Trial Outcomes & Findings for Amiloride Hydrochloride as an Effective Treatment for ADHD (NCT NCT01733680)

NCT ID: NCT01733680

Last Updated: 2018-07-20

Results Overview

CGI Improvement scale: 1=very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse

Recruitment status

TERMINATED

Study phase

EARLY_PHASE1

Target enrollment

3 participants

Primary outcome timeframe

8 weeks

Results posted on

2018-07-20

Participant Flow

Subjects were recruited via a medical clinic and outside advertisement. Due to the stringent inclusion/exclusion criteria, we were only able to recruit 3 subjects and the physician who was conducting the study chose not to continue and we were unable to find another physician.

Participant milestones

Participant milestones
Measure
Amiloride
Drug: Subjects will take 5mg qd Amiloride for 2 weeks, 10mg qd Amiloride for 3 weeks, 15 mg qd Amiloride for 3 weeks. Behavioral: Each week subjects will complete the AISRS, BRIEF-A, and CGI. amiloride: Subjects will take either amiloride hydrochloride or placebo for 8 weeks. Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Placebo
Drug: Subjects will take placebo for 8 weeks Behavioral: Each week subjects will complete questionnaires: AISRS, BRIEF-A, and CGI Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Overall Study
STARTED
2
1
Overall Study
COMPLETED
2
0
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Amiloride
Drug: Subjects will take 5mg qd Amiloride for 2 weeks, 10mg qd Amiloride for 3 weeks, 15 mg qd Amiloride for 3 weeks. Behavioral: Each week subjects will complete the AISRS, BRIEF-A, and CGI. amiloride: Subjects will take either amiloride hydrochloride or placebo for 8 weeks. Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Placebo
Drug: Subjects will take placebo for 8 weeks Behavioral: Each week subjects will complete questionnaires: AISRS, BRIEF-A, and CGI Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Amiloride Hydrochloride as an Effective Treatment for ADHD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1-Amiloride
n=2 Participants
Subjects received amiloride hydrochloride (5 mg for 2 weeks, 10 mg for 3 week, and 15 mg for 3 weeks.
Arm 2-Placebo
n=1 Participants
Subjects received placebo for 8 weeks.
Total
n=3 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
CGI
4.0 units on a scale
n=5 Participants
5 units on a scale
n=7 Participants
4.33 units on a scale
n=5 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: There was no statistical analysis done due to the small number of participants in the study

CGI Improvement scale: 1=very much improved; 2=Much improved; 3=Minimally improved; 4=No change; 5=Minimally worse; 6=Much worse; 7=Very much worse

Outcome measures

Outcome measures
Measure
Amiloride
n=2 Participants
Drug: Subjects will take 5mg qd Amiloride for 2 weeks, 10mg qd Amiloride for 3 weeks, 15 mg qd Amiloride for 3 weeks. Behavioral: Each week subjects will complete the AISRS, BRIEF-A, and CGI. amiloride: Subjects will take either amiloride hydrochloride or placebo for 8 weeks. Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Placebo
n=1 Participants
Drug: Subjects will take placebo for 8 weeks Behavioral: Each week subjects will complete questionnaires: AISRS, BRIEF-A, and CGI Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Improvement in CGI
CGI Week 3
4 Units on a scale
Interval 4.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0
Improvement in CGI
CGI Week 4
4 Units on a scale
Interval 4.0 to 4.0
3 Units on a scale
Interval 3.0 to 3.0
Improvement in CGI
CGI Week 5
4 Units on a scale
Interval 4.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0
Improvement in CGI
CGI Week 6
3.5 Units on a scale
Interval 3.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0
Improvement in CGI
CGI Week 7
4 Units on a scale
Interval 4.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0
Improvement in CGI
CGI Week 8
3.5 Units on a scale
Interval 3.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0
Improvement in CGI
CGI Week 9
3.5 Units on a scale
Interval 3.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0
Improvement in CGI
CGI Week 10
3.5 Units on a scale
Interval 3.0 to 4.0
5 Units on a scale
Interval 5.0 to 5.0

SECONDARY outcome

Timeframe: 8 weeks

Population: Statistical analysis of the outcome data was not done due to the small N.

An 18 item clinician administered questionnaire to evaluate ADHD in adults. Responses to questions were 0-None, 1-Mild, 2-Moderate, 3-Severe. A decrease of 30% in the total score would be considered improvement. Total score range is 0-54. A lower score indicates improvement in symptoms. A score of 24 or more indicates symptomatic ADHD.

