Trial Outcomes & Findings for Long-Term, Open Label Atomoxetine Study (NCT NCT00190684)

NCT ID: NCT00190684

Last Updated: 2011-01-17

Results Overview

Vital signs were assesed categorically using the term high for BP, high and low for pulse and temperature, or decreased for weight. For BP, high was an increase to a value above the 95th percentile of the National Institute of Health (NIH) values. For pulse, high was an increase of at least 25 beats per minute to at least 110, and low was a decrease of at least 20 beats per minute to at most 65 beats per minute. For temperature, high was an increase of at least 1 to 37.7 and low was a decrease of at least 1.3 to at most 35.6. Decrease in weight was marked by a reduction of at least 3.5%.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1553 participants

Primary outcome timeframe

Baseline through 5 years

Results posted on

2011-01-17

Participant Flow

Participant milestones

Participant milestones
Measure
Atomoxetine
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Overall Study
STARTED
1553
Overall Study
Received at Least 1 Dose of Study Drug
1551
Overall Study
COMPLETED
64
Overall Study
NOT COMPLETED
1489

Reasons for withdrawal

Reasons for withdrawal
Measure
Atomoxetine
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Overall Study
Adverse Event
86
Overall Study
Satisfactory response
80
Overall Study
Lack of efficacy
204
Overall Study
Lost to Follow-up
232
Overall Study
Patient moved
60
Overall Study
Patient Decision
432
Overall Study
Clinical relapse
67
Overall Study
Sponsor's decision
17
Overall Study
Physician Decision
84
Overall Study
Protocol Violation
123
Overall Study
Study Period III Completed
103
Overall Study
Study Period V Completed
1

Baseline Characteristics

Long-Term, Open Label Atomoxetine Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atomoxetine
n=1553 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Age Continuous
11.62 years
STANDARD_DEVIATION 2.6 • n=5 Participants
Sex: Female, Male
Female
338 Participants
n=5 Participants
Sex: Female, Male
Male
1215 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
1317 participants
n=5 Participants
Race/Ethnicity, Customized
African Descent
98 participants
n=5 Participants
Race/Ethnicity, Customized
East/ Southeast Asian
9 participants
n=5 Participants
Race/Ethnicity, Customized
Western Asian
1 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
76 participants
n=5 Participants
Race/Ethnicity, Customized
Other
52 participants
n=5 Participants
Region of Enrollment
United States
1288 participants
n=5 Participants
Region of Enrollment
Israel
16 participants
n=5 Participants
Region of Enrollment
United Kingdom
24 participants
n=5 Participants
Region of Enrollment
Italy
11 participants
n=5 Participants
Region of Enrollment
France
21 participants
n=5 Participants
Region of Enrollment
Canada
14 participants
n=5 Participants
Region of Enrollment
Puerto Rico
19 participants
n=5 Participants
Region of Enrollment
Belgium
20 participants
n=5 Participants
Region of Enrollment
Australia
22 participants
n=5 Participants
Region of Enrollment
South Africa
19 participants
n=5 Participants
Region of Enrollment
Germany
21 participants
n=5 Participants
Region of Enrollment
Netherlands
15 participants
n=5 Participants
Region of Enrollment
Norway
13 participants
n=5 Participants
Region of Enrollment
Sweden
27 participants
n=5 Participants
Region of Enrollment
Spain
23 participants
n=5 Participants
Height
147.89 centimeters (cm)
STANDARD_DEVIATION 15.72 • n=5 Participants
Weight
43.73 kilograms (kg)
STANDARD_DEVIATION 16.03 • n=5 Participants
Attention Deficit Hyperactive Disorder (ADHD) Subtype
Inattentive
413 participants
n=5 Participants
Attention Deficit Hyperactive Disorder (ADHD) Subtype
Hyperactive/Impulsive
46 participants
n=5 Participants
Attention Deficit Hyperactive Disorder (ADHD) Subtype
Combined
1016 participants
n=5 Participants
Attention Deficit Hyperactive Disorder (ADHD) Subtype
Not Applicable
72 participants
n=5 Participants
Attention Deficit Hyperactive Disorder (ADHD) Subtype
Unknown
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline through 5 years

Population: For each vital sign, the number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug. Number of subject analyzed for each vital sign is provided.

