Trial Outcomes & Findings for Pharmacokinetic Study of Methylphenidate HCl Extended-Release Capsules in Children 4 to Under 6 Years of Age With ADHD (NCT NCT02470234)

NCT ID: NCT02470234

Last Updated: 2021-11-24

Results Overview

Maximum plasma concentration

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

10 participants

Primary outcome timeframe

Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Results posted on

2021-11-24

Participant Flow

It was a parallel design study, where subjects were recruited from July 02, 2016 - July 19, 2017. Eligible subjects received one capsule of Methylphenidate HCl ER (10, 15, 20, 30, or 40 mg) on only one of the 3 dosing days depending on number of subjects recruited up each particular dosing day. Only 1 site was able to recruit subjects.

Participant milestones

Participant milestones
Measure
Methylphenidate HCl ER 10 mg
Subjects received a single dose of Methylphenidate HCl ER 10 mg . This dose was equivalent to their current total daily methylphenidate dose.
Methylphenidate HCl ER 15 mg
Subjects received a single dose of Methylphenidate HCl ER 15 mg . This dose was equivalent to their current total daily methylphenidate dose.
Methylphenidate HCl ER 20 mg
Subjects received a single dose of Methylphenidate HCl ER 20 mg . This dose was equivalent to their current total daily methylphenidate dose.
Overall Study
STARTED
5
3
2
Overall Study
COMPLETED
5
3
2
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetic Study of Methylphenidate HCl Extended-Release Capsules in Children 4 to Under 6 Years of Age With ADHD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Methylphenidate HCl ER 10 mg
n=5 Participants
Subjects received a single dose of Methylphenidate HCl ER 10 mg
Methylphenidate HCl ER 15 mg
n=3 Participants
Subjects received a single dose of Methylphenidate HCl ER 15 mg
Methylphenidate HCl ER 20 mg
n=2 Participants
Subjects received a single dose of Methylphenidate HCl ER 20 mg
Total
n=10 Participants
Total of all reporting groups
Age, Continuous
61.0 Months
STANDARD_DEVIATION 8.03 • n=5 Participants
63.3 Months
STANDARD_DEVIATION 5.51 • n=7 Participants
70.5 Months
STANDARD_DEVIATION 0.71 • n=5 Participants
63.6 Months
STANDARD_DEVIATION 7.06 • n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
7 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
7 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
BMI
15.3 kg/m^2
STANDARD_DEVIATION 0.55 • n=5 Participants
15.3 kg/m^2
STANDARD_DEVIATION 0.98 • n=7 Participants
15.3 kg/m^2
STANDARD_DEVIATION 2.26 • n=5 Participants
15.3 kg/m^2
STANDARD_DEVIATION 0.96 • n=4 Participants

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per protocol

Maximum plasma concentration

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=5 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=2 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Cmax
8.07 ng/mL
Standard Deviation 1.702
10.09 ng/mL
Standard Deviation 0.620
15.45 ng/mL
Standard Deviation 1.061

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per Protocol

Area under the plasma concentration versus time curve (calculated to the last measurable observation). AUC: Area Under the Curve

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=5 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=2 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
AUC(0-t)
89.18 ng*hr/mL
Standard Deviation 25.047
118.49 ng*hr/mL
Standard Deviation 18.211
155.95 ng*hr/mL
Standard Deviation 35.209

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per protocol. (n=1) Standard Deviation was not estimable.

Area under the plasma concentration versus time curve, extrapolated to infinity. AUC: Area Under the Curve

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
AUC(0-inf)
105.26 ng*hr/mL
Standard Deviation 21.831
140.68 ng*hr/mL
Standard Deviation 0
144.26 ng*hr/mL
Standard Deviation 0

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per Protocol.

Dose-normalized AUC0-t. AUC: Area Under the Curve

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=5 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=2 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
AUC/D
8.92 ng*hr/mL/mg
Standard Deviation 2.505
7.90 ng*hr/mL/mg
Standard Deviation 1.214
7.80 ng*hr/mL/mg
Standard Deviation 1.760

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per protocol. (n=1) Standard Deviation was not estimable.

Apparent clearance. CL: Clearance

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
CL/F
97.51 L/h
Standard Deviation 18.095
106.63 L/h
Standard Deviation 0
138.64 L/h
Standard Deviation 0

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per protocol. (n=1) Standard Deviation was not estimable.

Volume of distribution

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
V(Dss)/F
682.49 L
Standard Deviation 182.605
1952.17 L
Standard Deviation 0
1396.96 L
Standard Deviation 0

PRIMARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per Protocol

Dose-normalized Cmax

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=5 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=2 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Cmax/Dose
0.81 ng/mL/mg
Standard Deviation 0.170
0.67 ng/mL/mg
Standard Deviation 0.041
0.77 ng/mL/mg
Standard Deviation 0.053

SECONDARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per Protocol

Time to peak plasma concentration

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=5 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=2 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Tmax
2.0 h
Interval 1.0 to 3.0
3.0 h
Interval 3.0 to 12.0
2.0 h
Interval 2.0 to 2.0

SECONDARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per Protocol. (n=1) Standard Deviation was not estimable.

Elimination half-life

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
T1/2
4.80 h
Standard Deviation 0.466
12.69 h
Standard Deviation 0
6.98 h
Standard Deviation 0

SECONDARY outcome

Timeframe: Day 1 at time 0 (within 30-60 minutes pre-dose) and 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Population: Per Protocol. (n=1) Standard Deviation was not estimable

Terminal elimination constant

Outcome measures

Outcome measures
Measure
Methylphenidate HCl ER 10 mg
n=3 Participants
Active drug, administered once Methylphenidate HCl ER 10 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 15 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Methylphenidate HCl ER 20 mg
n=1 Participants
Active drug, administered once Methylphenidate HCl ER 15 mg Capsule: Methylphenidate Hydrochloride Extended-Release Capsules single dose administered in the morning under fed conditions
Kel
0.15 h-1
Standard Deviation 0.015
0.05 h-1
Standard Deviation 0
0.10 h-1
Standard Deviation 0

Adverse Events

Methylphenidate HCl ER 10 mg

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

Methylphenidate HCl ER 15 mg

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

Methylphenidate HCl ER 20 mg

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Methylphenidate HCl ER 10 mg
n=5 participants at risk
Subjects received a single dose of Methylphenidate HCl ER 10 mg
Methylphenidate HCl ER 15 mg
n=3 participants at risk
Subjects received a single dose of Methylphenidate HCl ER 15 mg
Methylphenidate HCl ER 20 mg
n=2 participants at risk
Subjects received a single dose of Methylphenidate HCl ER 20 mg
Infections and infestations
Upper respiratory tract infection
20.0%
1/5 • Number of events 1 • From check in until 24 hours post dose
Definitions for SAEs and AEs do not differ from ClinicalTrials.gov definitions
0.00%
0/3 • From check in until 24 hours post dose
Definitions for SAEs and AEs do not differ from ClinicalTrials.gov definitions
0.00%
0/2 • From check in until 24 hours post dose
Definitions for SAEs and AEs do not differ from ClinicalTrials.gov definitions

Additional Information

Dr. Akwete Adjei

Rhodes Pharmaceuticals L.P.

Phone: 401-262-9408

Results disclosure agreements

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