Trial Outcomes & Findings for A Classroom Study to Assess the Time of Onset of Vyvanse (Lisdexamfetamine Dimesylate) in Pediatric Subjects Aged 6-12 With Attention Deficit/Hyperactivity Disorder (ADHD) (NCT NCT00500149)

NCT ID: NCT00500149

Last Updated: 2021-06-14

Results Overview

The onset of effect will be defined as the first assessment time showing statistical significance between Vyvanse and placebo as measured by the Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) Deportment scale. The degree of impairment is rated from 0 (normal) to 6 (maximal).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

129 participants

Primary outcome timeframe

Evaluations were conducted at 1.5, 2.5, 5.0, 7.5, 10.0, 12.0, and 13.0 hours post-dose.

Results posted on

2021-06-14

Participant Flow

129 subjects were enrolled for dose optimization phase, 12 discontinued, and 117 were randomized to the cross-over phase.

The study consisted of an open-label dose-optimization phase (4 weeks), followed by a randomized, placebo-controlled, 2-way crossover phase (1 week each).

Participant milestones

Participant milestones
Measure
Vyvanse First
Vyvanse was dosed orally once daily at either 30, 50 or 70 mg (depending on the outcome of the dose optimization phase)for 1 week in the first intervention and matching placebo was given orally once daily for 1 week in the second intervention
Placebo First
Matching placebo was given orally once daily for 1 week in the first intervention and Vyvanse was dosed orally once daily at either 30, 50 or 70 mg (depending on the outcome of the dose optimization phase)for 1 week in the second intervention
Enrolled (Dose-optimization Phase)
STARTED
129
0
Enrolled (Dose-optimization Phase)
COMPLETED
117
0
Enrolled (Dose-optimization Phase)
NOT COMPLETED
12
0
First Intervention (Cross-over Phase)
STARTED
58
59
First Intervention (Cross-over Phase)
COMPLETED
56
57
First Intervention (Cross-over Phase)
NOT COMPLETED
2
2
Second Intervention (Cross-over Phase)
STARTED
56
57
Second Intervention (Cross-over Phase)
COMPLETED
54
57
Second Intervention (Cross-over Phase)
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Vyvanse First
Vyvanse was dosed orally once daily at either 30, 50 or 70 mg (depending on the outcome of the dose optimization phase)for 1 week in the first intervention and matching placebo was given orally once daily for 1 week in the second intervention
Placebo First
Matching placebo was given orally once daily for 1 week in the first intervention and Vyvanse was dosed orally once daily at either 30, 50 or 70 mg (depending on the outcome of the dose optimization phase)for 1 week in the second intervention
Enrolled (Dose-optimization Phase)
Withdrawal by Subject
3
0
Enrolled (Dose-optimization Phase)
Adverse Event
8
0
Enrolled (Dose-optimization Phase)
Protocol Violation
1
0
First Intervention (Cross-over Phase)
Adverse Event
0
1
First Intervention (Cross-over Phase)
Withdrawal by Subject
1
1
First Intervention (Cross-over Phase)
Protocol Violation
1
0
Second Intervention (Cross-over Phase)
Lost to Follow-up
2
0

Baseline Characteristics

A Classroom Study to Assess the Time of Onset of Vyvanse (Lisdexamfetamine Dimesylate) in Pediatric Subjects Aged 6-12 With Attention Deficit/Hyperactivity Disorder (ADHD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population
n=129 Participants
Age, Categorical
<=18 years
129 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=93 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
Age, Continuous
10.1 years
STANDARD_DEVIATION 1.5 • n=93 Participants
Sex: Female, Male
Female
31 Participants
n=93 Participants
Sex: Female, Male
Male
98 Participants
n=93 Participants
Region of Enrollment
United States
129 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Evaluations were conducted at 1.5, 2.5, 5.0, 7.5, 10.0, 12.0, and 13.0 hours post-dose.

Population: Analysis on the intention-to-treat (ITT) population.

The onset of effect will be defined as the first assessment time showing statistical significance between Vyvanse and placebo as measured by the Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) Deportment scale. The degree of impairment is rated from 0 (normal) to 6 (maximal).

