Assessment (ACSA) Total Score at Week 10 Open-label Phase

    ACSA scale has 16 symptom items rated on a scale from 0 (not at all) to 4 (extremely) with a possible total score range of 0 to 64. Higher scores indicate greater withdrawal symptom severity.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  28. Change From Double-blind Randomization Baseline in ACSA Total Score at Week 4 Double-blind Phase

    ACSA scale has 16 symptom items rated on a scale from 0 (not at all) to 4 (extremely) with a possible total score range of 0 to 64. Higher scores indicate greater withdrawal symptom severity.

    Measured: Double-blind Randomization Baseline and Week 4 Double-blind Phase

  29. Change From Open-label Baseline in Pittsburgh Sleep Quality Index (PSQI) Total Global Score at Week 10 Open-label Phase

    PSQI evaluates 7 areas of quality and pattern of sleep. Each area is rated on a scale from 0 (better) to 3 (worse) with a total score ranging from 0 to 21. Reduction in total scores are associated with better sleep quality.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  30. Change From Open-label Baseline in PSQI Total Global Score at Week 4 of Double-blind Phase

    PSQI evaluates 7 areas of quality and pattern of sleep. Each area is rated on a scale from 0 (better) to 3 (worse) with a total score ranging from 0 to 21. Reduction in total scores are associated with better sleep quality.

    Measured: Open-label Baseline and Week 4 Double-blind Phase

  31. Change From Open-label Baseline in Calgary Depression Scale for Schizophrenia (CDSS) at Week 10 Open-label Phase

    CDSS is a 9-item scale to evaluate depression in subjects who have schizophrenia rated from 0 (absence of symptoms) to 3 (severe symptoms) with a total score range of 0 to 27. Lower scores indicate less depression.

    Measured: Open-label Baseline and Week 10 Open-label Phase

  32. Change From Open-label Baseline in CDSS at Week 4 of Double-blind Phase

    CDSS is a 9-item scale to evaluate depression in subjects who have schizophrenia rated from 0 (absence of symptoms) to 3 (severe symptoms) with a total score range of 0 to 27. Lower scores indicate less depression.

    Measured: Open-label Baseline and Week 4 of Double-blind Phase

Timeline

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

  1. First posted17 Jun 2009 (estimated)
  2. Study start14 Sep 2009
  3. Primary completion20 Jan 2011
  4. Study completion20 Jan 2011

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
92 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00922272
Sponsor's protocol ID
SPD489-204
Status last verified
May 2021
First submitted
15 Jun 2009
Last updated
9 Jun 2021
Data monitoring committee
No

Publications

  • Lasser RA, Dirks B, Nasrallah H, Kirsch C, Gao J, Pucci ML, Knesevich MA, Lindenmayer JP. Adjunctive lisdexamfetamine dimesylate therapy in adult outpatients with predominant negative symptoms of schizophrenia: open-label and randomized-withdrawal phases. Neuropsychopharmacology. 2013 Oct;38(11):2140-9. doi: 10.1038/npp.2013.111. Epub 2013 May 8.

    PubMed 23756608

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SPD489 (lisdexamfetamine dimesylate) in people with Schizophrenia and Predominant Negative Symptoms, run by Shire at 27 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 3 inclusion and 1 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 9 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 27 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 20 Feb 2012). 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 Open-label Baseline in Modified Scale for the Assessment of Negative Symptoms (SANS-18) Total Score at Week 10 Open-label Phase, Last Observation Carried Forward (LOCF) (time frame: Open-label Baseline and Week 10 Open-label Phase). The study lists 2 primary outcomes in all. 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 NCT00922272, 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 9 Jun 2021.

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