Vital signs were assesed categorically using the term high for BP, high and low for pulse and temperature, or decreased for weight. For BP, high was an increase to a value above the 95th percentile of the National Institute of Health (NIH) values. For pulse, high was an increase of at least 25 beats per minute to at least 110, and low was a decrease of at least 20 beats per minute to at most 65 beats per minute. For temperature, high was an increase of at least 1 to 37.7 and low was a decrease of at least 1.3 to at most 35.6. Decrease in weight was marked by a reduction of at least 3.5%.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1528 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Systolic BP High (N=1431)
228 participants
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Diastolic BP High (N=1458)
92 participants
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Pulse High (N=1528)
19 participants
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Pulse Low (N=1528)
39 participants
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Temperature High (N=1525)
7 participants
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Temperature Low (N=1525)
9 participants
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Weight Decrease (N=1526)
61 participants

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1528 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in BP
Systolic BP
4.7 millimeters of Mercury (mmHg)
Standard Deviation 11.56
Change From Baseline to 5 Year Endpoint in BP
Diastolic BP
1.3 millimeters of Mercury (mmHg)
Standard Deviation 9.04

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1528 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Pulse
-1.5 beats per minute (bpm)
Standard Deviation 13.83

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1526 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Body Weight
11.0 kilograms (kg)
Standard Deviation 11.66

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1476 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Height
10.9 centimeters (cm)
Standard Deviation 10.41

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and 5 year endpoint measurement.

Patients were assessed for changes in weight, height, and BMI. BMI is an estimate of body fat based on body weight divided by height squared.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=251 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
BMI (75th to 100th percentile) (N=101)
-7.94 percentiles
Standard Deviation 18.41
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Weight (0 to 25th percentile) (N=46)
18.93 percentiles
Standard Deviation 9.26
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Weight (25th to 50th percentile) (N=58)
14.90 percentiles
Standard Deviation 22.31
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Weight (50th to 75th percentile) (N=50)
-1.33 percentiles
Standard Deviation 20.21
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Weight (75th to 100th percentile) (N=97)
-6.68 percentiles
Standard Deviation 15.50
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Height (0 to 25th percentile) (N=64)
12.06 percentiles
Standard Deviation 21.00
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Height (25th tp 50th percentile) (N=61)
9.53 percentiles
Standard Deviation 21.76
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Height (50th to 75th percentile) (N=55)
-6.28 percentiles
Standard Deviation 22.55
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Height (75th to 100th percentile) (N=65)
-10.92 percentiles
Standard Deviation 20.31
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
BMI (0 to 25th percentile) (N=34)
18.71 percentiles
Standard Deviation 24.76
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
BMI (25th to 50th percentile) (N=53)
8.52 percentiles
Standard Deviation 28.11
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
BMI (50th to 75th percentile) (N=55)
-3.26 percentiles
Standard Deviation 25.69

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Patients were assessed for changes in ECG. The RR interval is the time duration between two consecutive R waves of the ECG. The QRS interval is the beginning of Q to the end of the S wave. The QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate. A corrected QT interval (QTc) has been corrected in order to aid interpretation. QTbz is the QT interval using Bazett's correction formula. QTfr is the QT interval using Fridericia's correction formula.QTdat is the QT interval using a data specific correction method for children.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1482 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Electrocardiogram (ECG)
RR Interval
27.2 milliseconds (msec)
Standard Deviation 138.78
Change From Baseline to 5 Year Endpoint in Electrocardiogram (ECG)
QRS Interval
2.6 milliseconds (msec)
Standard Deviation 7.19
Change From Baseline to 5 Year Endpoint in Electrocardiogram (ECG)
QT Bazett (bz) Correction
-1.7 milliseconds (msec)
Standard Deviation 17.85
Change From Baseline to 5 Year Endpoint in Electrocardiogram (ECG)
QT Data (dat) Correction
-0.2 milliseconds (msec)
Standard Deviation 15.43
Change From Baseline to 5 Year Endpoint in Electrocardiogram (ECG)
QT Fridericia (fr) Correction
0.5 milliseconds (msec)
Standard Deviation 15.71

PRIMARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Patients were assessed for changes in heart rate using electrocardiogram.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1482 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Heart Rate
-2.5 beats per minute (bpm)
Standard Deviation 14.45

PRIMARY outcome

Timeframe: baseline through 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate. A corrected QT interval (QTc) has been corrected in order to aid interpretation. QTbz is the QT interval using Bazett's correction formula. QTfr is the QT interval using Fridericia's correction formula. QTdat is the QT interval using a data specific correction method for children.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1482 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (bz) Increase of at least 30 milliseconds (ms)
68 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (bz) Increase of at least 60 ms
2 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (bz) Increase to values >500 ms
0 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (dat) Increase of at least 30 ms
50 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (dat) Increase of at least 60 ms
2 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (dat) Increase to values >500 ms
0 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (fr) Increase of at least 30 ms
56 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (fr) Increase of at least 60 ms
2 participants
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QTc (fr) Increase to values >500 ms
0 participants

PRIMARY outcome

Timeframe: baseline through 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate. A corrected QT interval (QTc) has been corrected in order to aid interpretation. QTbz is the QT interval using Bazett's correction formula. QTfr is the QT interval using Fridericia's correction formula. QTdat is the QT interval using a data specific correction method for children. For Males: Normal is \<430 ms, Borderline is \>=430 ms and \<450 ms, Prolonged is \>=450 ms. For Females: Normal is \<450 ms, Borderline is \>=450 ms and \<470 ms, Prolonged is \>=470 ms.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1482 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Normal Baseline/Normal Endpoint
1069 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Normal Baseline/Borderline Endpoint
156 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Normal Baseline/Prolonged Endpoint
11 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Borderline Baseline/Normal Endpoint
180 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Borderline Baseline/Borderline Endpoint
49 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Borderline Baseline/Prolonged Endpoint
6 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Prolonged Baseline/Normal Endpoint
6 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Prolonged Baseline/Borderline Endpoint
5 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (bz) Prolonged Baseline/Prolonged Endpoint
0 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Normal Baseline/Normal Endpoint
1433 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Normal Baseline/Borderline Endpoint
26 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Normal Baseline/Prolonged Endpoint
1 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Borderline Baseline/Normal Endpoint
16 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Borderline Baseline/Borderline Endpoint
3 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Borderline Baseline/Prolonged Endpoint
1 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Prolonged Baseline/Normal Endpoint
2 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Prolonged Baseline/Borderline Endpoint
0 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (dat) Prolonged Baseline/Prolonged Endpoint
0 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Normal Baseline/Normal Endpoint
1454 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Normal Baseline/Borderline Endpoint
16 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Normal Baseline/Prolonged Endpoint
2 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Borderline Baseline/Normal Endpoint
7 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Borderline Baseline/Borderline Endpoint
0 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Borderline Baseline/Prolonged Endpoint
1 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Prolonged Baseline/Normal Endpoint
2 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Prolonged Baseline/Borderline Endpoint
0 participants
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QTc (fr) Prolonged Baseline/Prolonged Endpoint
0 participants

PRIMARY outcome

Timeframe: baseline through 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Standard reference ranges from Covance Laboratories were used in the determination of abnormal high and low values based on age and gender, where appropriate. Aspartate aminotransferase (AST); serum glutamic oxaloacetic transaminase (SGOT); units/liter (U/L); alanine aminotransferase (ALT); serum glutamic pyruvic transaminase (SGPT); millimoles/liter (mmol/L); grams/liter (g/L); micromoles/liter (umol/L); millimoles/liter-iron (mmol/L-Fe); trillion/liter (TI/L)or 10\^12 units/liter; Giga/liter (GI/L)or 10\^9 units/liter; femtoliters (fL); urinalysis (UA)

