The Efficacy and Safety of PRC-063 in Adult ADHD Patients

NCT ID: NCT02139124

Last Updated: 2019-05-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

375 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2015-01-31

Brief Summary

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The purpose of this randomized, placebo-controlled, double-blind, parallel group study is to evaluate the clinical efficacy and safety of PRC-063 in adults with ADHD

Detailed Description

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This study is a randomized, phase III, multicenter, placebo-controlled, parallel-group, forced-dose titration in which adult subjects (18 years of age or older) with ADHD will be randomized to PRC-063 (25, 45, 70 or 100 mg) or placebo for four weeks of double-blind evaluation of safety and efficacy. The study will have four phases: (1) screening and 1-week washout; (2)baseline and double-blind, forced-dose titration over a 2-week period; (3) double-blind evaluation over a 2-week period; and (4) a 14-day safety follow-up. Subjects will be required to visit the site 6 times over a 5 week period.

Screening and Washout: Subjects will be screened to establish eligibility for study participation. Subjects who meet eligibility requirements will undergo ADHD medication washout, if applicable.

Conditions

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ADHD

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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Placebo

Placebo Arm

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral placebo capsule

PRC-063 25 mg

PRC-063 25 mg

Group Type EXPERIMENTAL

PRC-063 25 mg

Intervention Type DRUG

Oral 25 mg capsule - active

PRC-063 45 mg

PRC-063 45 mg

Group Type ACTIVE_COMPARATOR

PRC-063 45 mg

Intervention Type DRUG

Oral 45 mg capsule - active

PRC-063 70 mg

PRC-063 70 mg

Group Type ACTIVE_COMPARATOR

PRC-063 70 mg

Intervention Type DRUG

Oral 70 mg capsule - active

PRC-063 100 mg

PRC-063 100 mg

Group Type ACTIVE_COMPARATOR

PRC-063 100 mg

Intervention Type DRUG

Oral 100 mg capsule - active

Interventions

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Placebo

Oral placebo capsule

Intervention Type DRUG

PRC-063 25 mg

Oral 25 mg capsule - active

Intervention Type DRUG

PRC-063 45 mg

Oral 45 mg capsule - active

Intervention Type DRUG

PRC-063 70 mg

Oral 70 mg capsule - active

Intervention Type DRUG

PRC-063 100 mg

Oral 100 mg capsule - active

Intervention Type DRUG

Other Intervention Names

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Placebo capsule 25 mg capsule 45 mg capsule 70 mg capsule 100 mg capsule

Eligibility Criteria

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Inclusion Criteria

* Male or non-pregnant, non-nursing female at least 18 years of age and meeting the local, legal definition of adult.
* ADHD diagnosis, inattentive, hyperactive/impulsive or combined, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) based on clinician assessment using multiple informants and a structured interview.
* Unsatisfied with his or her current pharmacological therapy for treatment of ADHD or not currently receiving pharmacological therapy for ADHD. Inclusion of subjects naïve to pharmacological therapy for ADHD is permitted.
* Female subjects must be one of the following: a. surgically sterile prior to screening; b.

postmenopausal; c. if of childbearing potential, abstinent or willing to use a reliable method of contraception, such as oral contraceptive, two barrier methods, a barrier method plus a spermicidal agent.

* Female subjects of Child-Bearing Potential (FOCP) must have a negative serum β-hCG pregnancy test at screening.
* Minimum level of intellectual functioning, as determined by an Intelligence Quotient (IQ) score of 80 or above based on the WASI.
* Mentally and physically competent to sign an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
* Able and willing to comply with the study procedures for the entire length of the study, including a successful swallow test of an empty 100 mg capsule.

