Trial Outcomes & Findings for Bioavailability Study of SPD489 Administered With Two Different Means of Administration in Healthy Adult Volunteers (NCT NCT01890785)

NCT ID: NCT01890785

Last Updated: 2021-06-03

Results Overview

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

30 participants

Primary outcome timeframe

Up to 96 hours post-dose

Results posted on

2021-06-03

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence 1
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for second intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for third intervention
Sequence 2
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for first intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for third intervention
Sequence 3
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for second intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for third intervention
Sequence 4
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for first intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for third intervention
Sequence 5
Lisdexamfetamine Dimesylate 70mg intact capsule fasting for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for third intervention
Sequence 6
Lisdexamfetamine Dimesylate 70mg intact capsule fasting for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for third intervention
First Intervention
STARTED
5
5
5
5
5
5
First Intervention
COMPLETED
5
5
5
5
5
5
First Intervention
NOT COMPLETED
0
0
0
0
0
0
Second Intervention
STARTED
5
5
5
5
5
5
Second Intervention
COMPLETED
5
5
5
5
5
5
Second Intervention
NOT COMPLETED
0
0
0
0
0
0
Third Intervention
STARTED
5
5
5
5
5
5
Third Intervention
COMPLETED
5
4
5
5
5
5
Third Intervention
NOT COMPLETED
0
1
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for second intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for third intervention
Sequence 2
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for first intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for third intervention
Sequence 3
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for second intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for third intervention
Sequence 4
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for first intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for third intervention
Sequence 5
Lisdexamfetamine Dimesylate 70mg intact capsule fasting for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for third intervention
Sequence 6
Lisdexamfetamine Dimesylate 70mg intact capsule fasting for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for third intervention
Third Intervention
Withdrawal by Subject
0
1
0
0
0
0

Baseline Characteristics

Bioavailability Study of SPD489 Administered With Two Different Means of Administration in Healthy Adult Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence 1
n=5 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for second intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for third intervention
Sequence 2
n=5 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for first intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for third intervention
Sequence 3
n=5 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for second intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for third intervention
Sequence 4
n=5 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for first intervention; then Lisdexamfetamine Dimesylate 70mg intact capsule fasting for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for third intervention
Sequence 5
n=5 Participants
Lisdexamfetamine Dimesylate 70mg intact capsule fasting for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for third intervention
Sequence 6
n=5 Participants
Lisdexamfetamine Dimesylate 70mg intact capsule fasting for first intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt for second intervention; then Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice for third intervention
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
32.6 Years
STANDARD_DEVIATION 10.16 • n=5 Participants
35.4 Years
STANDARD_DEVIATION 12.42 • n=7 Participants
42.2 Years
STANDARD_DEVIATION 4.44 • n=5 Participants
34.2 Years
STANDARD_DEVIATION 12.42 • n=4 Participants
39.6 Years
STANDARD_DEVIATION 9.86 • n=21 Participants
41.8 Years
STANDARD_DEVIATION 10.06 • n=10 Participants
37.6 Years
STANDARD_DEVIATION 10.07 • n=115 Participants
Age, Customized
Between 18 and 65 years, inclusive
5 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
5 Participants
n=4 Participants
5 Participants
n=21 Participants
5 Participants
n=10 Participants
30 Participants
n=115 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
2 Participants
n=10 Participants
8 Participants
n=115 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
3 Participants
n=21 Participants
3 Participants
n=10 Participants
22 Participants
n=115 Participants
Region of Enrollment
UNITED STATES
5 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
5 Participants
n=4 Participants
5 Participants
n=21 Participants
5 Participants
n=10 Participants
30 Participants
n=115 Participants

PRIMARY outcome

Timeframe: Up to 96 hours post-dose

Population: Pharmacokinetic Set consisted of all subjects in the Safety Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Safety Set consisted of subjects who took at least 1 dose of investigational product and had at least 1 post-dose safety assessment.

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Outcome measures

Outcome measures
Measure
Lisdexamfetamine Dimesylate Mixed in Orange Juice
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Mixed in Vanilla Yogurt
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Intact Capsule Fasting
n=30 Participants
Lisdexamfetamine Dimesylate 70 mg capsule administered under fasted conditions (Single dose of a 70 mg capsule on Day 1)
Area Under the Plasma Concentration-time Curve (AUC) for Lisdexamfetamine Dimesylate
27.0 ng*hr/ml
Standard Deviation 7.8
36.0 ng*hr/ml
Standard Deviation 14.2
38.3 ng*hr/ml
Standard Deviation 12.3

PRIMARY outcome

Timeframe: Up to 96 hours post-dose

Population: Pharmacokinetic Set consisted of all subjects in the Safety Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Safety Set consisted of subjects who took at least 1 dose of investigational product and had at least 1 post-dose safety assessment.

