Trial Outcomes & Findings for Evaluation of SPN-812 (Viloxazine Extended-release Capsule) Low Dose in Children With ADHD (NCT NCT03247530)

NCT ID: NCT03247530

Last Updated: 2021-07-02

Results Overview

The Primary Endpoint was the change from baseline in the Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) Total score at Week 6 (End of Study). The ADHD-RS-5 is an ADHD-specific rating scale designed and validated to assess current ADHD symptomatology. The scale consists of 18 items that directly correspond to the 18 Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) symptoms of ADHD. Each item is rated on a 4-point Likert-type scale from 0 (never or rarely) to 3 (very often). A Total score is calculated by adding the responses of all 18 items (range: 0-54; the higher the score, the more severe the ADHD symptoms). Lower change from baseline scores (\<0) represent a better outcome.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

477 participants

Primary outcome timeframe

Baseline and Week 6 (End of Study)

Results posted on

2021-07-02

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo oral capsule Treatment A: Placebo oral capsule was administered once daily
100mg SPN-812
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Overall Study
STARTED
159
154
161
Overall Study
COMPLETED
132
126
141
Overall Study
NOT COMPLETED
27
28
20

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo oral capsule Treatment A: Placebo oral capsule was administered once daily
100mg SPN-812
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Overall Study
Withdrawal by caregiver
19
8
10
Overall Study
Lost to Follow-up
3
9
6
Overall Study
Adverse Event
2
5
2
Overall Study
Failure to follow procedure
1
1
1
Overall Study
Withdrawal by Subject
1
1
0
Overall Study
Study medication misuse
0
1
0
Overall Study
Other, multiple categories
1
3
1

Baseline Characteristics

Evaluation of SPN-812 (Viloxazine Extended-release Capsule) Low Dose in Children With ADHD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=155 Participants
Placebo oral capsule Treatment A: Placebo oral capsule was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Total
n=460 Participants
Total of all reporting groups
Age, Continuous
8.5 years
STANDARD_DEVIATION 1.74 • n=5 Participants
8.5 years
STANDARD_DEVIATION 1.70 • n=7 Participants
8.5 years
STANDARD_DEVIATION 1.67 • n=5 Participants
8.5 years
STANDARD_DEVIATION 1.70 • n=4 Participants
Age, Customized
6 to 9 years
103 Participants
n=5 Participants
103 Participants
n=7 Participants
107 Participants
n=5 Participants
313 Participants
n=4 Participants
Age, Customized
10 to 11 years
52 Participants
n=5 Participants
44 Participants
n=7 Participants
51 Participants
n=5 Participants
147 Participants
n=4 Participants
Sex: Female, Male
Female
58 Participants
n=5 Participants
53 Participants
n=7 Participants
59 Participants
n=5 Participants
170 Participants
n=4 Participants
Sex: Female, Male
Male
97 Participants
n=5 Participants
94 Participants
n=7 Participants
99 Participants
n=5 Participants
290 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
32 Participants
n=5 Participants
38 Participants
n=7 Participants
51 Participants
n=5 Participants
121 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
123 Participants
n=5 Participants
108 Participants
n=7 Participants
107 Participants
n=5 Participants
338 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 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
69 Participants
n=5 Participants
63 Participants
n=7 Participants
69 Participants
n=5 Participants
201 Participants
n=4 Participants
Race (NIH/OMB)
White
77 Participants
n=5 Participants
76 Participants
n=7 Participants
83 Participants
n=5 Participants
236 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=5 Participants
7 Participants
n=7 Participants
6 Participants
n=5 Participants
20 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
Region of Enrollment
United States
155 participants
n=5 Participants
147 participants
n=7 Participants
158 participants
n=5 Participants
460 participants
n=4 Participants
ADHD-RS-5 Total Score
43.6 units on a scale
STANDARD_DEVIATION 7.05 • n=5 Participants
45.0 units on a scale
STANDARD_DEVIATION 6.53 • n=7 Participants
44.0 units on a scale
STANDARD_DEVIATION 6.80 • n=5 Participants
44.2 units on a scale
STANDARD_DEVIATION 6.81 • n=4 Participants
ADHD-RS-5 Inattention Subscale Score
22.5 units on a scale
STANDARD_DEVIATION 3.79 • n=5 Participants
22.8 units on a scale
STANDARD_DEVIATION 3.24 • n=7 Participants
22.9 units on a scale
STANDARD_DEVIATION 3.53 • n=5 Participants
22.7 units on a scale
STANDARD_DEVIATION 3.53 • n=4 Participants
ADHD-RS-5 Hyperactivity/Impulsivity Subscale Score
21.1 units on a scale
STANDARD_DEVIATION 4.90 • n=5 Participants
22.2 units on a scale
STANDARD_DEVIATION 4.65 • n=7 Participants
21.1 units on a scale
STANDARD_DEVIATION 5.15 • n=5 Participants
21.5 units on a scale
STANDARD_DEVIATION 4.92 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline and Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

