Safety and Efficacy Study of SHP465 in Children and Adolescents Aged 6-17 Years With Attention-Deficit Hyperactivity Disorder (ADHD)

Last updated: May 13, 2021
Sponsor: Shire
Overall Status: Completed

Phase

3

Condition

Tourette's Syndrome

Williams Syndrome

Learning Disorders

Treatment

N/A

Clinical Study ID

NCT02466425
SHP465-305
  • Ages 6-17
  • All Genders

Study Summary

The study is designed to evaluate the efficacy and safety of SHP465 in the treatment of ADHD in children and adolescents (aged 6-17 years). The primary objective of this study is to evaluate the efficacy of SHP465 administered as a daily morning dose compared to placebo in the treatment of children and adolescents (6-17 years of age inclusive) diagnosed with ADHD.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subject must be 6-17 years of age, inclusive, at the time of consent.
  2. Subject's parent or legally authorized representative (LAR) must provide signature ofinformed consent, and there must be documentation of assent (if applicable) by thesubject indicating that the subject is aware of the investigational nature of thestudy and the required procedures and restrictions in accordance with the ICH GCPGuideline E6 (1996) and applicable regulations before completing any study-relatedprocedures.
  3. Subject and parent/LAR are willing and able to comply with all of the testing andrequirements defined in the protocol, including oversight of morning dosing.Specifically, the parent/LAR must be available at approximately 7:00AM (±2 hours) todispense the dose of investigational product for the study duration.
  4. Subject, who is a female and of child-bearing potential, must not have a positiveserum beta human chorionic gonadotropin pregnancy test at the Screening Visit (Visit
  1. and must have a negative urine pregnancy test at the Baseline Visit (Visit 2) andagree to comply with any applicable contraceptive requirements of the protocol.
  1. Subject must have a satisfactory medical assessment with no clinically significant orrelevant abnormalities.
  2. Subject meets DSM-IV-TR criteria for a primary diagnosis of ADHD based on a detailedpsychiatric evaluation.
  3. Subject has an ADHD-RS-IV Total Score >28 at the Baseline Visit (Visit 2).
  4. Subject is functioning at an age-appropriate level intellectually, as determined bythe study Investigator.
  5. Subject is currently not on ADHD therapy, or is not completely satisfied with anyaspect of their current ADHD therapy.
  6. Subject is able to swallow a capsule whole.

Exclusion

Exclusion Criteria:

  1. Subject has a current, controlled (with medications prohibited in this study) oruncontrolled, comorbid psychiatric diagnosis with significant symptoms such as anysignificant comorbid Axis II disorder or significant Axis I disorder (such aspost-traumatic stress disorder, psychosis, bipolar illness, pervasive developmentaldisorder, severe obsessive compulsive disorder, depressive or anxiety disorder) orother symptomatic manifestations that, in the opinion of the examining clinician, willcontraindicate treatment with SHP465 or confound efficacy or safety assessments.Comorbid psychiatric diagnoses will be established with the Screening Visit (Visit 1)interview of the K-SADS-PL and additional modules if warranted by the results of theinitial interview. Subjects may continue participation in a behavioral modificationprogram during the study as long as they have been participating in the program for atleast 1 month at the time of the Baseline Visit (Visit 2).
  2. Subject meets DSM-IV-TR diagnosis of conduct disorder. Oppositional defiant disorderis not exclusionary.
  3. Subject is considered a suicide risk in the opinion of the Investigator, haspreviously made a suicide attempt, or is currently demonstrating active suicidalideation. Subjects with intermittent passive suicidal ideation are not necessarilyexcluded based on the assessment of the Investigator.
  4. Subject is underweight based on Centers for Disease Control and Prevention body massindex (BMI)-for-age sex-specific values at the Screening Visit (Visit 1). Underweightis defined as a BMI <3rd percentile
  5. Subject is significantly overweight based on Centers for Disease Control andPrevention BMI-for-age sex specific values at the Screening Visit (Visit 1).Significantly overweight is defined as a BMI >97th percentile for this study
  6. Subject has a concurrent chronic or acute illness (such as severe allergic rhinitis oran infectious process requiring antibiotics), disability, or other condition thatmight confound the results of safety assessments conducted in the study or that mightincrease risk to the subject. Similarly, the subject will be excluded if he or she hasany additional condition(s) that, in the Investigator's opinion, would prohibit thesubject from completing the study or would not be in the best interest of the subject.The additional conditions would include any significant illness or unstable medicalcondition that could lead to difficulty complying with the protocol. Mild, stableasthma is not exclusionary.
  7. Subject has a history of seizure (other than infantile febrile seizures), a chronic orcurrent tic disorder, or a current diagnosis of Tourette's Disorder. Subject has ahistory of tics that are judged by the Investigator to be exclusionary.
  8. Subject's blood pressure measurements exceed the 90th percentile for age, sex, andheight (based on the Blood Pressure Levels by Age and Height Percentile [for boys andgirls]) at the Screening Visit (Visit 1) and the Baseline Visit (Visit 2)
  9. Subject has a known history of hypertension
  10. Subject has a known history of symptomatic cardiovascular disease, advancedarteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythmabnormalities, coronary artery disease, or other serious cardiac problems that mayplace him/her at increased vulnerability to the sympathomimetic effects of a stimulantmedication.
  11. Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
  12. Subject has any clinically significant ECG or clinically significant laboratoryabnormality at the Screening Visit (Visit 1).
  13. Subject has current abnormal thyroid function, defined as abnormal thyroid stimulatinghormone and thyroxine at the Screening Visit (Visit 1). Treatment with a stable doseof thyroid medication for at least 3 months is permitted.
  14. Subject has a documented allergy, hypersensitivity, or intolerance to amphetamine orto any excipients in the investigational product.
  15. Subject has failed to respond, based on Investigator judgment, to an adequatecourse(s) (dose and duration) of amphetamine therapy
  16. Subject has a history of suspected substance abuse or dependence disorder (excludingnicotine) in accordance with DSM-IV-TR criteria. Subjects with a lifetime history ofamphetamine, cocaine, or other stimulant abuse and/or dependence will be excluded.
  17. Subject has a positive urine drug result at the Screening Visit (Visit 1) (with theexception of subject's current stimulant therapy, if any) or the Baseline Visit (Visit 2), if repeated unless the Investigator can verify that the positive result at theScreening Visit (Visit 1) is attributed to medication that has been prescribed to thesubject and will be discontinued prior to the Baseline Visit (Visit 2). A positiveresult at the Screening Visit (Visit 1) attributed to a prescribed medication requiresa re-test and a negative result at the Baseline Visit (Visit 2) to confirm subjecteligibility.
  18. Subject has taken another investigational product or has taken part in a clinicalstudy within 30 days prior to the Screening Visit (Visit 1).
  19. Subject has previously completed, discontinued, or was withdrawn from this study.
  20. Subject is taking any medication that is excluded or has not been appropriately washedout according to the protocol requirements.
  21. Subject is required to take or anticipates the need to take medications that havecentral nervous system effects or affect performance, such as sedating antihistaminesand decongestant sympathomimetics, or are monoamine oxidase inhibitors. Stable use ofbronchodilator inhalers is not exclusionary.
  22. Subject is female and is pregnant or lactating