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1487 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Number of Participants With Abnormal Laboratory Analytes During the Study
Glucose, Non-Fasting/Random (mmol/L) High (N=1486)
1 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
AST/SGOT (U/L) Low (N=1484)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
AST/SGOT (U/L) High (N=1484)
27 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
ALT/SGPT (U/L) Low (N=1486)
2 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
ALT/SGPT (U/L) High (N=1486)
38 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Creatine Phosphokinase (U/L) Low (N=1485)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Creatine Phosphokinase (U/L) High (N=1485)
57 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Alkaline Phosphatase (U/L) Low (N=1486)
67 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Alkaline Phosphatase (U/L) High (N=1486)
83 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Gamma Glutamyltransferase (U/L) Low (N=1486)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Gamma Glutamyltransferase (U/L) High (N=1486)
17 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Urea Nitrogen (mmol/L) Low (N=1487)
1 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Urea Nitrogen (mmol/L) High (N=1487)
2 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Calcium (mmol/L) Low (N=1487)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Calcium (mmol/L) High (N=1487)
117 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Inorganic Phosphorus (mmol/L) Low (N=1485)
10 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Inorganic Phosphorus (mmol/L) High (N=1485)
31 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Total Protein (g/L) Low (N=1487)
2 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Total Protein (g/L) High (N=1487)
5 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Albumin (g/L) Low (N=1487)
1 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Albumin (g/L) High (N=1487)
113 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Glucose, Non-Fasting/Random (mmol/L) Low (N=1486)
20 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Uric Acid (umol/L) Low (N=1487)
6 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Uric Acid (umol/L) High (N=1487)
130 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Cholesterol (mmol/L) Low (N=1487)
87 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Cholesterol (mmol/L) High (N=1487)
72 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Creatinine (umol/L) Low (N=1487)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Creatinine (umol/L) High (N=1487)
285 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Total Bilirubin (umol/L) Low (N=1458)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Total Bilirubin (umol/L) High (N=1458)
38 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Hematocrit (1) Low (N=1482)
24 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Hematocrit (1) High (N=1482)
85 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Hemoglobin (mmL/L-Fe) Low (N=1482)
14 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Hemoglobin (mmL/L-Fe) High (N=1482)
30 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Erythrocyte Count (TI/L) Low (N=1482)
8 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Erythrocyte Count (TI/L) High (N=1482)
3 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Leukocyte Count (GI/L) Low (N=1482)
63 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Leukocyte Count (GI/L) High (N=1482)
8 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Bands (GI/L) Low (N=1482)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Bands (GI/L) High (N=1482)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Neutrophils, Segmented (GI/L) Low (N=1482)
20 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Neutrophils, Segmented (GI/L) High (N=1482)
23 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Lymphocytes (GI/L) Low (N=1482)
6 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Lymphocytes (GI/L) High (N=1482)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Monocytes (GI/L) Low (N=1482)
62 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Monocytes (GI/L) High (N=1482)
12 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Eosinophils (GI/L) Low (N=1482)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Eosinophils (GI/L) High (N=1482)
54 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Basophils (GI/L) Low (N=1482)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Basophils (GI/L) High (N=1482)
3 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Mean Cell Volume (fL) Low (N=1482)
26 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Mean Cell Volume (fL) High (N=1482)
10 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Platelet Count (GI/L) Low (N=1479)
1 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Platelet Count (GI/L) High (N=1479)
63 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Sodium (mmol/L) Low (N=1486)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Sodium (mmol/L) High (N=1486)
2 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Potassium (mmol/L) Low (N=1484)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Potassium (mmol/L) High (N=1484)
8 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Chloride (mmol/L) Low (N=1486)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Chloride (mmol/L) High (N=1486)
2 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Bicarbonate (mmol/L) Low (N=1486)
7 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Bicarbonate (mmol/L) High (N=1486)
6 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
UA-Specific Gravity (no units) Low (N=1486)
39 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
UA-Specific Gravity (no units) High (N=1486)
73 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Lymphocytes, Atypical (GI/L) Low (N=52)
0 participants
Number of Participants With Abnormal Laboratory Analytes During the Study
Lymphocytes, Atypical (GI/L) High (N=52)
52 participants

PRIMARY outcome

Timeframe: 1 year through 5 years

Population: The analysis population is defined as patients with at least two Tanner measurements.

