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Completed

NCT Number: NCT00500071

Dose-Optimization Study Evaluating the Efficacy, Safety and Tolerability of Vyvanse (Lisdexamfetamine Dimesylate) in Children Aged 6-12 Diagnosed With ADHD

Assess the efficacy & tolerability of Vyvanse when children aged 6-12 years diagnosed with ADHD are dosed to optimal effect.

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Key information

Age range

6 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Melmed Center, Scottsdale, Arizona, United States

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About this study

Dose-Optimization Study Evaluating the Efficacy, Safety and Tolerability of Vyvanse (lisdexamfetamine dimesylate) in Children aged 6-12 Diagnosed with ADHD

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subject is a male or female aged 6-12 years inclusive at the time of consent.
  • Females of Child-bearing Potential (FOCP) must have a negative serum beta Human Chorionic Gonadotropin (HCG) pregnancy test at Screening and a negative urine pregnancy test at Baseline and agree to comply with any applicable contraceptive requirements of the protocol.
  • primary diagnosis of ADHD based on a detailed psychiatric evaluation.
  • Subjects must have a baseline ADHD-RS-IV total score ≥28.
  • Subject is functioning at an age-appropriate level intellectually.
  • comply with all the testing and requirements.
  • Subject is able to swallow a capsule.
  • Subject has blood pressure measurements within the 95th percentile for age, gender, and height.

Exclusion criteria

  • Subject has a current, controlled (requiring a restricted medication) or uncontrolled, comorbid psychiatric diagnosis with significant symptoms such as Post Traumatic Stress Disorder, psychosis, bipolar illness, pervasive developmental disorder, severe obsessive compulsive disorder, severe depressive or severe anxiety disorder or other symptomatic manifestations.
  • Subject has Conduct Disorder.
  • Subject has a documented allergy, hypersensitivity, or intolerance to amphetamines.
  • Subject has failed to respond to one or more adequate courses (dose and duration) of amphetamine therapy.
  • The subject has a recent history (within the past 6 months) of suspected substance abuse or dependence.
  • Subject has a positive urine drug result.
  • Subject weighs less than 50 pounds (22.7kg).
  • Subject is significantly overweight.
  • Subject has a history of seizures (exclusive of febrile seizures), a tic disorder, a current diagnosis and/or family history of Tourette's Disorder.
  • Subject has any reported history of abnormal thyroid function.
  • Subject has taken another investigational product or taken part in a clinical trial within 30 days prior to Screening.
  • Subject has a concurrent chronic or acute illness (such as severe allergic rhinitis or an infectious process requiring antibiotics), disability, or other condition that might confound the results of safety assessments.
  • The female subject is pregnant or lactating.
  • Subject is well-controlled on their current ADHD medication with acceptable tolerability.

Treatment and study plan

Vyvanse (lisdexamfetamine dimesylate)

Drug

Vyvanse™ 20mg once daily at 7 a.m.; dose increased weekly by 10mg until an acceptable response is achieved. Titration may proceed to a maximum daily dose 70mg/day.

Primary outcomes

  1. Change From Baseline in Total Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Score at 7 Weeks

    Time frame: Baseline and 7 weeks

    Change in the Attention Deficit Hyperactivity Disorder Rating Scale-fourth edition (ADHD-RS-IV) total score from baseline. The ADHD-RS-IV consists of 18 items scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms) with total score ranging from 0 to 54.

Secondary outcomes

  1. Weekly Change From Baseline in Total ADHD-RS-IV Score

    Time frame: Baseline and 1, 2, 3, 4, 5, 6, and 7 weeks

    Change in the Attention Deficit Hyperactivity Disorder Rating Scale-fourth edition (ADHD-RS-IV) total score from baseline. The ADHD-RS-IV consists of 18 items scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms) with total score ranging from 0 to 54.

  2. Number of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I)

    Time frame: 7 weeks

    Clinical Global Impression-Improvement (CGI-I) consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 or 2 on the scale.

  3. Number of Participants With Improvement onParent Global Assessment (PGA)

    Time frame: 7 weeks

    Parent Global Assessment (PGA) consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale.

  4. Change From Baseline in Expression and Emotional Scale for Children (EESC) Scores at 7 Weeks

    Time frame: Baseline and 7 weeks

    Expression and Emotional Scale for Children (EESC) consists of 29 items rated on a scale from 1 (not true at all) to 5 (very much true). Lower scores reflect better emotional outcomes.

  5. Changes From Baseline in Behavior Rating Inventory of Executive Function (BRIEF) Scores at 7 Weeks

    Time frame: Baseline and 7 weeks

    Behavior Rating Inventory of Executive Function (BRIEF) is an 86-item questionnaire composed of three scales (Global Executive Composite, Behavioral Recognition Index, and Metacognition Index). Items are rated 1 (never), 2 (sometimes), and 3 (often). Lower scores reflect better functioning.

Sponsors and collaborators

Lead sponsor

Shire

Industry

Registry information

Official study title

A Prospective, Open-Label, Multi-Center, Dose-Optimization Study Evaluating the Efficacy, Safety and Tolerability of Vyvanse (Lisdexamfetamine Dimesylate) 20-70mg in Children Aged 6-12 Diagnosed With ADHD

Important dates

Study start
2007
Primary completion
2008
Study completion
2008
First posted
Jul 12, 2007
Registry last updated
Mar 10, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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