Efficacy of Lisdexamfetamine Dimesylate for Promoting Occupational Success in Young Adults With ADHD

NCT ID: NCT03446885

Last Updated: 2021-06-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-01

Study Completion Date

2019-08-30

Brief Summary

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There has been little research on the third area of impairment noted in the Diagnostic and Statistical Manual of Mental Disorders - "occupational functioning." Individuals with ADHD experience job-related impairments including a greater likelihood of being unemployed and not enrolled in school and for those that were employed they were in a lower status occupation, relative to typically-developing comparison peers. The current literature on analogue workplace settings and the effects of lisdexamfetamine dimesylate includes office-based tasks similar to school seat work. Unfortunately, this is inconsistent with the typical work environment most common for individuals with disabilities such as ADHD where food preparation is the most common job following high school. Therefore, medication effects in this type of setting, most common for individuals with ADHD entering the workforce, need to be studied. The investigators propose to study workplace behavior in an analogue work setting in a laboratory "pizza place." Individuals with ADHD will participate in an interview with a supervisor each day, have a list of deliveries that need to be managed, deal with situations that require occupational judgment and appropriate customer service, and drive to make deliveries accurately and on-time. These behaviors can be reliably assessed within the laboratory. Twenty young adults will participate in two "workdays" within a randomized, double-blind, placebo-controlled design wherein participants will be administered placebo and .3 mg/kg lisdexamfetamine dimesylate in a counter-balanced order.

Detailed Description

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Conditions

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Attention Deficit Disorder With Hyperactivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

All participants received placebo and 40 mg Vyvanse in a cross-over design. Order of administration was randomly assigned and counter-balanced across participants
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Lab visit 1

40 mg of Vyvanse administered q.a.m. or Placebo administered in random, counter-balanced fashion.

Group Type EXPERIMENTAL

Lisdexamfetamine Dimesylate 40 MG

Intervention Type DRUG

Lisdexamfetamine Dimesylate 40 MG administered orally

Placebo

Intervention Type DRUG

Placebo capsule administered orally

Lab visit 2

40 mg of Vyvanse administered q.a.m. or Placebo administered in random, counter-balanced fashion.

Group Type EXPERIMENTAL

Lisdexamfetamine Dimesylate 40 MG

Intervention Type DRUG

Lisdexamfetamine Dimesylate 40 MG administered orally

Placebo

Intervention Type DRUG

Placebo capsule administered orally

Interventions

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Lisdexamfetamine Dimesylate 40 MG

Lisdexamfetamine Dimesylate 40 MG administered orally

Intervention Type DRUG

Placebo

Placebo capsule administered orally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* diagnosis of ADHD
* parental permission and/or teen consent/assent as appropriate
* between 16-25 years of age
* IQ greater than or equal to 70
* permit or license to drive
* ability to read and understand English

Exclusion Criteria

* any medical condition that would contraindicate use of stimulant medication
* any prior adverse response to lisdexamfetamine dimesylate or other stimulant medication
* use of concurrent,non-stimulant psychoactive medication
* diagnosis of schizophrenia or presence of thought disorder symptoms
* autism spectrum disorder
Minimum Eligible Age

16 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gregory Fabiano

OTHER

Sponsor Role lead

Responsible Party

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Gregory Fabiano

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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SUNY at Buffalo

Buffalo, New York, United States

Site Status

Countries

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United States

References

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Gordon CT, Fabiano GA, Hulme KF, Sodano SM, Adragna M, Lim R, Stanford S, Janikowski L, Bufalo B, Rodriguez Z, Swiatek D. Efficacy of lisdexamfetamine dimesylate for promoting occupational success in adolescents and young adults with attention-deficit/hyperactivity disorder. Exp Clin Psychopharmacol. 2021 Aug;29(4):308-318. doi: 10.1037/pha0000365. Epub 2020 Apr 16.

Reference Type DERIVED
PMID: 32297783 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IIR-USA-001277

Identifier Type: -

Identifier Source: org_study_id

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