Treatment of Impulsive Aggression in Subjects With ADHD in Conjunction With Standard ADHD Treatment (CHIME 1)

Last updated: December 28, 2023
Sponsor: Supernus Pharmaceuticals, Inc.
Overall Status: Completed

Phase

3

Condition

Autism

Tourette's Syndrome

Attention Deficit/hyperactivity Disorder (Adhd - Adults)

Treatment

Placebo

SPN-810 (36 mg)

SPN-810 (18 mg)

Clinical Study ID

NCT02618408
810P301
  • Ages 6-12
  • All Genders

Study Summary

The purpose of this study is to demonstrate the efficacy, safety, and tolerability of SPN-810 in the treatment of Impulsive Aggression (IA) in subjects with Attention-Deficit/Hyperactivity Disorder (ADHD) in conjunction with standard ADHD treatment. Approximately 426 subjects aged 6 to 12 years with ADHD and comorbid impulsive aggression will be recruited in this study. The frequency of impulsive aggression behaviors will be assessed as a primary outcome. Additionally, the severity and improvement in impulsive aggression and quality of life measures for the subject and caregiver will be assessed using validated scales.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Healthy male or female subjects, age 6 to 12 years at the time of screening.
  2. Diagnosis of ADHD according to the Diagnostic and Statistical Manual of MentalDisorders- 5 (DSM-5 confirmed by the Schedule for Affective Disorders andSchizophrenia for School-aged Children - Present and Lifetime Version 2013 (K-SADS-PL 2013).
  3. Retrospective Modified Overt Aggression Scale (R-MOAS) score of ≥24 at screening.
  4. CGI-S score of at least moderately ill at both Screening and Randomization.
  5. Vitiello Aggression Scale score from -2 to -5 at screening.
  6. Free of antipsychotic medication for at least two weeks prior to Visit 2.
  7. Monotherapy treatment with FDA-approved optimized ADHD medication (psychostimulant ornon-stimulant) at an FDA-approved dose for at least one month prior to screening, andwilling to maintain that dose throughout the Baseline and Treatment period.
  8. α 2- adrenergic agonists (e.g., clonidine and guanfacine) used for any other reasonexcept for monotherapy treatment for ADHD (e.g., aggression or insomnia) must bediscontinued at least two weeks prior to Visit 2.
  9. Medically healthy and with clinically normal laboratory profiles, vital signs, andelectrocardiograms (ECGs).
  10. Weight of at least 20 kg.
  11. Able and willing to swallow tablets whole and not chewed, cut, or crushed.
  12. Written Informed Consent obtained from the subject's parent or legal representativeand written Informed Assent obtained from the subject if appropriate.
  13. Measurement of compliance ≥ 80% for completion of IA Diary during Baseline Period.

Exclusion

Exclusion Criteria:

  1. Body Mass Index (BMI) in 99th percentile or above.
  2. Current or lifetime diagnosis of epilepsy, major depressive disorder, bipolardisorder, schizophrenia or a related disorder, personality disorder, Tourette'sdisorder, or psychosis not otherwise specified.
  3. Currently meeting DSM-5 criteria for autism spectrum disorder, pervasive developmentaldisorder, obsessive-compulsive disorder, post-traumatic stress disorder, or any otheranxiety disorder as the primary diagnosis.
  4. Use of anticonvulsants including carbamazepine and valproic acid, antidepressants,mood stabilizers including lithium, benzodiazepines, cholinesterase inhibitors, or anydrug known to inhibit CYP2D6 activity within two weeks of Visit 2.
  5. Use of herbal supplements within one week of Visit 2.
  6. Known or suspected intelligence quotient (IQ) < 70.
  7. Unstable endocrinological or neurological conditions which confound the diagnosis orare a contraindication to treatment with antipsychotics.
  8. Suicidality, defined as either active suicidal plan/intent or active suicidal thoughtsin the six months before the Screening Visit or more than one-lifetime suicideattempt.
  9. Pregnancy or refusal to practice contraception during the study (for female subjectsof childbearing potential and sexually active males).
  10. Substance or alcohol use during the last three months.
  11. Urine drug test at screening that is positive for alcohol or drugs of abuse.
  12. Known allergy or sensitivity to molindone hydrochloride.
  13. Any reason which, in the opinion of the Investigator or the Sponsor, would prevent thesubject and subject's caregiver from participating in the study or complying with thestudy procedures.
  14. Use of an investigational drug or participation in an investigational study within 30days prior to Visit 2.