The Primary Endpoint was the change from baseline in the Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) Total score at Week 6 (End of Study). The ADHD-RS-5 is an ADHD-specific rating scale designed and validated to assess current ADHD symptomatology. The scale consists of 18 items that directly correspond to the 18 Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) symptoms of ADHD. Each item is rated on a 4-point Likert-type scale from 0 (never or rarely) to 3 (very often). A Total score is calculated by adding the responses of all 18 items (range: 0-54; the higher the score, the more severe the ADHD symptoms). Lower change from baseline scores (\<0) represent a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Efficacy of SPN-812 Assessed by Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale, 5th Edition (ADHD-RS-5)
-10.9 score on a scale
Standard Error 1.14
-16.6 score on a scale
Standard Error 1.16
-17.7 score on a scale
Standard Error 1.12

SECONDARY outcome

Timeframe: Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

The first Key Secondary Endpoint was the Clinical Global Impression-Improvement (CGI-I) Scale score at Week 6 (End of Study). The CGI-I scale is a single item assessment of how much the patient's illness has improved or worsened relative to a baseline state prior to the beginning of treatment. The CGI-I is rated on a 7-point Likert scale from 1 to 7, where 1 = "very much improved" and 7 = "very much worse." Successful therapy is indicated by a lower overall score in subsequent testing.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by Clinical Global Impression-Improvement (CGI-I) Scale
3.1 score on a scale
Standard Error 0.10
2.7 score on a scale
Standard Error 0.10
2.6 score on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: Baseline and Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

The second Key Secondary Endpoint was the change from baseline in the Conners 3rd Edition - Parent Short Form (C3PS) Composite T-score at Week 6 (End of Study). The Conners 3rd Edition is a focused diagnostic tool for the assessment of ADHD and associated learning, behavior, and emotional problems in children 6 to 18 years of age. The C3PS is completed by a child's parent/guardian and is comprised of 45 items with subsets of items related to six content scales: inattention, hyperactivity/impulsivity, executive functioning, learning problems, defiance/aggression and peer relations. The parent rates his/her child on the first 43 items of the C3PS using a 4-point Likert scale (0-3; where 0=not at all true \[never, seldom\] and 3=very much true \[very often, very frequently\]) based on past month; the last 2 items are fill-in-the-blank and do not contribute to the raw score(s). Raw scores are converted to T-scores. Lower change from baseline T-scores (\<0) represent a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by Conners 3 - Parent Short Form (C3PS)
-4.8 T-score
Standard Error 0.81
-9.1 T-score
Standard Error 0.83
-9.2 T-score
Standard Error 0.82

SECONDARY outcome

Timeframe: Baseline and Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

The third Key Secondary Endpoint was the change from baseline in the Weiss Functional Impairment Rating Scale-Parent Report (WFIRS-P) Total Average score at Week 6 (End of Study). The WFIRS instrument evaluates ADHD-related functional impairment. The WFIRS-P is completed by the child's parent/guardian and is comprised of 50 items grouped into six domains: Family (10 items), School (10 items, includes learning \[4 items\] and behavior \[6 items\]), Life Skills (10 items), Child's Self-Concept (3 items), Social Activities (7 items), and Risky Activities (10 items). The parent/guardian rates each item on a 4-point Likert scale (0-3; where 0=never or not at all to 3= very often or very much) based on their child's behavior past month. A Total Average score was computed by calculating mean rating of all 50 items (ranging from 0 to 3, where a higher value represents more severe functional impairment). Lower change from baseline Total Average scores (\<0) represent a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by Weiss Functional Impairment Rating Scale-Parent Report (WFIRS-P)
-0.22 score on a scale
Standard Error 0.033
-0.36 score on a scale
Standard Error 0.033
-0.39 score on a scale
Standard Error 0.032

SECONDARY outcome

Timeframe: Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

An additional secondary endpoint was the percentage of responders at Week 6 (End of Study). A responder was defined as a subject who had a 50% or greater reduction (improvement) in their change from baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) Total score at Week 6 (End of Study). Values range from 0 to 100%. A higher percentage represents a greater number of responders.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by 50% Responder Rate Per the Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5)
19.8 percentage of subjects
34.2 percentage of subjects
41.2 percentage of subjects