Tanner Stage: I: no pubic hair at all (prepubertal Dominic state) II: small amount of long, downy hair with slight pigmentation at the base of the penis and scrotum (males) or on the labia majora (females) III: hair becomes more coarse and curly, and begins to extend laterally IV: adult-like hair quality, extending across pubis but sparing medial thighs V: hair extends to medial surface of the thighs Age Groups: 1. age\<11.0 (female) and age\<12 (male) 2. 11=\<age\<12 (female) or 12\<=age\<13 (male) 3. 12=\<age\<15 (female) or 13=\<age\<15 (male) 4. age\>=15 (female and male)

Outcome measures

Outcome measures
Measure
Atomoxetine
n=93 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 1, Tanner I (N=7)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 1, Tanner II (N=7)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 1, Tanner III (N=7)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 1, Tanner IV (N=7)
1 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 1, Tanner V (N=7)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 2, Tanner I (N=14)
4 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 2, Tanner II (N=14)
6 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 2, Tanner III (N=14)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 2, Tanner IV (N=14)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 2, Tanner V (N=14)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 3, Tanner I (N=37)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 3, Tanner II (N=37)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 3, Tanner III (N=37)
13 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 3, Tanner IV (N=37)
15 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 3, Tanner V (N=37)
7 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 4, Tanner I (N=35)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 4, Tanner II (N=35)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 4, Tanner III (N=35)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 4, Tanner IV (N=35)
11 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
First Tanner, Age Group 4, Tanner V (N=35)
22 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 1, Tanner I (N=2)
1 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 1, Tanner II (N=2)
1 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 1, Tanner III (N=2)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 1, Tanner IV (N=2)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 1, Tanner V (N=2)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 2, Tanner I (N=4)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 2, Tanner II (N=4)
1 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 2, Tanner III (N=4)
2 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 2, Tanner IV (N=4)
1 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 2, Tanner V (N=4)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 3, Tanner I (N=32)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 3, Tanner II (N=32)
5 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 3, Tanner III (N=32)
8 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 3, Tanner IV (N=32)
14 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 3, Tanner V (N=32)
5 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 4, Tanner I (N=55)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 4, Tanner II (N=55)
0 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 4, Tanner III (N=55)
3 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 4, Tanner IV (N=55)
19 participants
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Endpoint Tanner, Age Group 4, Tanner V (N=55)
33 participants

SECONDARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Measures the 18 symptoms contained in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision (DSM-IV-TR) diagnosis of ADHD. Individual item scores range from 0 (none/never or rarely) to 3 (severe/very often). Total scores range from 0 to 54. Hyperactive/Impulsive and Inattention Subscales consisted of 9 items each, for total subscale score range of 0 to 27. ADHD Index Subscale consisted of 12 items, for total score range of 0 to 36.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1135 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) Total Score and Subscale Scores
Total Score
3.5 units on a scale
Standard Deviation 9.62
Change From Baseline to 5 Year Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) Total Score and Subscale Scores
Inattentive Subscale Score
2.6 units on a scale
Standard Deviation 6.00
Change From Baseline to 5 Year Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) Total Score and Subscale Scores
Hyperactive Subscale Score
0.9 units on a scale
Standard Deviation 4.73

SECONDARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

Measures severity of the patient's overall severity of ADHD symptoms (1=normal, not at all ill; 7=among the most extremely ill patients).

