Trial Outcomes & Findings for LDX and Functional Magnetic Resonance Imaging (fMRI in Menopausal Women (NCT NCT01977625)

NCT ID: NCT01977625

Last Updated: 2018-07-27

Results Overview

Blood-oxygen-level dependent contrast imaging, or BOLD-contrast imaging, is a method used in functional magnetic resonance imaging (fMRI) to observe different areas of the brain or other organs, which are found to be active at any given time. BOLD signals were compared from baseline, first intervention and second intervention.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

18 participants

Primary outcome timeframe

10 weeks

Results posted on

2018-07-27

Participant Flow

18 participants were recruited from the parent study NCT01324024 to complete 3 brain imaging scans.

Of the 18 participants who were recruited, they all were deemed eligible based on the criteria for the parent study NCT01324024. In addition, they must have been deemed eligible to undergo a functional brain imaging scan. Of these 18 participants, 14 completed all 3 scans.

Participant milestones

Participant milestones
Measure
Lisdexamfetamine, Then Placebo
Participants first received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks followed by a 2-week washout, then they received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks.
Placebo, Then Lisdexamfetamine
Participants first received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks followed by a 2-week washout, then they received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks..
First Intervention (4 Weeks)
STARTED
11
7
First Intervention (4 Weeks)
COMPLETED
8
7
First Intervention (4 Weeks)
NOT COMPLETED
3
0
Washout (2 Weeks)
STARTED
8
7
Washout (2 Weeks)
COMPLETED
8
7
Washout (2 Weeks)
NOT COMPLETED
0
0
Second Intervention (4 Weeks)
STARTED
8
7
Second Intervention (4 Weeks)
COMPLETED
7
7
Second Intervention (4 Weeks)
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Lisdexamfetamine, Then Placebo
Participants first received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks followed by a 2-week washout, then they received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks.
Placebo, Then Lisdexamfetamine
Participants first received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks followed by a 2-week washout, then they received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks..
First Intervention (4 Weeks)
Withdrawal by Subject
3
0
Second Intervention (4 Weeks)
Withdrawal by Subject
1
0

Baseline Characteristics

LDX and Functional Magnetic Resonance Imaging (fMRI in Menopausal Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=18 Participants
Participants first received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks followed by a 2-week washout, then they received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
53.5 years
n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 weeks

Population: All participants who completed all phases of the study were included in the outcome analysis.

Blood-oxygen-level dependent contrast imaging, or BOLD-contrast imaging, is a method used in functional magnetic resonance imaging (fMRI) to observe different areas of the brain or other organs, which are found to be active at any given time. BOLD signals were compared from baseline, first intervention and second intervention.

Outcome measures

Outcome measures
Measure
Lisdexamfetamine
n=14 Participants
Lisdexamfetamine or Vyvanse Lisdexamfetamine: The overall objective of this study is to assess the effects of LDX on brain activation patterns during tasks of sustained attention and working memory in menopausal women.
Placebo
n=14 Participants
Placebo pill, capsules Placebo: To assess the effects of a placebo pill on brain activation patterns during tasks of sustained attention and working memory in menopausal women.
Percent Change in Blood Oxygen Level Dependent (BOLD) Signal
0.41 percent change
Standard Deviation 0.65
-0.11 percent change
Standard Deviation 0.46

SECONDARY outcome

Timeframe: 10 weeks

Population: Participants who completed all 3 scans.

The total BADDS ranged from 0-120 with higher scores meaning greater problems with memory, attention and focus. Difference in BADDS score from Baseline to End of Treatment for each study Arm was calculated.

Outcome measures

Outcome measures
Measure
Lisdexamfetamine
n=14 Participants
Lisdexamfetamine or Vyvanse Lisdexamfetamine: The overall objective of this study is to assess the effects of LDX on brain activation patterns during tasks of sustained attention and working memory in menopausal women.
Placebo
n=14 Participants
Placebo pill, capsules Placebo: To assess the effects of a placebo pill on brain activation patterns during tasks of sustained attention and working memory in menopausal women.
Change in BADDS Total Score
-23.36 change in units
Standard Deviation 11.57
-8.57 change in units
Standard Deviation 12.51

Adverse Events

Lisdexamfetamine

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Lisdexamfetamine
n=15 participants at risk
Participants first received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks followed by a 2-week washout, then they received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks.
Placebo
n=15 participants at risk
Participants first received Placebo tablets (matching Lisdexamfetamine tablets) each day for 4 weeks followed by a 2-week washout, then they received titrated doses of Lisdexamfetamine 20 to 60 mg/d each day for 4 weeks.
Cardiac disorders
Increase heart rate
6.7%
1/15 • Number of events 1
0.00%
0/15
Cardiac disorders
Increase blood pressure
0.00%
0/15
6.7%
1/15 • Number of events 1

Additional Information

C. Neill Epperson, M.D

University of Pennsylvania

Phone: 215-573-8871

Results disclosure agreements

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