Outcome measures

Outcome measures
Measure
Amiloride
n=2 Participants
Drug: Subjects will take 5mg qd Amiloride for 2 weeks, 10mg qd Amiloride for 3 weeks, 15 mg qd Amiloride for 3 weeks. Behavioral: Each week subjects will complete the AISRS, BRIEF-A, and CGI. amiloride: Subjects will take either amiloride hydrochloride or placebo for 8 weeks. Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Placebo
n=1 Participants
Drug: Subjects will take placebo for 8 weeks Behavioral: Each week subjects will complete questionnaires: AISRS, BRIEF-A, and CGI Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
AISRS, Adult ADHD Investigator Rating Scale
Week 3
39 Total score
Interval 30.0 to 48.0
54 Total score
Interval 54.0 to 54.0
AISRS, Adult ADHD Investigator Rating Scale
Week 4
38.5 Total score
Interval 29.0 to 48.0
51 Total score
Interval 51.0 to 51.0
AISRS, Adult ADHD Investigator Rating Scale
Week 5
32.5 Total score
Interval 18.0 to 47.0
50 Total score
Interval 50.0 to 50.0
AISRS, Adult ADHD Investigator Rating Scale
Week 6
31 Total score
Interval 20.0 to 42.0
50 Total score
Interval 50.0 to 50.0
AISRS, Adult ADHD Investigator Rating Scale
Week 7
31 Total score
Interval 17.0 to 45.0
50 Total score
Interval 50.0 to 50.0
AISRS, Adult ADHD Investigator Rating Scale
Week 8
34 Total score
Interval 19.0 to 49.0
50 Total score
Interval 50.0 to 50.0
AISRS, Adult ADHD Investigator Rating Scale
Week 9
26 Total score
Interval 14.0 to 38.0
50 Total score
Interval 50.0 to 50.0
AISRS, Adult ADHD Investigator Rating Scale
Week 10
32.5 Total score
Interval 20.0 to 45.0
50 Total score
Interval 50.0 to 50.0

SECONDARY outcome

Timeframe: 8 weeks

Population: Statistical analysis of the outcome data was not done due to the small N of each group

BRIEF-A is a 75 item self report questionnaire that measures behavior and executive function. For each item the subject is asked "during the past month, how often has each of the following behaviors been a problem?:" The choices are N (never), S (sometimes), O (Often). Total score for the Global Executive Composite used. Raw data were transformed into t-scores, which are standardized scores that indicate the number of standard deviations away from the mean. A T-score of 50 is equal to the mean. Values less than 65 indicate executive function is not a problem and values greater than 65 indicate executive function is often a problem.

Outcome measures

Outcome measures
Measure
Amiloride
n=2 Participants
Drug: Subjects will take 5mg qd Amiloride for 2 weeks, 10mg qd Amiloride for 3 weeks, 15 mg qd Amiloride for 3 weeks. Behavioral: Each week subjects will complete the AISRS, BRIEF-A, and CGI. amiloride: Subjects will take either amiloride hydrochloride or placebo for 8 weeks. Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
Placebo
n=1 Participants
Drug: Subjects will take placebo for 8 weeks Behavioral: Each week subjects will complete questionnaires: AISRS, BRIEF-A, and CGI Behavioral: Each week of the study, subjects will complete the AISRS, BRIEF-A, and CGI to measure symptom improvement
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 3
66.5 Global Executive Composite T Score
Interval 63.5 to 69.5
95 Global Executive Composite T Score
Interval 92.0 to 98.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 4
70.5 Global Executive Composite T Score
Interval 67.5 to 73.5
92 Global Executive Composite T Score
Interval 89.0 to 95.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 5
68 Global Executive Composite T Score
Interval 65.0 to 71.0
96 Global Executive Composite T Score
Interval 93.0 to 99.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 6
68.5 Global Executive Composite T Score
Interval 65.5 to 71.5
96 Global Executive Composite T Score
Interval 93.0 to 99.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 7
62.5 Global Executive Composite T Score
Interval 59.5 to 65.5
96 Global Executive Composite T Score
Interval 93.0 to 99.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 8
62.5 Global Executive Composite T Score
Interval 59.5 to 65.5
96 Global Executive Composite T Score
Interval 93.0 to 99.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 9
62.5 Global Executive Composite T Score
Interval 59.5 to 65.5
96 Global Executive Composite T Score
Interval 93.0 to 99.0
The Behavior Rating Inventory of Executive Function-Adult (BRIEF-A)
Week 10
62 Global Executive Composite T Score
Interval 59.0 to 65.0
96 Global Executive Composite T Score
Interval 93.0 to 99.0

Adverse Events

Amiloride

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Gail P DePalma

SUNy Upstate Medical University

Phone: 3154643260

Results disclosure agreements

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