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1136 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Clinical Global Impressions-Attention-Deficit/Hyperactivity Disorder-Severity (CGI-ADHD-S) Score
0.523 units on a scale
Standard Deviation 1.149

SECONDARY outcome

Timeframe: baseline, 5 years

Population: The number of participants analyzed was defined as all patients with a baseline and post-baseline measurement, except patients reported as not taking any study drug.

A 27-item rating scale (0 \[not at all/never\] to 3 \[very much true/very often\]) completed by the parent to assess problem behaviors related to ADHD. Subscales: Oppositional, Cognitive Problems, Hyperactivity, and ADHD Index. Subscale total scores range from 0 to 18 for all subscales except ADHD Index which ranges from 0 to 36.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=1059 Participants
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Change From Baseline to 5 Year Endpoint in Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S) Subscale Scores
CPRS ADHD Index Subscale (n=1056)
2.411 units on a scale
Standard Deviation 7.785
Change From Baseline to 5 Year Endpoint in Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S) Subscale Scores
CPRS Cognitive Subscale (n=1056)
1.500 units on a scale
Standard Deviation 4.777
Change From Baseline to 5 Year Endpoint in Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S) Subscale Scores
CPRS Hyperactive Subscale (n=1057)
0.325 units on a scale
Standard Deviation 3.287
Change From Baseline to 5 Year Endpoint in Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S) Subscale Scores
CPRS Oppositional Subscale (n=1059)
1.357 units on a scale
Standard Deviation 4.287

SECONDARY outcome

Timeframe: baseline, 5 years

Population: There were not enough participants with prior Stroop Word Color tests to analyze the data.

Only patients who took the Stroop Color Word Test in a previous atomoxetine study were required to complete the Stroop in this study. Stroop measures inhibition of dominant response and interference control. Patients were given tasks of recognition (colors), reading (where a word represents a color), and interference (reading words written in different colors). There were 100 items for each of the three categories and if they made it through 100 words with time remaining, they would repeat the list. Only a small number of patients had Stroop tests in this study, so no analysis was done.