SECONDARY outcome

Timeframe: Baseline and Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

An additional secondary endpoint was the change from baseline in Parenting Stress Index, Fourth Edition, Short Form (PSI-4-SF) Total score at Week 6 (End of Study). The PSI-4 questionnaire evaluates the magnitude of stress in the parent-child relationship based on the parent's perception of the child's characteristics, the personal characteristics of the parent, and the interaction between the parent and the child. The PSI-4-SF was developed for parents of children ages 1 month to 12 years. The PSI-4-SF consists of 36 items divided into three domains: parental distress, parent-child dysfunctional interaction, and difficult child. Each item is rated on a 5-point Likert scale, where SD=Strongly Disagree, D=Disagree, NS=Not Sure, A=Agree, and SA=Strongly Agree. The total score ranges between 90 and 450; higher total scores indicate higher levels of stress. Lower change from baseline total scores (\<0) represent better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by Parenting Stress Index, Fourth Edition, Short Form (PSI-4-SF)
-8.5 score on a scale
Standard Error 1.61
-8.5 score on a scale
Standard Error 1.63
-10.1 score on a scale
Standard Error 1.58

SECONDARY outcome

Timeframe: Baseline and Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

An additional secondary endpoint was the change from baseline in the Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) Hyperactivity/Impulsivity subscale score and Inattention subscale score at Week 6 (End of Study). The ADHD-RS-5 is an ADHD-specific rating scale designed and validated to assess current ADHD symptomatology. The scale consists of 18 items that directly correspond to the 18 DSM-5 symptoms of ADHD, including 9 items for the Hyperactivity/Impulsivity subscale and 9 items for the Inattention subscale. Each item is rated on a 4-point Likert-type scale from 0 (never or rarely) to 3 (very often). Each subscale score is calculated by adding the responses of all respective 9 items (range: 0-27; the higher the subscale score, the more severe the Hyperactivity/Impulsivity or Inattention symptoms). Lower change from baseline subscale scores (\<0) represent a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by the Hyperactivity/Impulsivity Subscale and the Inattention Subscale of the Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5)
Inattention subscale
-5.7 score on a scale
Standard Error 0.60
-8.6 score on a scale
Standard Error 0.62
-9.2 score on a scale
Standard Error 0.60
Effect of SPN-812 Assessed by the Hyperactivity/Impulsivity Subscale and the Inattention Subscale of the Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5)
Hyperactivity/impulsivity Subscale
-5.5 score on a scale
Standard Error 0.59
-8.0 score on a scale
Standard Error 0.60
-8.7 score on a scale
Standard Error 0.58

SECONDARY outcome

Timeframe: Baseline and Week 6 (End of Study)

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment. There is a lower 'N' for this scale because the scale was only completed by subjects 8 to 11 years of age, since this specific scale is only validated in children 8-18 years of age.

An additional secondary endpoint was the change from baseline in the Conners 3rd Edition - Self Report Short Form (C3-SRS) Composite T score at Week 6 (End of Study). The Conners 3rd Edition is a focused diagnostic tool for assessment of ADHD and associated learning, behavior, and emotional problems in children 6 to 18 years of age. The C3-SRS, which is only validated in children/adolescents 8-18 years of age, is comprised of 41 items with subsets of items related to five content scales: inattention, hyperactivity/impulsivity, learning problems, aggression and family relations. The subject rates himself/herself on the first 39 items of C3-SRS using a 4-point Likert scale (0-3; where 0=not at all true \[never, seldom\] and 3=very much true \[very often, very frequently\] based on past month; the last 2 items are fill-in-the-blank and do not contribute to the raw score(s). Raw scores are converted to T-scores. Lower change from baseline T-scores (\<0) represent a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=102 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=107 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by Conners 3 - Self Report Short Form (C3-SRS)
-3.5 T-score
Standard Error 0.85
-5.3 T-score
Standard Error 0.84
-4.6 T-score
Standard Error 0.83

SECONDARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4, Week 5, Week 6

Population: Intent-to-Treat (ITT) Population: The ITT population includes subjects who were randomized, took at least one dose of study medication, have a baseline Attention-Deficit/Hyperactivity Disorder Rating Scale, 5th Edition (ADHD-RS-5) assessment and have at least one post-baseline ADHD-RS-5 assessment.

