AzTrials
AzTrials

Attention-deficit/Hyperactivity DisorderPhase 4NCT01552915

Effectiveness of Vyvanse Compared to Concerta in Adolescents With Attention-deficit/Hyperactivity Disorder

A Phase 4 study testing Lisdexamfetamine dimesylate and Methylphenidate Hydrochloride in people with Attention-deficit/Hyperactivity Disorder, run by Shire at 79 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to determine effectiveness of Vyvanse compared to Concerta in adolescents with Attention-deficit/Hyperactivity Disorder (ADHD). Read more about this study

Who is it for?
Ages 13 to 17 years
Conditions the study is for
Attention-deficit/Hyperactivity Disorder
What is being tested?
Lisdexamfetamine dimesylate and Methylphenidate Hydrochloride
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
464 participants
Where
79 sitesUnited States
Study dates
17 Apr 2012to 22 Jan 2014
Phase
Phase 4
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 13 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Subject must be 13-17 years of age, inclusive, at the time of consent.
  • Subject must weigh more than 79.5lb.
  • The parent/LAR must be available at approximately 7:00AM (±2 hours) to dispense the dose of investigational product for the study duration.
  • Subject, who is a female, must have a negative serum beta human chorionic gonadotropin (β-HCG) pregnancy test and a negative urine pregnancy test and agree to comply with any applicable contraceptive requirements of the protocol.
  • Subject has an ADHD-RS-IV total score ≥28.
  • Subject is able to swallow a capsule.
  • Subject does not have hypertension and has a resting sitting blood pressure less than or equal to 135/85mmHg.

Who cannot join

  • Subject has a current, controlled (with medications prohibited in this study) or uncontrolled, comorbid psychiatric diagnosis with significant symptoms such as any significant comorbid Axis II disorder or significant Axis I disorder (such as post traumatic stress disorder, psychosis, bipolar illness, pervasive developmental disorder, severe obsessive compulsive disorder, depressive or anxiety disorder.
  • Diagnosis of conduct disorder. Oppositional defiant disorder is not exclusionary.
  • Subject is considered a suicide risk, has previously made a suicide attempt, or is currently demonstrating active suicidal ideation. Subjects with intermittent passive suicidal ideation are not necessarily excluded.
  • Subject is underweight or overweight.
  • Subject has a concurrent chronic or acute illness (such as severe allergic rhinitis or an infectious process requiring antibiotics), disability, or other condition. Mild, stable asthma is not exclusionary.
  • Subject has a history of seizures (other than infantile febrile seizures), a chronic or current tic disorder, or a current diagnosis and/or a known family history of Tourette's Disorder.
Show all 21Show fewer
  • Subject has a known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems that may place him/her at increased vulnerability to the sympathomimetic effects of a stimulant medication.
  • Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
  • Subject has any clinically significant ECG or clinically significant laboratory abnormality.
  • Subject has current abnormal thyroid function, defined as abnormal thyroid stimulating hormone (TSH) and thyroxine (T4). Treatment with a stable dose of thyroid medication for at least 3 months is permitted.
  • Subject has a documented allergy, hypersensitivity, or intolerance to amphetamine or to any excipients in the investigational product.
  • Subject has a documented allergy, hypersensitivity, or intolerance to MPH or to any excipients in the reference product.
  • Subject has failed to fully respond to an adequate course(s) (dose and duration) of MPH or amphetamine therapy.
  • Subject has a history of suspected substance abuse or dependence disorder (excluding nicotine). Subjects with a lifetime history of amphetamine, cocaine, or other stimulant abuse and/or dependence will be excluded.
  • Subject has a positive urine drug result.
  • Subject has previously participated in this study or another clinical study involving SPD489/NRP104.
  • Subject has glaucoma.
  • Subject is required to take or anticipates the need to take medications that have CNS effects or affect performance, such as sedating antihistamines and decongestant sympathomimetics, or are monoamine oxidase inhibitors. Stable use of bronchodilator inhalers is not exclusionary.
  • Subject is female and is pregnant or lactating.
  • Subject is well controlled on his/her current ADHD medication.
  • Subject has a pre-existing severe gastrointestinal tract narrowing.

Trial locations and contacts

79 sites in 1 country.

79 sites in 1 country

United States79 sites
  • Atlanta Institute of Medicine and Research

    Atlanta, Georgia, 30328

  • FutureSearch Trials

    Austin, Texas, 78731

  • North Coast Clinical Trials

    Beachwood, Ohio, 44122

  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

  • Florida Clinical Research Center, LLC

    Bradenton, Florida, 34201

  • Carolina Clinical Trials, Inc.

