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Completed

NCT Number: NCT02578030

Pharmacokinetic Study in Children and Adolescents Aged 6 to 17 Years Who Have Been Diagnosed With ADHD

To provide additional, required information on the pharmacokinetic profile of SHP465 in the targeted population (children and adolescents aged 6-17 years of age with ADHD).

Completed

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Key information

Age range

6 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

QPS MRA, Miami, Florida, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 6 to 17 years inclusive at the time of consent/assent. The date of signature of the informed consent/assent is defined as the beginning of the Screening Period. This inclusion criterion will only be assessed at the first screening visit.
  • Male, or non-pregnant, non-lactating female who agrees to comply with any applicable contraceptive requirements of the protocol or females of non-childbearing potential.
  • Subject meets Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria for a primary diagnosis of ADHD based on an accepted ADHD diagnostic instrument and documented in the subject's medical record. Subject's ADHD is currently adequately controlled with an amphetamine-based product.
  • Subject is functioning at an age appropriate level intellectually, as determined by the investigator.
  • Must be considered "healthy". Healthy status is defined by absence of evidence of any active or chronic disease other than their ADHD following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead ECG, hematology, blood chemistry, and urinalysis.
  • Ability to swallow a capsule of investigational product whole.

Exclusion criteria

  • Current use of any ADHD medication other than an amphetamine-based product.
  • History of any hematological, hepatic, respiratory, cardiovascular, renal, neurological or psychiatric disease, gall bladder removal, or current or recurrent disease other than their ADHD
  • Current or relevant history of physical or psychiatric illness, any medical disorder that may require treatment
  • Subject has a current, controlled or uncontrolled, comorbid psychiatric diagnosis with significant symptoms
  • Subject meets DSM-V diagnosis of conduct disorder.
  • Subject is considered a suicide risk in the opinion of the investigator, has previously made a suicide attempt, or is currently demonstrating active suicidal ideation.
  • Subject is underweight based on Centers for Disease Control and Prevention (CDC) body mass index (BMI)- for-age sex-specific values
  • Subject is significantly overweight based on CDC BMI-for-age sex specific values
  • Subject has a known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems
  • Subject has a concurrent chronic or acute illness, disability, or other condition that might confound the results of safety assessments conducted in the study
  • Subject has a history of seizure, a chronic or current tic disorder, or a current diagnosis of Tourette's Disorder. Subject has a history of tics that are judged to be exclusionary.
  • Subject's blood pressure measurements exceed the 90th percentile for age, sex, and height
  • Subject has a known history of hypertension.
  • Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
  • Subject has any clinically significant ECG or clinically significant laboratory abnormality
  • Subject has abnormal thyroid function
  • Known or suspected intolerance or hypersensitivity to the investigational product(s), closely-related compounds, or any ingredients.
  • History of alcohol or other substance abuse within the last year. Subjects with a lifetime history of amphetamine, cocaine, or other stimulant abuse and/or dependence will be excluded.
  • Use Within 30 days prior to the first dose of investigational product:
  • have used an investigational product
  • have been enrolled in a clinical study (including vaccine)
  • have had any substantial changes in eating habits
  • A positive screen for alcohol or drugs of abuse. A positive hepatitis B surface antigen (HBsAg); hepatitis C virus (HCV); or HIV antibody screen.
  • Use of tobacco in any form in the last 30 days
  • Prior screen failure, enrollment, or participation in this study.

Treatment and study plan

SHP465 12.5mg

Drug

SHP465 25mg

Drug

Primary outcomes

  1. Maximum Observed Drug Concentration (Cmax) of Dextroamphetamine (d-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Maximum concentration occurring at time of maximum observed concentration of d-amphetamine during a dosing interval.

  2. Maximum Observed Drug Concentration (Cmax) for Levoamphetamine (l-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Maximum observed concentration of l-amphetamine during a dosing interval.

  3. Time to Reach Maximum Observed Drug Concentration (Tmax) of Dextroamphetamine (d-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Time to reach maximum observed drug concentration of d-amphetamine during a dosing interval.

  4. Time to Reach Maximum Observed Drug Concentration (Tmax) of Levoamphetamine (l-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Time to reach maximum observed drug concentration of l-amphetamine during a dosing interval.