Outcome measures

Outcome measures
Measure
Vyvanse
n=113 Participants
Lisdexamfetamine dimesylate (LDX)
Placebo
n=113 Participants
Matching placebo
Onset of Effect of Vyvanse
1.5 hours
0.70 scores on a scale
Standard Error 0.09
1.14 scores on a scale
Standard Error 0.09
Onset of Effect of Vyvanse
2.5 hours
0.45 scores on a scale
Standard Error 0.09
1.42 scores on a scale
Standard Error 0.09
Onset of Effect of Vyvanse
5 hours
0.44 scores on a scale
Standard Error 0.10
1.60 scores on a scale
Standard Error 0.10
Onset of Effect of Vyvanse
7.5 hours
0.54 scores on a scale
Standard Error 0.09
1.56 scores on a scale
Standard Error 0.09
Onset of Effect of Vyvanse
10 hours
0.60 scores on a scale
Standard Error 0.09
1.43 scores on a scale
Standard Error 0.09
Onset of Effect of Vyvanse
12 hours
0.90 scores on a scale
Standard Error 0.10
1.41 scores on a scale
Standard Error 0.10
Onset of Effect of Vyvanse
13 hours
1.05 scores on a scale
Standard Error 0.10
1.31 scores on a scale
Standard Error 0.10

SECONDARY outcome

Timeframe: Evaluations were conducted at 1.5, 2.5, 5.0, 7.5, 10.0, 12.0, and 13.0 hours post-dose.

Population: Analysis on intention-to-treat (ITT) population.

Duration of effect will be defined as the first time point at which there is a non-significant difference between Vyvanse and placebo after a time point at which there is a significant difference between the two treatment groups as measured by SKAMP Deportment Scores. The degree of impairment is rated from 0 (normal) to 6 (maximal).

Outcome measures

Outcome measures
Measure
Vyvanse
n=113 Participants
Lisdexamfetamine dimesylate (LDX)
Placebo
n=113 Participants
Matching placebo
Duration of Effect of Vyvanse
10 hours
0.60 scores on a scale
Standard Error 0.09
1.43 scores on a scale
Standard Error 0.09
Duration of Effect of Vyvanse
1.5 hours
0.70 scores on a scale
Standard Error 0.09
1.14 scores on a scale
Standard Error 0.09
Duration of Effect of Vyvanse
2.5 hours
0.45 scores on a scale
Standard Error 0.09
1.42 scores on a scale
Standard Error 0.09
Duration of Effect of Vyvanse
5 hours
0.44 scores on a scale
Standard Error 0.10
1.60 scores on a scale
Standard Error 0.10
Duration of Effect of Vyvanse
7.5 hours
0.54 scores on a scale
Standard Error 0.09
1.56 scores on a scale
Standard Error 0.09
Duration of Effect of Vyvanse
12 hours
0.90 scores on a scale
Standard Error 0.10
1.41 scores on a scale
Standard Error 0.10
Duration of Effect of Vyvanse
13 hours
1.05 scores on a scale
Standard Error 0.10
1.31 scores on a scale
Standard Error 0.10

Adverse Events

Vyvanse

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Vyvanse
n=115 participants at risk
Placebo
n=115 participants at risk
Metabolism and nutrition disorders
Decreased Appetite
6.1%
7/115
The Randomized Population is defined as all subjects who are randomized and received at least one dose of study medication during the Cross-Over Phase of the study.
0.87%
1/115
The Randomized Population is defined as all subjects who are randomized and received at least one dose of study medication during the Cross-Over Phase of the study.
Nervous system disorders
Headache
5.2%
6/115
The Randomized Population is defined as all subjects who are randomized and received at least one dose of study medication during the Cross-Over Phase of the study.
1.7%
2/115
The Randomized Population is defined as all subjects who are randomized and received at least one dose of study medication during the Cross-Over Phase of the study.

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after SPONSOR confirms there shall be no multicenter Study publication, the INSTITUTION and/or such PRINCIPAL INVESTIGATOR may publish the results from the INSTITUTION site individually.
  • Publication restrictions are in place

Restriction type: OTHER