Efficacy and Safety of SPD503 in Combination With Psychostimulants

The purpose of this study is to assess the efficacy and safety of SPD503 in subjects with ADHD when co-administered with psychostimulants in children and adolescents aged 6-17 years with a diagnosis of ADHD with a sub-optimal, partial response to stimulants...

Date First Received: August 12, 2008

Last Updated: February 3, 2010

Verified by: Shire Pharmaceutical Development, February 2010

Clinical Trial Phase: Phase 3 | Start Date: September 2008

Overall Status: Active, not recruiting

Estimated Enrollment: 461

Brief Summary

Official Title: “A Phase III, Double-Blind, Randomized, Placebo-Controlled, Multi-Center, Dose Optimization Study Evaluating the Efficacy and Safety of SPD503 in Combination With Psychostimulants in Children and Adolescents Aged 6-17 Years With a Diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD)”

The purpose of this study is to assess the efficacy and safety of SPD503 in subjects with ADHD when co-administered with psychostimulants in children and adolescents aged 6-17 years with a diagnosis of ADHD with a sub-optimal, partial response to stimulants.

Study Type: Interventional

Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study

Study Primary Completion Date: September 2009

Detailed Clinical Trial Description

Not required

Intervention(s) in this Clinical Trial

  • Drug: Guanfacine Hydrochloride Extended Release
    • Guanfacine Extended Release-AM Optimized 1-4mg
  • Drug: Guanfacine Hydrochloride Extended Release
    • Guanfacine Extended Release-PM Optimized 1-4mg
  • Drug: Placebo
    • Placebo matched to Guanfacine Hydrochloride Extended Release

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: A
    • Guanfacine Extended Release-AM
  • Experimental: B
    • Guanfacine Extended Release-PM
  • Placebo Comparator: C
    • Placebo

Outcome Measures for this Clinical Trial

Primary Measures

  • Clinician-administered ADHD rating scale (ADHD-RS-IV)
    • Time Frame: 10 weeks
      Safety Issue?: No

Secondary Measures

  • CGI of Severity and Improvement (CGI-S and CGI-I),CGI-P, PGA, Wil-Hammer Before School Functioning Scale, Oppositional Subscale of CPRS-R:L, PSQ
    • Time Frame: 10 Weeks
      Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Healthy subjects with ADHD currently taking a stable dose of psychostimulant for at least 4 weeks
  • Aged 6-17 years with a sub-optimal
  • Partial response to stimulants
  • Subjects must be < 95th percentile for BMI with weight >= 55lbs and <= 176lbs

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 6 Years

Maximum Age for this Clinical Trial: 17 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Shire Pharmaceutical Development

Overall Clinical Trial Officials and Contacts

Timothy Wilens Principal Investigator Massachusetts General Hospital  

Additional Information

Information obtained from ClinicalTrials.gov on February 08, 2010

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00734578

Study ID Number: SPD503-313

ClinicalTrials.gov Identifier: NCT00734578

Health Authority: United States: Food and Drug Administration

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