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

NCT ID: NCT01552915

Last Updated: 2021-06-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

464 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-17

Study Completion Date

2014-01-22

Brief Summary

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

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Lisdexamfetamine Dimesylate

Group Type EXPERIMENTAL

Lisdexamfetamine dimesylate

Intervention Type DRUG

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

Methylphenidate Hydrochloride

Group Type ACTIVE_COMPARATOR

Methylphenidate Hydrochloride

Intervention Type DRUG

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

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Daily oral dosing in the AM for 8 weeks

Interventions

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Lisdexamfetamine dimesylate

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

Intervention Type DRUG

Methylphenidate Hydrochloride

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

Intervention Type DRUG

Placebo

Daily oral dosing in the AM for 8 weeks

Intervention Type DRUG

Other Intervention Names

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LDX, Vyvanse, SPD489 OROS-MPH, Concerta

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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.
* 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.
Minimum Eligible Age

13 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Melmed Center

Scottsdale, Arizona, United States

Site Status

Clinical Study Centers, LLC

Little Rock, Arkansas, United States

Site Status

Synergy Clinical Research Center

National City, California, United States

Site Status

Pacific Clinical Research Medical Group

Orange, California, United States

Site Status

SDS Clinical Trials, Inc.

Orange, California, United States

Site Status

Peninsula Research Associates, Inc.

Rolling Hills Estates, California, United States

Site Status

PCSD - Feighner Research

San Diego, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

Neuropsychiatric Research Center of Orange County

Santa Ana, California, United States

Site Status

Elite Clinical Trials

Wildomar, California, United States

Site Status

MCB Clinical Research Centers, LLC

Colorado Springs, Colorado, United States

Site Status

Florida Clinical Research Center, LLC

Bradenton, Florida, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

Amedica Research Institute

Hialeah, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Jacksonville, Florida, United States

Site Status

Fidelity Clinical Research, Inc.

Lauderhill, Florida, United States

Site Status

Florida Clinical Research Center, LLC

Maitland, Florida, United States

Site Status

Scientific Clinical Research, Inc.

Miami, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Orlando, Florida, United States

Site Status

Compass Research, LLC

Orlando, Florida, United States

Site Status

Stedman Clinical Trials

Tampa, Florida, United States

Site Status

Janus Center for Psychiatric Research

West Palm Beach, Florida, United States

Site Status

Atlanta Institute of Medicine and Research

Atlanta, Georgia, United States

Site Status

Capstone Clinical Research

Libertyville, Illinois, United States

Site Status

AMR Baber Research Group, Inc.

Naperville, Illinois, United States

Site Status

AMR Conventions Research

Naperville, Illinois, United States

Site Status

American Medical Research, Inc

Oak Brook, Illinois, United States

Site Status

Advocate Hope Children's Hospital

Oak Lawn, Illinois, United States

Site Status

Neuroscience Research Institute, Inc

Oak Park, Illinois, United States

Site Status

Psychiatric Associates

Overland Park, Kansas, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Four Rivers Clinical Research

Paducah, Kentucky, United States

Site Status

Neuroscientific InSights

Rockville, Maryland, United States

Site Status

Marc Hertzman MD, PC

Rockville, Maryland, United States

Site Status

Rochester Center for Behavioral Medicine

Rochester Hills, Michigan, United States

Site Status

Clinical Neurophysiology Services, PC

Sterling Heights, Michigan, United States

Site Status

Behavioral Medical Center - Troy

Troy, Michigan, United States

Site Status

Precise Research Centers

Flowood, Mississippi, United States

Site Status

Comprehensive Psychiatric Associates

Gladstone, Missouri, United States

Site Status

St Charles Psychiatric Associates

Saint Charles, Missouri, United States

Site Status

Premier Psychiatric Research Institute

Lincoln, Nebraska, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Center for Psychiatry and Behavioral Medicine, Inc.

Las Vegas, Nevada, United States

Site Status

Center for Emotional Fitness

Cherry Hill, New Jersey, United States

Site Status

CRCNJ - Clinical Research Center of New Jersey

Gibbsboro, New Jersey, United States

Site Status

Neurcognitive Institute

Mount Arlington, New Jersey, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Duke Child and Family Study Center

Durham, North Carolina, United States

Site Status

Innovis Health, LLC

Fargo, North Dakota, United States

Site Status

North Coast Clinical Trials

Beachwood, Ohio, United States

Site Status

University of Cincinnati Dept. of Psychiatry & Behavioral

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

The Ohio State University Nisonger Center

Columbus, Ohio, United States

Site Status

Midwest Clinical Research Center

Dayton, Ohio, United States

Site Status

Professional Psychiatric Services

Mason, Ohio, United States

Site Status

Family Practice of Wadsworth, Inc.

Wadsworth, Ohio, United States

Site Status

Cyn3rgy Research

Gresham, Oregon, United States

Site Status

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

Portland, Oregon, United States

Site Status

Summit Research Network (Oregon) Inc.

Portland, Oregon, United States

Site Status

Oregon Center for Clinical Investigations, Inc.

Salem, Oregon, United States

Site Status

Carolina Clinical Trials, Inc.

Charleston, South Carolina, United States

Site Status

Coastal Carolina Research Center

Mt. Pleasant, South Carolina, United States

Site Status

Research Strategies of Memphis, LLC

Memphis, Tennessee, United States

Site Status

FutureSearch Trials

Austin, Texas, United States

Site Status

Claghorn-Lesem Reseach Clinic, Ltd.

Houston, Texas, United States

Site Status

Texas Center for Drug Development, Inc.

Houston, Texas, United States

Site Status

Red Oak Psychiatry Associates, PA

Houston, Texas, United States

Site Status

R/D Clinical Research, Inc.

Lake Jackson, Texas, United States

Site Status

Westex Clinical Investigations

Lubbock, Texas, United States

Site Status

Clinical Trials of Texas, Inc.

San Antonio, Texas, United States

Site Status

University of Texas HSC at San Antonio Dept. of Psychiatry

San Antonio, Texas, United States

Site Status

Wharton Research Center, Inc.

Wharton, Texas, United States

Site Status

Psychiatric & Behavioral Solutions

Salt Lake City, Utah, United States

Site Status

University of Virginia Child and Family Psychiatry Clinical

Charlottesville, Virginia, United States

Site Status

NeuroScience, Inc.

Herndon, Virginia, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

Eastside Therapeutic Resource

Kirkland, Washington, United States

Site Status

Summit Research Network (Seattle), LLC

Seattle, Washington, United States

Site Status

Rockwood Clinic, P.S.

Spokane, Washington, United States

Site Status

Countries

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United States

References

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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.

Reference Type DERIVED
PMID: 28980198 (View on PubMed)

Other Identifiers

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SPD489-405

Identifier Type: -

Identifier Source: org_study_id

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