Outcome measures

Outcome data not reported

Adverse Events

Atomoxetine

Serious events: 92 serious events
Other events: 1372 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Atomoxetine
n=1551 participants at risk
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Blood and lymphatic system disorders
Anaemia
0.06%
1/1551 • Number of events 1
Cardiac disorders
Pericarditis
0.06%
1/1551 • Number of events 1
Cardiac disorders
Wolff-Parkinson-White syndrome
0.06%
1/1551 • Number of events 1
Ear and labyrinth disorders
Hearing impaired
0.06%
1/1551 • Number of events 1
Endocrine disorders
Hyperthyroidism
0.06%
1/1551 • Number of events 1
Eye disorders
Visual disturbance
0.06%
1/1551 • Number of events 1
Gastrointestinal disorders
Abdominal pain
0.19%
3/1551 • Number of events 3
Gastrointestinal disorders
Abdominal pain upper
0.06%
1/1551 • Number of events 1
Gastrointestinal disorders
Inguinal hernia
0.06%
1/1551 • Number of events 1
Gastrointestinal disorders
Nausea
0.06%
1/1551 • Number of events 1
Gastrointestinal disorders
Vomiting
0.06%
1/1551 • Number of events 1
General disorders
Pain
0.06%
1/1551 • Number of events 1
General disorders
Pyrexia
0.06%
1/1551 • Number of events 1
Infections and infestations
Appendicitis
0.64%
10/1551 • Number of events 10
Infections and infestations
Campylobacter infection
0.06%
1/1551 • Number of events 1
Infections and infestations
Cellulitis
0.06%
1/1551 • Number of events 1
Infections and infestations
Dengue fever
0.06%
1/1551 • Number of events 1
Infections and infestations
Enterocolitis infectious
0.06%
1/1551 • Number of events 1
Infections and infestations
Gastroenteritis
0.19%
3/1551 • Number of events 4
Infections and infestations
Gastroenteritis viral
0.06%
1/1551 • Number of events 1
Infections and infestations
Meningitis viral
0.06%
1/1551 • Number of events 1
Infections and infestations
Oral candidiasis
0.06%
1/1551 • Number of events 1
Infections and infestations
Osteomyelitis
0.06%
1/1551 • Number of events 1
Infections and infestations
Otitis media
0.06%
1/1551 • Number of events 1
Infections and infestations
Perianal abscess
0.06%
1/1551 • Number of events 1
Infections and infestations
Periorbital cellulitis
0.06%
1/1551 • Number of events 1
Infections and infestations
Pneumonia
0.26%
4/1551 • Number of events 5
Infections and infestations
Sinusitis
0.13%
2/1551 • Number of events 2
Infections and infestations
Staphylococcal infection
0.06%
1/1551 • Number of events 1
Infections and infestations
Viral infection
0.13%
2/1551 • Number of events 3
Injury, poisoning and procedural complications
Ankle fracture
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Burns first degree
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Burns second degree
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Clavicle fracture
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Concussion
0.26%
4/1551 • Number of events 4
Injury, poisoning and procedural complications
Excoriation
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Fall
0.13%
2/1551 • Number of events 2
Injury, poisoning and procedural complications
Femur fracture
0.13%
2/1551 • Number of events 2
Injury, poisoning and procedural complications
Foot fracture
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Head injury
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Humerus fracture
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Intentional overdose
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Ligament rupture
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Multiple fractures
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Multiple injuries
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Overdose
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Post concussion syndrome
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Road traffic accident
0.26%
4/1551 • Number of events 4
Injury, poisoning and procedural complications
Skull fracture
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Subdural haematoma
0.13%
2/1551 • Number of events 2
Injury, poisoning and procedural complications
Thermal burn
0.06%
1/1551 • Number of events 1
Injury, poisoning and procedural complications
Tibia fracture
0.13%
2/1551 • Number of events 2
Injury, poisoning and procedural complications
Wrist fracture
0.13%
2/1551 • Number of events 2
Investigations
Alanine aminotransferase increased
0.06%
1/1551 • Number of events 1
Investigations
Aspartate aminotransferase increased
0.06%
1/1551 • Number of events 1
Investigations
Blood glucose decreased
0.06%
1/1551 • Number of events 1
Investigations
Blood glucose increased
0.06%
1/1551 • Number of events 5
Investigations
Blood pressure decreased
0.06%
1/1551 • Number of events 1
Investigations
Gamma-glutamyltransferase increased
0.06%
1/1551 • Number of events 1
Investigations
Weight decreased
0.13%
2/1551 • Number of events 2
Metabolism and nutrition disorders
Dehydration
0.19%
3/1551 • Number of events 3
Metabolism and nutrition disorders
Diabetes mellitus
0.06%
1/1551 • Number of events 1
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.06%
1/1551 • Number of events 1
Metabolism and nutrition disorders
Hyperglycaemia
0.06%
1/1551 • Number of events 1
Metabolism and nutrition disorders
Hypoglycaemia
0.06%
1/1551 • Number of events 1
Metabolism and nutrition disorders
Ketoacidosis
0.06%
1/1551 • Number of events 10
Metabolism and nutrition disorders
Type 1 diabetes mellitus
0.13%
2/1551 • Number of events 2
Musculoskeletal and connective tissue disorders
Bone cyst
0.06%
1/1551 • Number of events 1
Musculoskeletal and connective tissue disorders
Pathological fracture
0.06%
1/1551 • Number of events 1
Musculoskeletal and connective tissue disorders
Retrognathia
0.06%
1/1551 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioma
0.06%
1/1551 • Number of events 1
Nervous system disorders
Cerebral haemorrhage
0.06%
1/1551 • Number of events 1
Nervous system disorders
Complex partial seizures
0.06%
1/1551 • Number of events 1
Nervous system disorders
Depressed level of consciousness
0.06%
1/1551 • Number of events 1
Nervous system disorders
Migraine
0.13%
2/1551 • Number of events 2
Nervous system disorders
Migraine with aura
0.06%
1/1551 • Number of events 1
Nervous system disorders
Psychomotor hyperactivity
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Affect lability
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Aggression
0.19%
3/1551 • Number of events 5
Psychiatric disorders
Agitation
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Conduct disorder
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Confusional state
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Depression
0.32%
5/1551 • Number of events 5
Psychiatric disorders
Impulsive behaviour
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Major depression
0.13%
2/1551 • Number of events 2
Psychiatric disorders
Mental status changes
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Mood altered
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Negativism
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Oppositional defiant disorder
0.06%
1/1551 • Number of events 2
Psychiatric disorders
Post-traumatic stress disorder
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Psychotic disorder
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Pyromania
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Substance abuse
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Suicidal behaviour
0.06%
1/1551 • Number of events 1
Psychiatric disorders
Suicidal ideation
0.58%
9/1551 • Number of events 9
Psychiatric disorders
Suicide attempt
0.13%
2/1551 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Asthma
0.13%
2/1551 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.06%
1/1551 • Number of events 1
Surgical and medical procedures
Facial operation
0.06%
1/1551 • Number of events 1
Surgical and medical procedures
Nasal septal operation
0.06%
1/1551 • Number of events 1
Vascular disorders
Haematoma
0.06%
1/1551 • Number of events 1