Study Design

Total Participants: 333
Treatment Group(s): 3
Primary Treatment: Placebo
Phase: 3
Study Start date:
January 25, 2016
Estimated Completion Date:
October 24, 2019

Study Description

This is a multicenter, randomized, double-blind, placebo-controlled, 3-arm, parallel-group study, to assess the efficacy, safety, and tolerability of SPN-810 in the treatment of IA in subjects 6 to 12 years old with ADHD, in conjunction with standard ADHD treatment.

Connect with a study center

  • Woodland Research Northwest

    Springdale, Arizona 72764
    United States

    Site Not Available

  • Woodland Research Northwest

    Rogers, Arkansas 72758
    United States

    Site Not Available

  • ProScience

    Culver City, California 90230
    United States

    Site Not Available

  • Behavioral Research Specialists

    Glendale, California 91206
    United States

    Site Not Available

  • Neuropsychiatric Research Center of Orange County

    Orange, California 92868
    United States

    Site Not Available

  • Meridien Research at Florida Clinical Research Center

    Bradenton, Florida 34201
    United States

    Site Not Available

  • Sarkis Clinical Trials

    Gainesville, Florida 32607
    United States

    Site Not Available

  • Florida Clinical Research Center, LLC.

    Maitland, Florida 32751
    United States

    Site Not Available

  • CNS Healthcare of Orlando

    Orlando, Florida 32801
    United States

    Site Not Available

  • American Medical Research

    Chicago, Illinois 60617
    United States

    Site Not Available

  • Capstone Clinical Research

    Libertyville, Illinois 60048
    United States

    Site Not Available

  • Psychiatric Associates

    Overland Park, Kansas 66211
    United States

    Site Not Available

  • Hugo W Moser Research Institute at Kennedy Krieger

    Baltimore, Maryland 21205
    United States

    Site Not Available

  • Finger Lakes Clinical Research

    Rochester, New York 14618
    United States

    Site Not Available

  • Ohio State University Nisonger Center Clinical Trials Program

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Oklahoma Clinical Research Center

    Oklahoma City, Oklahoma 73112
    United States

    Site Not Available

  • Paradigm Research Professionals

    Oklahoma City, Oklahoma 73118
    United States

    Site Not Available

  • Cyn3rgy Research

    Gresham, Oregon 97030
    United States

    Site Not Available

  • Carolina Clinical Trials, Inc.

    Charleston, South Carolina 29407
    United States

    Site Not Available

  • CNS Healthcare

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • Research Strategies of Memphis, LLC

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • Relaro Medical Trials

    Dallas, Texas 75243
    United States

    Site Not Available

  • Bayou City Research Corporation

    Houston, Texas 77006
    United States

    Site Not Available

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Road Runner Research

    San Antonio, Texas 78258
    United States

    Site Not Available

  • Family Psychiatry of the Woodlands

    The Woodlands, Texas 77381
    United States

    Site Not Available

  • Aspen Clinical Research

    Orem, Utah 84058
    United States

    Site Not Available

  • University of Virginia Child and Family Clinic

    Charlottesville, Virginia 22903
    United States

    Site Not Available

  • Alliance Research Group, LLC.

    Richmond, Virginia 23230
    United States

    Site Not Available

  • Seattle Children's Research Institute

    Seattle, Washington 98121
    United States

    Site Not Available

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