    Charleston, South Carolina, 29407

  • University of Virginia Child and Family Psychiatry Clinical

    Charlottesville, Virginia, 22903

  • Center for Emotional Fitness

    Cherry Hill, New Jersey, 08002

  • University of Cincinnati Dept. of Psychiatry & Behavioral

    Cincinnati, Ohio, 45219

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • MCB Clinical Research Centers, LLC

    Colorado Springs, Colorado, 80910

  • The Ohio State University Nisonger Center

    Columbus, Ohio, 43210

  • Midwest Clinical Research Center

    Dayton, Ohio, 45417

  • Duke Child and Family Study Center

    Durham, North Carolina, 27705

  • Innovis Health, LLC

    Fargo, North Dakota, 58103

  • Precise Research Centers

    Flowood, Mississippi, 39232

  • Sarkis Clinical Trials

    Gainesville, Florida, 32608

  • CRCNJ - Clinical Research Center of New Jersey

    Gibbsboro, New Jersey, 08026

  • Comprehensive Psychiatric Associates

    Gladstone, Missouri, 64118

  • Cyn3rgy Research

    Gresham, Oregon, 97030

  • NeuroScience, Inc.

    Herndon, Virginia, 20170

  • Amedica Research Institute

    Hialeah, Florida, 33013

  • Claghorn-Lesem Reseach Clinic, Ltd.

    Houston, Texas, 77008

  • Texas Center for Drug Development, Inc.

    Houston, Texas, 77081

  • Red Oak Psychiatry Associates, PA

    Houston, Texas, 77090

  • Clinical Neuroscience Solutions, Inc.

    Jacksonville, Florida, 32256

  • Eastside Therapeutic Resource

    Kirkland, Washington, 98033

  • R/D Clinical Research, Inc.

    Lake Jackson, Texas, 77586

  • Center for Psychiatry and Behavioral Medicine, Inc.

    Las Vegas, Nevada, 89128

  • Fidelity Clinical Research, Inc.

    Lauderhill, Florida, 33319

  • University of Kentucky

    Lexington, Kentucky, 40509

  • Capstone Clinical Research

    Libertyville, Illinois, 60048

  • Premier Psychiatric Research Institute

    Lincoln, Nebraska, 68526

  • Clinical Study Centers, LLC

    Little Rock, Arkansas, 72211

  • Westex Clinical Investigations

    Lubbock, Texas, 79423

  • Florida Clinical Research Center, LLC

    Maitland, Florida, 32751

  • Professional Psychiatric Services

    Mason, Ohio, 45040

  • Research Strategies of Memphis, LLC

    Memphis, Tennessee, 38119

  • Scientific Clinical Research, Inc.

    Miami, Florida, 33161

  • Neurcognitive Institute

    Mount Arlington, New Jersey, 07856

  • Coastal Carolina Research Center

    Mt. Pleasant, South Carolina, 29464

  • AMR Baber Research Group, Inc.

    Naperville, Illinois, 60563

  • AMR Conventions Research

    Naperville, Illinois, 60563

  • Synergy Clinical Research Center

    National City, California, 91950

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • American Medical Research, Inc

    Oak Brook, Illinois, 60523

  • Advocate Hope Children's Hospital

    Oak Lawn, Illinois, 60453

  • Neuroscience Research Institute, Inc

    Oak Park, Illinois, 60301

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68105

  • Pacific Clinical Research Medical Group

    Orange, California, 92868

  • SDS Clinical Trials, Inc.

    Orange, California, 92868

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida, 32806

  • Compass Research, LLC

    Orlando, Florida, 32806

  • Psychiatric Associates

    Overland Park, Kansas, 66211

  • Four Rivers Clinical Research

    Paducah, Kentucky, 42003

  • Oregon Center for Clinical Investigations, Inc. (OCCI, Inc.)

    Portland, Oregon, 97210

  • Summit Research Network (Oregon) Inc.

    Portland, Oregon, 97210

  • Rochester Center for Behavioral Medicine

    Rochester Hills, Michigan, 48307

  • Neuroscientific InSights

    Rockville, Maryland, 20852

  • Marc Hertzman MD, PC

    Rockville, Maryland, 20882

  • Peninsula Research Associates, Inc.

    Rolling Hills Estates, California, 90274

  • St Charles Psychiatric Associates

    Saint Charles, Missouri, 63301

  • Oregon Center for Clinical Investigations, Inc.