  5. Area Under the Curve From Zero to Infinity (AUC0-infinity) of Dextroamphetamine (d-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    AUC0-infinity was calculated using the observed value of the last non-zero concentration of d-amphetamine in plasma.

  6. Area Under the Curve From Zero to Infinity (AUC0-infinity) of Levoamphetamine (l-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    AUC0-infinity was calculated using the observed value of the last non-zero concentration of l-amphetamine in plasma.

  7. Area Under the Curve From Zero to Last Measurable Concentration (AUClast) of Dextroamphetamine (d-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Area under the curve from the time of dosing to the last measurable concentration of d-amphetamine in plasma.

  8. Area Under the Curve From Zero to Last Measurable Concentration (AUClast) of Levoamphetamine (l-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Area under the curve from the time of dosing to the last measurable concentration of l-amphetamine in plasma.

  9. Terminal Half-life (t½) of Dextramphetamine (d-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Terminal half-life is the time measured for the plasma concentration of d-amphetamine to decrease by one half.

  10. Terminal Half-life (t½) of Levoamphetamine (l-amphetamine) in Plasma

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Terminal half-life is the time measured for the plasma concentration of l-amphetamine to decrease by one half.

  11. Total Body Clearance for Extravascular Administration (CL/F) of Dextroamphetamine (d-amphetamine)

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Total body clearance for extravascular administration of d-amphetamine divided by the fraction of dose absorbed.

  12. Total Body Clearance for Extravascular Administration (CL/F) of Levoamphetamine (l-amphetamine)

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Total body clearance for extravascular administration of l-amphetamine divided by the fraction of dose absorbed.

  13. Volume of Distribution After Extravascular Administration (Vz/F) of Dextroamphetamine (d-amphetamine)

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Volume of distribution for d-amphetamine based on the terminal phase following extravascular administration divided by the fraction of dose absorbed.

  14. Volume of Distribution After Extravascular Administration (Vz/F) of Levoamphetamine (l-amphetamine)

    Time frame: Pre-dose, 2, 4, 6, 8, 10, 12, 24, 48, 72 hours post-dose

    Volume of distribution for l-amphetamine based on the terminal phase following extravascular administration divided by the fraction of dose absorbed.

Secondary outcomes

  1. Participants with Treatment-emergent Adverse Events (TEAEs)

    Time frame: From start of study drug administration up to follow-up (up to 9 days)

    An adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An AE was considered as treatment-emergent (TEAE) if it had a start date and time on or after the dose of investigational product and no later than 72 hours after dosing, or if it had a start date and time before the date and time of the dose of investigational product, but increased in severity on or after the date and time of the dose of investigational product and no later than 72 hours after dosing.

  2. Number of Participants With TEAE Related to Vital signs, Electrocardiogram (ECG), and Clinical Laboratory Tests

    Time frame: From start of study drug administration up to follow-up (up to 9 days)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Vital signs included blood pressure, pulse rate, respiratory rate, and body temperature. ECG was analysed as 12-lead ECG. Clinical laboratory test is considered for biochemistry, Hematology and Urinalysis.

  3. Number of Participants With Suicidal Behavior and / or Ideation ("Yes" Response) on the Columbia Suicide Severity Rating Scale (C-SSRS)

    Time frame: Baseline up to Day 4

    C-SSRS is a clinician rated assessment of suicidal behavior and / or intent categorized as: Suicidal behavior=a "yes" response to any of 5 suicidal behavior questions (preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide); Suicidal ideation=a "yes" response to any one of 5 suicidal ideation questions which includes wish to be dead, and 4 different categories of active suicidal ideation (thought, thought with method, thought with intent, thought with plan and intent).

Sponsors and collaborators

Lead sponsor

Shire

Industry

Registry information

Official study title

A Phase 1, Open-label Study of the Pharmacokinetics of d- and L-amphetamine After a Single Dose of SHP465 12.5 mg or 25 mg Administered to Children and Adolescents Aged 6 to17 Years With Attention-Deficit Hyperactivity Disorder (ADHD)

Important dates

Study start
2015
Primary completion
2015
Study completion
2015
First posted
Oct 16, 2015
Registry last updated
May 18, 2021

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

View the official ClinicalTrials.gov record (opens in a new tab)

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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