An additional secondary endpoint was the percentage of subjects who were "improved" by visit; "improved" was defined as a subject who had a Clinical Global Impression - Improvement (CGI-I) score of 1 = "Very Much Improved" or 2 = "Much Improved". Values range from 0 to 100%. A higher percentage represents a greater number of subjects who were "improved".

Outcome measures

Outcome measures
Measure
Placebo
n=155 Participants
Placebo, oral capsule Treatment A: Placebo was administered once daily
100mg SPN-812
n=147 Participants
SPN-812 oral capsule Treatment B: 100mg SPN-812 was administered once daily and compared to placebo
200mg SPN-812
n=158 Participants
SPN-812 oral capsule Treatment C: 200mg SPN-812 was administered once daily and compared to placebo
Effect of SPN-812 Assessed by Categorical Clinical Global Impression - Improvement (CGI-I) [the Percentage of Subjects Who Were 'Improved"]
Week 1
9.1 percentage of subjects
23.9 percentage of subjects
10.9 percentage of subjects
Effect of SPN-812 Assessed by Categorical Clinical Global Impression - Improvement (CGI-I) [the Percentage of Subjects Who Were 'Improved"]
Week 2
18.9 percentage of subjects
30.5 percentage of subjects
31.8 percentage of subjects
Effect of SPN-812 Assessed by Categorical Clinical Global Impression - Improvement (CGI-I) [the Percentage of Subjects Who Were 'Improved"]
Week 3
26.7 percentage of subjects
40.7 percentage of subjects
38.9 percentage of subjects
Effect of SPN-812 Assessed by Categorical Clinical Global Impression - Improvement (CGI-I) [the Percentage of Subjects Who Were 'Improved"]
Week 4
29.3 percentage of subjects
46.5 percentage of subjects
48.2 percentage of subjects
Effect of SPN-812 Assessed by Categorical Clinical Global Impression - Improvement (CGI-I) [the Percentage of Subjects Who Were 'Improved"]
Week 5
30.7 percentage of subjects
46.3 percentage of subjects
48.1 percentage of subjects
Effect of SPN-812 Assessed by Categorical Clinical Global Impression - Improvement (CGI-I) [the Percentage of Subjects Who Were 'Improved"]
Week 6
29.5 percentage of subjects
45.0 percentage of subjects
50.7 percentage of subjects

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

100mg SPN-812

Serious events: 2 serious events
Other events: 54 other events
Deaths: 0 deaths

200mg SPN-812

Serious events: 1 serious events
Other events: 70 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=159 participants at risk
Placebo oral capsule Treatment A: Placebo administered once daily
100mg SPN-812
n=154 participants at risk
SPN-812 oral capsule Treatment B: 100mg SPN-812 administered once daily and compared to placebo
200mg SPN-812
n=161 participants at risk
SPN-812 oral capsule Treatment C: 200mg SPN-812 administered once daily and compared to placebo
Psychiatric disorders
Pyromania
0.00%
0/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
0.65%
1/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
0.00%
0/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Psychiatric disorders
Conduct disorder
0.00%
0/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
0.65%
1/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
0.00%
0/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Gastrointestinal disorders
Appendicitis
0.00%
0/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
0.00%
0/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
0.62%
1/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)

Other adverse events

Other adverse events
Measure
Placebo
n=159 participants at risk
Placebo oral capsule Treatment A: Placebo administered once daily
100mg SPN-812
n=154 participants at risk
SPN-812 oral capsule Treatment B: 100mg SPN-812 administered once daily and compared to placebo
200mg SPN-812
n=161 participants at risk
SPN-812 oral capsule Treatment C: 200mg SPN-812 administered once daily and compared to placebo
Nervous system disorders
Headache
3.8%
6/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
9.7%
15/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
9.9%
16/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Nervous system disorders
Somnolence
1.9%
3/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
10.4%
16/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
9.3%
15/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
5.2%
8/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
8.7%
14/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Gastrointestinal disorders
Vomiting
1.9%
3/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
4.5%
7/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
5.0%
8/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Infections and infestations
Nasopharyngitis
1.9%
3/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
3.2%
5/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
5.0%
8/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
Nervous system disorders
Sedation
0.00%
0/159 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
1.9%
3/154 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)
5.6%
9/161 • 6 weeks
Number of subjects is based on the Safety Population (defined as subjects who were randomized and took at least one dose of study medication)

Additional Information

Joseph Hull, PhD, Associate Director Clinical Research

Supernus

Phone: 240-403-5324

Results disclosure agreements

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

Restriction type: OTHER