Study Design

Total Participants: 264
Study Start date:
June 18, 2015
Estimated Completion Date:
February 16, 2016

Connect with a study center

  • Harmonex Neuroscience Research

    Dothan, Alabama 36303
    United States

    Site Not Available

  • Nrc Research Institute

    Orange, California 92868
    United States

    Site Not Available

  • Pcsd Feighner Research

    San Diego, California 92108
    United States

    Site Not Available

  • Encompass Clinical Research

    Spring Valley, California 91978
    United States

    Site Not Available

  • Elite Clinical Trials, Inc

    Wildomar, California 92595
    United States

    Site Not Available

  • McB Clinical Research Centers

    Colorado Springs, Colorado 80910
    United States

    Site Not Available

  • Florida Clinical Research Center, Llc

    Bradenton, Florida 34201
    United States

    Site Not Available

  • Sarkis Clinical Trials

    Gainesville, Florida 32607
    United States

    Site Not Available

  • Clinical Neuroscience Solutions, Inc.

    Jacksonville, Florida 32256
    United States

    Site Not Available

  • Medical Research Group of Central Florida

    Orange City, Florida 32763
    United States

    Site Not Available

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida 32801
    United States

    Site Not Available

  • Miami Research Associates, Llc

    South Miami, Florida 33143
    United States

    Site Not Available

  • Janus Center For Psychiatric Research

    West Palm Beach, Florida 33407
    United States

    Site Not Available

  • Northwest Behavioral Research Center

    Marietta, Georgia 30060
    United States

    Site Not Available

  • Capstone Clinical Research

    Libertyville, Illinois 60048
    United States

    Site Not Available

  • Baber Research Group Inc

    Naperville, Illinois 60563
    United States

    Site Not Available

  • Psychiatric Associates

    Overland Park, Kansas 66211
    United States

    Site Not Available

  • Louisiana Research Associates, Inc

    New Orleans, Louisiana 70114
    United States

    Site Not Available

  • Rochester Center For Behavioral Medicine

    Rochester Hills, Michigan 48307
    United States

    Site Not Available

  • Psychiatric Care and Research Center

    O'Fallon, Missouri 63368
    United States

    Site Not Available

  • Midwest Research Group

    Saint Charles, Missouri 63304
    United States

    Site Not Available

  • Midwest Research Group

    St. Charles, Missouri 63304
    United States

    Site Not Available

  • Center For Psychiatry and Behavioral Medicine

    Las Vegas, Nevada 89128
    United States

    Site Not Available

  • Midwest Clinical Research Center

    Dayton, Ohio 45417
    United States

    Site Not Available

  • Tulsa Clinical Research, Llc

    Tulsa, Oklahoma 74104
    United States

    Site Not Available

  • Oregon Center For Clinical Investigations, Inc

    Salem, Oregon 97301
    United States

    Site Not Available

  • Omega Medical Research

    Warwick, Rhode Island 02886
    United States

    Site Not Available

  • Rainbow Research

    Barnwell, South Carolina 29812
    United States

    Site Not Available

  • Coastal Carolina Research Center

    Mount Pleasant, South Carolina 29464
    United States

    Site Not Available

  • Coastal Carolina Research Center

    Mt. Pleasant, South Carolina 29464
    United States

    Site Not Available

  • Clinical Neuroscience Solution, Inc

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • Futuresearch Trials of Dallas, Lp

    Dallas, Texas 75231
    United States

    Site Not Available

  • Bayou City Research

    Houston, Texas 77007
    United States

    Site Not Available

  • Houston Clinical Trials, Llc

    Houston, Texas 77098
    United States

    Site Not Available

  • Red Oak Psychiatry Associates, Pa

    Houston, Texas 77090
    United States

    Site Not Available

  • Westex Clinical Investigations

    Lubbock, Texas 79423
    United States

    Site Not Available

  • Research Across America

    Plano, Texas 75093
    United States

    Site Not Available

  • Eastside Therapeutic Resource

    Kirkland, Washington 98033
    United States

    Site Not Available

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