Adult Attention Deficit Hyperactivity Disorder (ADHD) Study With Amphetamine Sulfate

Last updated: August 29, 2024
Sponsor: Arbor Pharmaceuticals, Inc.
Overall Status: Completed

Phase

3

Condition

Williams Syndrome

Attention Deficit/hyperactivity Disorder (Adhd - Adults)

Autism Spectrum Disorder (Asd)

Treatment

Amphetamine Sulfate

Placebo

Clinical Study ID

NCT03659929
AR19.004
  • Ages 18-55
  • All Genders

Study Summary

The purpose of the AR19.004 study is to assess the efficacy of AR19 compared to placebo using the Adult ADHD Investigator Symptom Rating Scale (AISRS)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Is male or female between 18 and 55 years of age, inclusive, at the time ofScreening.

  2. Meets criteria for diagnosis of ADHD using Conners' Adult ADHD Diagnostic Interviewfor Diagnostic and Statistical Manual of Mental Disorders (DSM-IV™) adapted forDSM-5™ (CAADID), including onset of ADHD symptoms before the age of 12.

  3. Has an AISRS total score of ≥26 at Visit 2.

  4. Has a clinician-administered Clinical Global Impression-Severity (CGI-S) score of 4or greater at Visit 2.

  5. In the clinical judgment of the Investigator, the subject needs pharmacologicaltreatment for ADHD.

  6. Must read and write English at a level sufficient to provide written informedconsent and to complete study-related materials.

  7. For subjects currently on a stable dose of allowed non-ADHD medication, there willbe no expected changes in subject's medications during the study with the exceptionof medications listed in Section 5.9.2.

  8. Males and females who are fertile and sexually active with a partner of the oppositesex must adhere to contraception requirements for the duration of the study asfollows:

  • Females of childbearing potential must agree to be abstinent or to use highlyeffective forms of contraception.

  • Females of non-childbearing potential, defined as surgically sterile (statuspost hysterectomy, bilateral oophorectomy, or bilateral tubal ligation) orpost-menopausal for at least 12 months do not require contraception during thestudy.

  • Males , with female partners of childbearing potential must agree to beabstinent or use a medically acceptable form of contraception from screeningthrough the end of study.

Exclusion

Exclusion Criteria:

  1. Has a primary psychiatric diagnosis other than ADHD.

  2. Has any other current secondary or co-morbid medical, psychiatric, or socialcondition which, in the opinion of the investigator, might compromise subjectsafety, or is likely to interfere with protocol compliance or to confound theassessment of safety or efficacy.

  3. Has a history or current symptoms of bipolar disorder, schizophrenia, or psychoticdisorder.

  4. Has clinically significant cognitive impairment in the clinical judgment of theInvestigator.

  5. Has a Body Mass Index (BMI) of <17 or ≥39 kg/m2.

  6. Has a Screening or Baseline triplicate-average blood pressure of ≥139 millimeter ofmercury (mmHg) systolic or ≥89 mmHg diastolic. Blood pressure will be taken intriplicate, and the average will be used for evaluating entry criteria.

  7. Is pregnant or breastfeeding, or is planning to become pregnant during the study.

  8. Has a history of any of the following disorders:

  • Seizure disorder (excluding a history of isolated febrile seizures <6 yearsold),

  • Inadequately or not treated hypertension is defined as a subject who has bloodpressure indicative of Stage 2 hypertension (systolic pressure ≥140 mmHg ordiastolic pressure ≥90 mmHg). Subjects who are adequately treated must be on astable dose of antihypertensive medications for 3 months prior to screening andtheir antihypertensive medications are not anticipated to change.

  • Untreated thyroid disease. Subjects with a history of thyroid disease who havebeen on a stable dose of thyroid hormone for at least three months are eligibleto participate if their thyroid-stimulating hormone (TSH) does not fall in theexcluded range, shown below in 14.

  • Glaucoma

  • Tourette's disorder, or chronic tics.

  • Subjects who have had gastrointestinal surgery or a procedure that involves:

  • Excision or partial excision of the esophagus, stomach, small and largeintestine, liver, pancreas or biliary tree. Appendectomy, cholecystectomyand/or removal of gallstones in the bile ducts (as long as the ductsremain intact) are exceptions.

