Study of the Safety and Efficacy of OPC-34712 as a Complementary Therapy in the Treatment of Adult Attention Deficit/Hyperactivity Disorder

NCT ID: NCT01074294

Last Updated: 2023-02-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

740 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-16

Study Completion Date

2011-06-20

Brief Summary

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This study tests the effects of an investigational antipsychotic drug (called OPC-34712) in adults with attention deficit hyperactivity disorder (ADHD) when taken with an approved stimulant medication to explore a possible impact on sleep, quality of life and cognitive function.

Detailed Description

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Conditions

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Attention Deficit Hyperactivity Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Phase A (Single-blind Prospective Treatment Phase): Placebo + Stimulant

Participants received single-blind matching-placebo tablets along with open-label stimulant determined by the investigator, once daily for 5 weeks. Once assigned to a stimulant by the investigator, participants remained on the same stimulant for the duration of the trial. Participants who met eligibility criteria i.e., who received prior treatment for adult ADHD and treatment-naïve participants were included in this arm group. Participants with incomplete response at the end of Phase A (Week 5) entered Phase B and rest of the participants continued to Phase A+.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Matching-placebo tablets, daily, Orally.

Stimulant Therapy

Intervention Type DRUG

Mixed amphetamine salts or Dexmethylphenidate hydrochloride (HCL) or Methylphenidate HCl or Lisdexamfetamine dimesylate as per standard of care.

Phase B (Double-blind Randomization Phase): Brexpiprazole + Stimulant

Participants with incomplete response (with a \> 0% and \< 30% reduction in ADHD Symptoms Total Score {18 items} between the baseline of Phase A and the end of prospective treatment { Week 5} as measured by the CAARS-O:SV { Conners' Adult ADHD Rating Scale-Observer: Screening Version}, and a CAARS-O:SV ADHD Symptoms Total Score {18 items} of ≥ 24 at Week 5, and a clinical global impression - improvement scale (CGI-I) score of 3 or 4 at Week 5) at the end of Phase A (Week 5), received Brexpiprazole 2 milligram (mg) tablet along with stimulant determined by the investigator, once daily for 6 weeks (up to Week 11).

Group Type EXPERIMENTAL

OPDC-34712

Intervention Type DRUG

OPDC-34712 tablets, daily, Orally.

Stimulant Therapy

Intervention Type DRUG

Mixed amphetamine salts or Dexmethylphenidate hydrochloride (HCL) or Methylphenidate HCl or Lisdexamfetamine dimesylate as per standard of care.

Phase B (Double-blind Randomization Phase): Placebo + Stimulant

Participants with incomplete response (with a \> 0% and \< 30% reduction in ADHD Symptoms Total Score {18 items} between the Baseline of Phase A and the end of prospective treatment { Week 5} as measured by the CAARS-O:SV, and a CAARS-O:SV ADHD Symptoms Total Score {18 items} of ≥ 24 at Week 5, and a CGI-I score of 3 or 4 at Week 5) at the end of Phase A (Week 5), received matching-placebo tablets along with stimulant determined by the investigator, once daily for 6 weeks (up to Week 11).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching-placebo tablets, daily, Orally.

Stimulant Therapy

Intervention Type DRUG

Mixed amphetamine salts or Dexmethylphenidate hydrochloride (HCL) or Methylphenidate HCl or Lisdexamfetamine dimesylate as per standard of care.

Phase A+ (Single-blind Phase A Responders and Non-responders): Placebo + Stimulant

Participants with response (with a ≥ 30% reduction in ADHD Symptoms Total Score {18 items} between Baseline of Phase A and the end of prospective treatment { Week 5} as measured by the CAARS-O:SV, or a CAARS-O:SV ADHD Symptoms Total Score {18 items} of \< 24 at Week 5, or a CGI-I score of \< 3 at Week 5) and non-response (with deterioration or no change in ADHD symptoms at Week 5) at the end of Phase A (Week 5), received single-blind matching-placebo tablets along with open-label stimulant determined by the investigator, once daily for an additional 6 weeks (up to Week 11).

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Matching-placebo tablets, daily, Orally.

Stimulant Therapy

Intervention Type DRUG

Mixed amphetamine salts or Dexmethylphenidate hydrochloride (HCL) or Methylphenidate HCl or Lisdexamfetamine dimesylate as per standard of care.

Interventions

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OPDC-34712

OPDC-34712 tablets, daily, Orally.

Intervention Type DRUG

Placebo

Matching-placebo tablets, daily, Orally.

Intervention Type DRUG

Stimulant Therapy

Mixed amphetamine salts or Dexmethylphenidate hydrochloride (HCL) or Methylphenidate HCl or Lisdexamfetamine dimesylate as per standard of care.

Intervention Type DRUG

Other Intervention Names

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Brexpiprazole

Eligibility Criteria

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Inclusion Criteria

* Male and female outpatients 18 to 55 years of age, inclusive, at the time of informed consent.
* Participants with a primary diagnostic and statistical manual of mental disorders, fourth edition, text revision (DSM-IV-TR) diagnosis of ADHD (including inattentive, hyperactive, and combined subtypes) as confirmed by the Conners' Adult ADHD diagnostic interview (CAADID). Participants may have received prior treatment for adult ADHD, may be currently receiving treatment for adult ADHD at screening, or may be treatment-naive.
* Participants willing to discontinue all prohibited psychotropic medication starting from the time of signing the informed consent and during the study period.

Exclusion Criteria

* Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving study drug.
* Participants with an adequate response, as determined by the investigator, to any stimulant taken for the treatment of adult ADHD after 18 years of age.
* Participants with a clinically significant current Axis II (DSM-IV-TR) diagnosis of borderline, antisocial, paranoid, schizoid, schizotypal, or histrionic personality disorder.
* Participants who participated in a clinical trial within the last 180 days or who participated in more than two clinical trials within the past year.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Otsuka Pharmaceutical Development & Commercialization, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Otsuka Pharmaceutical Development & Commercialization, Inc.

Locations

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Little Rock, Arkansas, United States

Site Status

Beverly Hills, California, United States

Site Status

Irvine, California, United States

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Pasadena, California, United States

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San Francisco, California, United States

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Bradenton, Florida, United States

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Jacksonville, Florida, United States

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Maitland, Florida, United States

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North Miami, Florida, United States

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Orlando, Florida, United States

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South Miami, Florida, United States

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Atlanta, Georgia, United States

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Smyrna, Georgia, United States

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Indianapolis, Indiana, United States

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Overland Park, Kansas, United States

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Rochester Hills, Michigan, United States

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Saint Charles, Missouri, United States

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Cherry Hill, New Jersey, United States

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Willingboro, New Jersey, United States

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New York, New York, United States

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Chapel Hill, North Carolina, United States

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Durham, North Carolina, United States

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Cincinnati, Ohio, United States

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Dayton, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Memphis, Tennessee, United States

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Austin, Texas, United States

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Houston, Texas, United States

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Salt Lake City, Utah, United States

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Woodstock, Vermont, United States

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Herndon, Virginia, United States

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Bellevue, Washington, United States

Site Status

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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331-08-213

Identifier Type: -

Identifier Source: org_study_id

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