Evaluation of SPN-812 (Viloxazine Extended-release Capsule) in Preschool-age Children With ADHD

NCT ID: NCT04781140

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

286 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-19

Study Completion Date

2025-12-31

Brief Summary

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This study will evaluate the efficacy and safety of SPN-812 (viloxazine extended release) in children 4 to 5 years of age with ADHD.

Detailed Description

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This is a randomized, double-blind, placebo-controlled, multicenter, 2-arm (1:1), parallel-group, efficacy and safety/tolerability fixed-dose study of SPN-812 in preschool-age children (4 to 5 years old) with ADHD. Participants will be screened for eligibility for up to 4 weeks. Eligible participants will be treated with study medication for 6 weeks. The total duration of the study is up to 10 weeks.

Conditions

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Attention-Deficit/Hyperactivity Disorder

Keywords

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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, qd

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered once daily

SPN-812

SPN-812, qd

Group Type EXPERIMENTAL

100mg SPN-812

Intervention Type DRUG

100mg SPN-812 will be administered once daily and compared to Placebo

Interventions

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100mg SPN-812

100mg SPN-812 will be administered once daily and compared to Placebo

Intervention Type DRUG

Placebo

Placebo will be administered once daily

Intervention Type DRUG

Other Intervention Names

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SPN-812

Eligibility Criteria

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Inclusion Criteria

1. Is male or female 4 years 0 months of age to less than or equal to 5 years 9 months of age at Visit 1 (Screening) and considered medically healthy.
2. Subject's parent(s) or legal guardian(s)/representative(s) is (are) willing and able to provide written informed consent before completing any study related procedures.
3. Has a primary diagnosis of ADHD according to DSM-IV-TR criteria and confirmed with the Kiddie Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL).
4. Has an ADHD-RS-IV-P Total Score of ≥ 28 (males) or ≥ 24 (females) at Visit 1 (Screening) and at Visit 2 (Baseline).
5. Has a CGI-S score of ≥ 4 (moderate or worse) at Visit 1 (Screening) and at Visit 2 (Baseline).
6. Has undergone an adequate course of non-pharmacologic treatment or is having symptoms severe enough to warrant pharmacologic treatment without prior non-pharmacologic treatment.
7. Is participating in a structured group activity (e.g., preschool, kindergarten, sports, Sunday school, summer camp or childcare program) at least 2 days a week during study so as to assess symptoms and impairment in a setting outside the home.
8. Has not initiated any behavioral intervention/therapy within 30 days of Visit 1 (Screening) and does not plan to initiate any new or discontinue any ongoing behavioral intervention/therapy during the study (e.g., subject is eligible if behavioral intervention/therapy is initiated 30 or more days prior to Visit 1 \[Screening\] and continues with a similar duration/frequency throughout their study).

Exclusion Criteria

10. Has no current condition in the opinion of the Investigator that could confound efficacy assessments, safety assessments or increase participant risk.
11. Has lived with the same parent(s) or legal guardian(s) or has lived under a shared living arrangement (e.g., joint legal custody) for greater than or equal to 6 months prior to Visit 1 (Screening).
12. Has a body weight ≥5th percentile for age and sex at Visit 1 (Screening) and Visit 2 (Baseline).


1. Has a diagnosis at Screening (per K-SADS-PL) of another psychiatric disorder that is considered to be the primary diagnosis rather than ADHD or has a comorbid psychiatric disorder secondary to ADHD that, in the opinion of the investigator (after consulting medical monitor), will likely interfere with study treatment adherence and/or impact study results.
2. Has a current diagnosis of a major neurological disorder. The eligibility of those who have seizures, a history of seizure-like events (e.g., syncope, myoclonus, severe muscle spasms), a family history of seizure disorder (immediate family, i.e., sibling, parent), and/or febrile seizures will be assessed on a case-by-case basis after consulting the medical monitor.
3. History of Bipolar Disorder diagnosed in a first degree relative.
4. Has global development delay or intellectual disability by medical history.
5. Has a current diagnosis of a significant (per Investigator's evaluation and/or judgement) systemic disease.
6. Has body mass index \> 95th percentile for the subject's age and sex at Visit 1 (Screening) or Visit 2 (Baseline).
7. Has a mean resting systolic and diastolic blood pressure\* that are both \>95th percentile for age sex, and height and has a mean resting pulse rate\* that is \>95th percentile for age and sex (males: \>117 bpm; females: \>122 bpm) at Visit 1 (Screening) or Visit 2 (Baseline). \* Note: The mean of three measurements while seated.
8. Has a clinically significant electrocardiogram finding(s) at Visit 1 (Screening).
9. Is currently taking SPN-812 for ADHD, has previously taken SPN-812 for ADHD, but discontinued due to a lack of efficacy or adverse reactions, or has history of allergic reaction, hypersensitivity or intolerance to viloxazine.
10. Has an allergy to or cannot swallow pudding and applesauce and cannot swallow intact capsule whole.
11. Has any food allergy, intolerance, restriction or special diet that, in the opinion of the Investigator, could contraindicate the subject's participation in the study.
12. Has received any investigational drug within the longer of 30 days or 5 half-lives prior to Visit 2 (e.g., first dose of study medication).
13. Has a positive urine drug test at Visit 1 (Screening). A positive test for amphetamines is allowed for subjects receiving a stimulant ADHD medication at Screening. The subject will be required to discontinue the stimulant for the duration of the study, beginning at least 7 days prior to Visit 2 (Baseline).
14. Is using of prohibited concomitant medications including known CYP1A2 substrates (e.g., theophylline, melatonin) during the Screening Period or (anticipated) for the duration of the study.
15. Any reason that, in the opinion of the Investigator, would prevent the subject from participating in the study.
16. Has suicidal ideation ("Yes" indicated on C-SSRS question 4 or 5) or suicidal behavior ("Yes" indicated on C-SSRS for any suicidal behavior) within 6 months prior to or the day of Visit 1 (Screening) or has attempted suicide ("Yes" indicated on C-SSRS for lifetime).
Minimum Eligible Age

48 Months

Maximum Eligible Age

69 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Supernus Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jonathan Rubin, MD, MBA

Role: STUDY_DIRECTOR

Supernus Pharmaceuticals, Inc.