  • Reduction of the stomach volume without excision or partial excision ofthe stomach (e.g. restrictive surgery/procedure)

  • Obesity treatments that can affect gastrointestinal (GI) capacity orfunction, such as electrical stimulation systems, gastric balloon systems,and gastric external drainage systems

  1. Has Electrocardiogram (ECG) or clinical evidence of the following:
  • Fridericia's corrected QT wave interval (QTcF) > 470 milliseconds (msec) forfemales, and > 450 msec for males

  • Atrial or ventricular hypertrophy

  • Intraventricular conduction defects other than incomplete right bundle branchblock in the absence of other heart disease

  • Myocardial infarct, ischemia, or symptomatic coronary artery disease within 1year prior to the Screening Visit

  • Clinically significant atrial or ventricular dysrhythmia; the heart must be inpredominantly normal sinus rhythm

  • Second or third degree atrioventricular block

  • Heart failure

  • Functionally significant cardiac structural abnormality or valvular disease

  • Cardiomyopathy

  • Any other cardiovascular condition that the Investigator feels may predisposethe subject to cardiovascular events (e.g. myocardial infarction, stroke) orarrhythmia

  1. Known family history of sudden cardiac death in the absence of pre-existing heartdisease.

  2. Use of any psychotropic medication within 28 days of the Baseline visit except forADHD medication. (Sedative hypnotics prescribed as a sleep aid at a stable dose forat least 28 days prior to Baseline, at bedtime only, are allowed during the study.)

  3. Has used prohibited drugs or agents within 28 days of the Baseline visit throughStudy Visit 7. (Stimulant medications are allowed until 7 days before the Baselinevisit.) Non-stimulant ADHD medications (guanfacine, bupropion, clonidine, and/oratomoxetine) are not allowed within 28 days of Visit 2 or at any time during thestudy. Note: Medications that are being taken for psychiatric or medical disordersother than ADHD should not be discontinued for the purpose of qualifying for studyparticipation unless the medication is deemed medically unnecessary by theprescribing physician.

  4. Has received an investigational drug within 60 days of the Screening visit.

  5. Has an abnormal laboratory test value, vital sign, or other exam finding atScreening or Baseline that, in the opinion of the Investigator, warrants exclusionfrom the study. In addition, subjects with laboratory values listed below areconsidered exclusionary:

  • Serum aspartate transaminase (AST) or alanine transaminase (ALT) >1.5 × upperlimit of normal (ULN)

  • Serum total bilirubin >1.5 × ULN unless due to Gilbert's Syndrome

  • Serum creatinine >1.3 × ULN

  • Glycosylated hemoglobin (HbA1c) ≥7.0%.

  • TSH <0.9 × lower limit of normal (LLN) or TSH >1.2 × ULN

  1. Reports a history of hypersensitivity or intolerance to any formulation ofamphetamine.

  2. Reports a history of poor therapeutic response to any formulation of amphetamine ormethylphenidate despite a clearly adequate trial (including dose and duration).

  3. Is unable to swallow medication in capsule form.

  4. Is unable or unwilling to follow directions of study staff or comply with all thetesting and requirements of the protocol.

  5. Has a positive urine drug result at Screening (with the exception of current ADHDstimulant therapy, if any). Note: subjects should be informed that they should notparticipate in the trial or submit to urine drug testing if they are using anycontrolled or recreational drug (other than a prescribed stimulant for ADHD), andnon-use should be confirmed prior to testing.

  6. Has a positive blood alcohol level at Screening. Note: subjects should be informedthat alcohol consumed within 12 hours of screening may result in a positive test.

  7. Has current or known history of drug or alcohol abuse within the past 12 months.

  8. Has a history of human immunodeficiency virus (HIV), hepatitis B, or untreatedhepatitis C infection. Note: subjects with a history of hepatitis C infection whohave been treated and whose hepatitis C virus ribonucleic acid (HCV RNA) iscurrently undetectable are not excluded.