Other adverse events

Other adverse events
Measure
Atomoxetine
n=1551 participants at risk
Atomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted will be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Gastrointestinal disorders
Abdominal pain
5.3%
82/1551 • Number of events 100
Gastrointestinal disorders
Abdominal pain upper
16.8%
260/1551 • Number of events 353
Gastrointestinal disorders
Diarrhoea
8.1%
125/1551 • Number of events 166
Gastrointestinal disorders
Nausea
13.5%
210/1551 • Number of events 285
Gastrointestinal disorders
Vomiting
18.4%
285/1551 • Number of events 451
General disorders
Fatigue
9.5%
147/1551 • Number of events 186
General disorders
Irritability
9.7%
151/1551 • Number of events 168
General disorders
Pyrexia
16.0%
248/1551 • Number of events 386
Immune system disorders
Seasonal allergy
5.7%
89/1551 • Number of events 98
Infections and infestations
Ear infection
5.1%
79/1551 • Number of events 108
Infections and infestations
Gastroenteritis viral
7.9%
122/1551 • Number of events 152
Infections and infestations
Influenza
13.2%
205/1551 • Number of events 287
Infections and infestations
Nasopharyngitis
20.3%
315/1551 • Number of events 515
Infections and infestations
Pharyngitis streptococcal
8.3%
129/1551 • Number of events 177
Infections and infestations
Sinusitis
8.1%
125/1551 • Number of events 176
Infections and infestations
Upper respiratory tract infection
17.0%
263/1551 • Number of events 430
Infections and infestations
Viral infection
5.0%
78/1551 • Number of events 106
Metabolism and nutrition disorders
Decreased appetite
10.5%
163/1551 • Number of events 178
Nervous system disorders
Dizziness
5.4%
83/1551 • Number of events 103
Nervous system disorders
Headache
34.4%
534/1551 • Number of events 1063
Psychiatric disorders
Depression
5.2%
81/1551 • Number of events 84
Psychiatric disorders
Insomnia
6.8%
106/1551 • Number of events 120
Respiratory, thoracic and mediastinal disorders
Cough
19.1%
297/1551 • Number of events 445
Respiratory, thoracic and mediastinal disorders
Epistaxis
5.1%
79/1551 • Number of events 97
Respiratory, thoracic and mediastinal disorders
Nasal congestion
10.8%
168/1551 • Number of events 263
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
17.2%
267/1551 • Number of events 414
Skin and subcutaneous tissue disorders
Acne
6.8%
105/1551 • Number of events 110
Skin and subcutaneous tissue disorders
Rash
5.2%
80/1551 • Number of events 90

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60