Exclusion Criteria

* Having an allergy to methylphenidate or amphetamines or a history of serious adverse reactions to methylphenidate.
* Known to be non-responsive to methylphenidate treatment. Non-response is defined as methylphenidate use at various doses for a phase of at least four weeks at each dose with little or no clinical benefit.
* Being diagnosed with or having a history of strokes, epilepsy, migraine headaches (greater than 1 instance every two months), glaucoma, thyrotoxicosis, tachyarrhythmias or severe angina pectoris or serious or unstable medical illness. Subjects with controlled or stable asthma or diabetes will be permitted.
* Elevated blood pressure, defined as any values above 89 diastolic or 139 systolic, as assessed at Visit 1.
* Clinically significant ECG abnormalities, as assessed at Visit 1.
* Clinically significant laboratory abnormalities, as assessed at Visit 1.
* Currently receiving guanethidine, pressor agents, MAO inhibitors, coumarin anticoagulants, anticonvulsants (e.g. phenobarbital, phenytoin, primidone), phenylbutazone, tricyclic antidepressants (e.g. imipramine, desipramine), selective serotonin reuptake inhibitors (SSRIs) or herbal remedies (unless on a stable dose for 4 weeks).
* Subject has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary heart disease, transient ischemic attack or stroke or other serious cardiac problems that may place the subject at increased vulnerability to the sympathomimetic effects of a stimulant drug.
* Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
* Subjects who are currently considered a suicide risk by the investigator.
* Having a primary diagnosis of schizophrenia, schizoaffective disorder, primary affective disorder, schizotypal personality, major depression, bipolar disorder, generalized anxiety, borderline personality disorder, antisocial personality or another unstable psychiatric condition requiring treatment, as assessed by the structured interview conducted at Visit 1.
* Having a history or suspected physiological dependence (excluding nicotine) on narcotic analgesics or other psychoactive drugs (including barbiturates, opiates, cocaine, cannabinoids, amphetamines and benzodiazepines).
* Excessive consumption of alcohol (consumes alcohol in quantities greater than 15 drinks per week; 1 drink is defined as 360 mL/12 oz. of beer, 120 mL/4 oz. of wine, or 30 mL/1 oz. of hard liquor), or history (within previous 6 months) of alcohol abuse.
* Currently (or within 30 days before the planned start of treatment) receiving an investigational drug or using an experimental medical device.
* Homeless.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Purdue Pharma, Canada

INDUSTRY

Sponsor Role collaborator

Rhodes Pharmaceuticals, L.P.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joseph Reiz

Role: STUDY_DIRECTOR

Purdue Pharma LP

Locations

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UCLA

Los Angeles, California, United States

Site Status

Synergy Clinical Research

National City, California, United States

Site Status

Newport Beach Clinical Research Associates, Inc.

Newport Beach, California, United States

Site Status

Orange County Neuro Phychiatry Research Centre

Orange, California, United States

Site Status

Florida Clinical Research Center

Bradenton, Florida, United States

Site Status

Sarkis Clinical Research

Gainesville, Florida, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

CNS Healthcare Jacksonville

Jacksonville, Florida, United States

Site Status

Florida Clinical Research Center

Maitland, Florida, United States

Site Status

Clinical Neuroscience Solutions

Orlando, Florida, United States

Site Status

Stedman Clinical Trials

Tampa, Florida, United States

Site Status

Advanced Clinical Research

Boise, Idaho, United States

Site Status

Center for Psychiatry and Behavioral Medicine Inc.

Las Vegas, Nevada, United States

Site Status

Princeton Medical Institute

Princeton, New Jersey, United States

Site Status

Medical Research Network

New York, New York, United States

Site Status

Wake Research Associates

Raleigh, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

IPS Research Company

Oklahoma City, Oklahoma, United States

Site Status

Oregon Center for Clinical Investigation

Portland, Oregon, United States

Site Status

Oregon Center for Clinical Investigation

Salem, Oregon, United States

Site Status

Clinical Neuroscience Solutions Inc.

Memphis, Tennessee, United States

Site Status

FutureSearch Clinical Trials, L.P.

Austin, Texas, United States

Site Status

FutureSearch Trials of Dallas, L.P.

Dallas, Texas, United States

Site Status

Bayou City Research Ltd

Houston, Texas, United States

Site Status

Red Oak Psychiatry Associates

Houston, Texas, United States

Site Status

Houston Clinical Trials

Houston, Texas, United States

Site Status

Westex Clinical Investigations

Lubbock, Texas, United States

Site Status

Ericksen Research

Clinton, Utah, United States

Site Status

Physiciatric and Behavioral Solutions

Salt Lake City, Utah, United States

Site Status

Woodstock Research Center at Neuropsychiatric Associates

Woodstock, Vermont, United States

Site Status

NeuroScience

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

Dr. Margaret Weiss

Vancouver, British Columbia, Canada

Site Status

Doctors Jackiewicz Professional Medical Corporation

Niagara Falls, Ontario, Canada

Site Status

Dr. Judy van Stralen

Ottawa, Ontario, Canada

Site Status

The Kids Clinic

Whitby, Ontario, Canada

Site Status

Diex Research Sherbrooke Inc.

Sherbrooke, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Weiss MD, Surman C, Khullar A, He E, Cataldo M, Donnelly G. Effect of a Multi-Layer, Extended-Release Methylphenidate Formulation (PRC-063) on Sleep in Adults with ADHD: A Randomized, Double-Blind, Forced-Dose, Placebo-Controlled Trial Followed by a 6-month Open-Label Extension. CNS Drugs. 2021 Jun;35(6):667-679. doi: 10.1007/s40263-021-00814-z. Epub 2021 May 31.

Reference Type DERIVED
PMID: 34057707 (View on PubMed)

Other Identifiers

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063-010

Identifier Type: -

Identifier Source: org_study_id

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