    Salem, Oregon, 97301

  • Psychiatric & Behavioral Solutions

    Salt Lake City, Utah, 84105

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas, 78229

  • University of Texas HSC at San Antonio Dept. of Psychiatry

    San Antonio, Texas, 78229

  • PCSD - Feighner Research

    San Diego, California, 92108

  • University of California, San Francisco

    San Francisco, California, 94143

  • Neuropsychiatric Research Center of Orange County

    Santa Ana, California, 92701

  • Melmed Center

    Scottsdale, Arizona, 85254

  • Summit Research Network (Seattle), LLC

    Seattle, Washington, 98104

  • Rockwood Clinic, P.S.

    Spokane, Washington, 99202

  • Clinical Neurophysiology Services, PC

    Sterling Heights, Michigan, 48314

  • Stedman Clinical Trials

    Tampa, Florida, 33613

  • Behavioral Medical Center - Troy

    Troy, Michigan, 48083

  • Family Practice of Wadsworth, Inc.

    Wadsworth, Ohio, 44281

  • Janus Center for Psychiatric Research

    West Palm Beach, Florida, 33407

  • Wharton Research Center, Inc.

    Wharton, Texas, 77488

  • Elite Clinical Trials

    Wildomar, California, 92595

Other trials in United States

About this study

Official title: A Phase 4, Randomized, Double-blind, Multicenter, Parallel-group, Active-controlled, Dose-optimization Safety and Efficacy Study of SPD489 (VYVANSE®) Compared With OROS-MPH (CONCERTA®) With a Placebo Reference Arm, in Adolescents Aged 13-17 Years With Attention-deficit/Hyperactivity Disorder (ADHD)

The purpose of this study is to determine effectiveness of Vyvanse compared to Concerta in adolescents with Attention-deficit/Hyperactivity Disorder (ADHD).

Being tested
Lisdexamfetamine dimesylate, Methylphenidate Hydrochloride, Placebo
Keywords
ADHD
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.

  • Lisdexamfetamine dimesylateDrug

    Also called LDX, Vyvanse, SPD489

    Daily oral dosing in the AM of optimized dose, ranging from 30- 70 mg. 5 week dose optimization, 3 week dose maintenance

  • Methylphenidate HydrochlorideDrug

    Also called OROS-MPH, Concerta

    Daily oral dosing in the AM of optimized dose, ranging from 18-72 mg. 5 week dose optimization, 3 week dose maintenance

  • PlaceboDrug

    Daily oral dosing in the AM for 8 weeks

Study groups in NCT01552915
Study groupRoleWhat they receive
Lisdexamfetamine DimesylateExperimentalNot described
Receives: Drug: Lisdexamfetamine dimesylate
Methylphenidate HydrochlorideActive comparatorNot described
Receives: Drug: Methylphenidate Hydrochloride
PlaceboPlacebo comparatorNot described
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, Fourth Edition (ADHD-RS-IV) Total Score at Week 8

    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. Higher score indicates more severe symptoms.

    Measured: Baseline and week 8

Secondary outcomes (4)
  1. Percentage of Participants With Improvement on Clinical Global Impression - Global Improvement (CGI-I) at Week 8 - Last Observation Carried Forward (LOCF)

    Clinical Global Impression-Improvement (CGI-I) 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: Week 8

  2. Change From Baseline in Systolic Blood Pressure at up to 8 Weeks - Last on Treatment Assessment

    Measured: Baseline and up to 8 Weeks

  3. Change From Baseline in Diastolic Blood Pressure at up to 8 Weeks - Last on Treatment Assessment

    Measured: Baseline and up to 8 weeks

  4. Change From Baseline in Pulse Rate at up to 8 Weeks - Last on Treatment Assessment

    Measured: Baseline and up to 8 weeks

Timeline

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

  1. First posted13 Mar 2012 (estimated)
  2. Study start17 Apr 2012
  3. Primary completion22 Jan 2014
  4. Study completion22 Jan 2014

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
464 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01552915
Sponsor's protocol ID
SPD489-405
Status last verified
May 2021
First submitted
6 Mar 2012
Last updated
8 Jun 2021
Data monitoring committee
No

Publications

  • Newcorn JH, Nagy P, Childress AC, Frick G, Yan B, Pliszka S. Randomized, Double-Blind, Placebo-Controlled Acute Comparator Trials of Lisdexamfetamine and Extended-Release Methylphenidate in Adolescents With Attention-Deficit/Hyperactivity Disorder. CNS Drugs. 2017 Nov;31(11):999-1014. doi: 10.1007/s40263-017-0468-2.

    PubMed 28980198

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Lisdexamfetamine dimesylate and Methylphenidate Hydrochloride in people with Attention-deficit/Hyperactivity Disorder, run by Shire at 79 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 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 8 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 79 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 11 Dec 2014). 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, Fourth Edition (ADHD-RS-IV) Total Score at Week 8 (time frame: Baseline and week 8). 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 NCT01552915, 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 8 Jun 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in