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated.

Outcome measures

Outcome measures
Measure
Lisdexamfetamine Dimesylate Mixed in Orange Juice
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Mixed in Vanilla Yogurt
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Intact Capsule Fasting
n=30 Participants
Lisdexamfetamine Dimesylate 70 mg capsule administered under fasted conditions (Single dose of a 70 mg capsule on Day 1)
Maximum Plasma Concentration (Cmax) for Lisdexamfetamine Dimesylate
24.5 ng/ml
Standard Deviation 7.48
32.2 ng/ml
Standard Deviation 11.46
38.5 ng/ml
Standard Deviation 13.07

PRIMARY outcome

Timeframe: Up to 96 hours post-dose

Population: Pharmacokinetic Set consisted of all subjects in the Safety Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Safety Set consisted of subjects who took at least 1 dose of investigational product and had at least 1 post-dose safety assessment.

d-Amphetamine is a metabolite of Lisdexamfetamine Dimesylate and is an active form that is responsible for the drug's therapeutic activity.

Outcome measures

Outcome measures
Measure
Lisdexamfetamine Dimesylate Mixed in Orange Juice
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Mixed in Vanilla Yogurt
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Intact Capsule Fasting
n=30 Participants
Lisdexamfetamine Dimesylate 70 mg capsule administered under fasted conditions (Single dose of a 70 mg capsule on Day 1)
AUC for D-amphetamine
1140.9 ng*h/ml
Standard Deviation 274.1
1110.1 ng*h/ml
Standard Deviation 252.9
1180.2 ng*h/ml
Standard Deviation 295.1

PRIMARY outcome

Timeframe: Up to 96 hours-post-dose

Population: Pharmacokinetic Set consisted of all subjects in the Safety Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Safety Set consisted of subjects who took at least 1 dose of investigational product and had at least 1 post-dose safety assessment.

d-Amphetamine is a metabolite of Lisdexamfetamine Dimesylate and is an active form that is responsible for the drug's therapeutic activity.

Outcome measures

Outcome measures
Measure
Lisdexamfetamine Dimesylate Mixed in Orange Juice
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Mixed in Vanilla Yogurt
n=30 Participants
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Intact Capsule Fasting
n=30 Participants
Lisdexamfetamine Dimesylate 70 mg capsule administered under fasted conditions (Single dose of a 70 mg capsule on Day 1)
Cmax for D-amphetamine
59.1 ng/ml
Standard Deviation 9.47
59.0 ng/ml
Standard Deviation 9.28
61.0 ng/ml
Standard Deviation 10.81

Adverse Events

Lisdexamfetamine Dimesylate Mixed in Orange Juice

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Lisdexamfetamine Dimesylate Mixed in Vanilla Yogurt

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Lisdexamfetamine Dimesylate Intact Capsule Fasting

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Lisdexamfetamine Dimesylate Mixed in Orange Juice
n=30 participants at risk
Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice (Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Mixed in Vanilla Yogurt
n=30 participants at risk
Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt(Single dose of a 70 mg capsule on Day 1)
Lisdexamfetamine Dimesylate Intact Capsule Fasting
n=30 participants at risk
Lisdexamfetamine Dimesylate 70 mg capsule administered under fasted conditions (Single dose of a 70 mg capsule on Day 1)
Gastrointestinal disorders
Dry mouth
10.0%
3/30 • Number of events 3
16.7%
5/30 • Number of events 5
10.0%
3/30 • Number of events 3
Metabolism and nutrition disorders
Decreased appetite
30.0%
9/30 • Number of events 9
26.7%
8/30 • Number of events 8
10.0%
3/30 • Number of events 3
Nervous system disorders
Dizziness
3.3%
1/30 • Number of events 1
6.7%
2/30 • Number of events 2
3.3%
1/30 • Number of events 1
Nervous system disorders
Headache
13.3%
4/30 • Number of events 4
10.0%
3/30 • Number of events 3
13.3%
4/30 • Number of events 4
Nervous system disorders
Psychomotor hyperactivity
3.3%
1/30 • Number of events 1
6.7%
2/30 • Number of events 2
3.3%
1/30 • Number of events 1
Psychiatric disorders
Anxiety
0.00%
0/30
0.00%
0/30
6.7%
2/30 • Number of events 2

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