  9. In the past 12 months, has had an intensity of suicidal ideation of greater than 1orany self-injurious behavior using the Columbia Suicide Severity Rating Scale at theScreening or Baseline visits.

Study Design

Total Participants: 320
Treatment Group(s): 2
Primary Treatment: Amphetamine Sulfate
Phase: 3
Study Start date:
September 18, 2018
Estimated Completion Date:
April 12, 2019

Study Description

This is a randomized, fixed-dose, double-blind, multicenter trial to investigate the safety and efficacy of AR19 in the treatment of ADHD in adults from 18 through 55 years of age. Safety parameters and therapeutic effect will be evaluated throughout the trial. A target of 312 subjects is set for enrollment. Once subjects are determined to meet all inclusion criteria and were screened, they will be randomized to 20 or 40 mg AR19 daily or placebo.

Connect with a study center

  • 114: Pharmacology Research Institute

    Encino, California 91316
    United States

    Site Not Available

  • 133: Collaborative Neuroscience Network

    Garden Grove, California 92845
    United States

    Site Not Available

  • 124: Pharmacology Research Institute

    Newport Beach, California 92660
    United States

    Site Not Available

  • 121: CT Clinical Research Associates

    Cromwell, Connecticut 06416
    United States

    Site Not Available

  • 108: Meridien Research

    Bradenton, Florida 34201
    United States

    Site Not Available

  • 103: Gulfcoast Clinical Research Center

    Fort Myers, Florida 33912
    United States

    Site Not Available

  • 129: Sarkis Clinical Trials

    Gainesville, Florida 32607
    United States

    Site Not Available

  • 105: Meridien Research

    Lakeland, Florida 33805
    United States

    Site Not Available

  • 120: Meridien Research

    Maitland, Florida 32751
    United States

    Site Not Available

  • 130: Medical Research Group of Central Florida

    Orange City, Florida 32763
    United States

    Site Not Available

  • 115: Clinical Neuroscience Solutions (CNS), Inc.

    Orlando, Florida 32806
    United States

    Site Not Available

  • 123: APG Research, LLC

    Orlando, Florida 32803
    United States

    Site Not Available

  • 104: Northwest Behavioral Research Center

    Marietta, Georgia 30060
    United States

    Site Not Available

  • 131: Advanced Clinical Research, Inc.

    Meridian, Idaho 86342
    United States

    Site Not Available

  • 113: Capstone Clinical Research

    Libertyville, Illinois 60048
    United States

    Site Not Available

  • 134: Rochester Center for Behavioral Medicine

    Rochester Hills, Michigan 48307
    United States

    Site Not Available

  • 128: Clinical Neurophysiology Services

    Sterling, Michigan 48314
    United States

    Site Not Available

  • 107: Center for Psychiatry and Behavioral Medicine

    Las Vegas, Nevada 89128
    United States

    Site Not Available

  • 116: Alliance - Hassman Research Institute

    Berlin, New Jersey 08009
    United States

    Site Not Available

  • 127: Center for Emotional Fitness

    Cherry Hill, New Jersey 08002
    United States

    Site Not Available

  • 101: Princeton Medical Institute

    Princeton, New Jersey 08540
    United States

    Site Not Available

  • 118: Bioscience Research, LLC

    Mount Kisco, New York 10549
    United States

    Site Not Available

  • 119: Neurobehavioral Clinical Research, Inc.

    Canton, Ohio 44718
    United States

    Site Not Available

  • 106: Summit Research Network

    Portland, Oregon 97210
    United States

    Site Not Available

  • 126: Coastal Carolina Research

    Mount Pleasant, South Carolina 29464
    United States

    Site Not Available

  • 102: Clinical Neuroscience Solutions (CNS), Inc.

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • 132: Research Strategies of Memphis

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • 125: Biobehavioral Research of Austin

    Austin, Texas 78759
    United States

    Site Not Available

  • 110: FutureSearch Trials of Dallas

    Dallas, Texas 75231
    United States

    Site Not Available

  • 117: Houston Clinical Trials, LLC

    Houston, Texas 77005
    United States

    Site Not Available

  • 109: Ericksen Research and Development

    Clinton, Utah 84405
    United States

    Site Not Available

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