Locations

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The Center for Clinical Trials, Inc.

Saraland, Alabama, United States

Site Status RECRUITING

Preferred Research Partners - NWA, LLC

Fayetteville, Arkansas, United States

Site Status RECRUITING

Preferred Research Partners, Inc.

Little Rock, Arkansas, United States

Site Status RECRUITING

Advanced Research Center (ARC), Inc.

Anaheim, California, United States

Site Status RECRUITING

National Institute of Clinical Research (NICR)

Garden Grove, California, United States

Site Status RECRUITING

Sun Valley Research Center

Imperial, California, United States

Site Status RECRUITING

Alliance Research

Long Beach, California, United States

Site Status RECRUITING

IMMUNOe Research Centers

Centennial, Colorado, United States

Site Status RECRUITING

Luna Research Center

Coral Gables, Florida, United States

Site Status RECRUITING

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status RECRUITING

Clinical Neuroscience Solutions, Inc.

Jacksonville, Florida, United States

Site Status RECRUITING

Accel Research Sites-LKD CRU

Lakeland, Florida, United States

Site Status RECRUITING

Avantis Clinical Research LLC

Miami, Florida, United States

Site Status RECRUITING

Hope Research Network, LLC.

Miami, Florida, United States

Site Status RECRUITING

Medical Research Group of Central Florida

Orange City, Florida, United States

Site Status RECRUITING

Clinical Neuroscience Solutions, Inc.

Orlando, Florida, United States

Site Status RECRUITING

APG Research LLC

Orlando, Florida, United States

Site Status RECRUITING

D&H Tamarac Research Center

Tamarac, Florida, United States

Site Status RECRUITING

Advanced Discovery Research LLC

Atlanta, Georgia, United States

Site Status RECRUITING

Clinical Integrative Research Center of Atlanta

Atlanta, Georgia, United States

Site Status RECRUITING

CenExcel iResearch, LLC

Decatur, Georgia, United States

Site Status RECRUITING

CenExel iResearch, LLC.

Savannah, Georgia, United States

Site Status RECRUITING

Qualmedica Research, LLC.

Evansville, Indiana, United States

Site Status RECRUITING

Kentucky Pediatric/Adult Research

Bardstown, Kentucky, United States

Site Status RECRUITING

Qualmedica Research, LLC.

Owensboro, Kentucky, United States

Site Status RECRUITING

DelRicht Research

Baton Rouge, Louisiana, United States

Site Status RECRUITING

DelRicht Research (Touro Medical Center)

New Orleans, Louisiana, United States

Site Status RECRUITING

Kennedy Krieger Institute

Baltimore, Maryland, United States

Site Status RECRUITING

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Neurobehavioral Medicine Group

Bloomfield Hills, Michigan, United States

Site Status RECRUITING

Precise Research Centers

Flowood, Mississippi, United States

Site Status RECRUITING

Clinical Research of Southern Nevada, LLC.

Las Vegas, Nevada, United States

Site Status RECRUITING

Med Clinical Research

Irvington, New Jersey, United States

Site Status RECRUITING

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status RECRUITING

Duke University

Durham, North Carolina, United States

Site Status RECRUITING

Cincinnati Children's Hospital and Medical Center

Cincinnati, Ohio, United States

Site Status RECRUITING

CincyScience

West Chester, Ohio, United States

Site Status RECRUITING

Cyn3rgy Research

Gresham, Oregon, United States

Site Status RECRUITING

Penn State Health Milton S. Hershey Medical Center-Investigational Drug Service Pharmacy

Hershey, Pennsylvania, United States

Site Status RECRUITING

Coastal Carolina Research Center

North Charleston, South Carolina, United States

Site Status RECRUITING

Coastal Pediatric Research

Summerville, South Carolina, United States

Site Status RECRUITING

Clinical Neuroscience Solutions, Inc.

Memphis, Tennessee, United States

Site Status RECRUITING

Houston Clinical Trials, LLC.

Bellaire, Texas, United States

Site Status RECRUITING

Javara

Dallas, Texas, United States

Site Status RECRUITING

AIM Trials

Plano, Texas, United States

Site Status RECRUITING

Family Psych of The Woodlands

The Woodlands, Texas, United States

Site Status RECRUITING

Clinical Research Partners, LLC

Petersburg, Virginia, United States

Site Status RECRUITING

Virginia Commonwealth University, Virginia Treatment Center for Children

Richmond, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Joseph T Hull, PhD

Role: CONTACT

Phone: 240-403-5324

Email: [email protected]

Leslie Brijbasi

Role: CONTACT

Phone: 301-838-2519

Email: [email protected]

Facility Contacts

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Other Identifiers

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812P401

Identifier Type: -

Identifier Source: org_study_id