Long-Term, Open Label Atomoxetine Study
Long-Term, Open Label Safety Study of Atomoxetine Hydrochloride in Patients, 6 Years and Older With Attention-Deficit/Hyperactivity Disorder
2 other identifiers
interventional
1,553
14 countries
100
Brief Summary
To learn about the safety and any side effects of atomoxetine when given to children and adolescents for about 5 years (long-term) and to learn whether atomoxetine can help children and adolescents with attention-deficit/hyperactivity disorder (ADHD) who take the drug for about 5 years (long-term). Study participants can be atomoxetine naive, atomoxetine experienced whose therapy has been interrupted or, atomoxetine experienced on a known stable dose.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Aug 2000
Longer than P75 for phase_3
100 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2000
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 19, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedResults Posted
Study results publicly available
January 17, 2011
CompletedJanuary 17, 2011
December 1, 2010
9.2 years
September 12, 2005
October 1, 2010
December 15, 2010
Conditions
Outcome Measures
Primary Outcomes (12)
Categorical Changes in Vital Signs (Blood Pressure [BP], Pulse, Weight, Temperature) During the Study
Vital signs were assesed categorically using the term high for BP, high and low for pulse and temperature, or decreased for weight. For BP, high was an increase to a value above the 95th percentile of the National Institute of Health (NIH) values. For pulse, high was an increase of at least 25 beats per minute to at least 110, and low was a decrease of at least 20 beats per minute to at most 65 beats per minute. For temperature, high was an increase of at least 1 to 37.7 and low was a decrease of at least 1.3 to at most 35.6. Decrease in weight was marked by a reduction of at least 3.5%.
Baseline through 5 years
Change From Baseline to 5 Year Endpoint in BP
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Pulse
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Body Weight
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Height
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Weight, Height, and Body Mass Index (BMI) Percentile Stratified by Baseline Quartile
Patients were assessed for changes in weight, height, and BMI. BMI is an estimate of body fat based on body weight divided by height squared.
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Electrocardiogram (ECG)
Patients were assessed for changes in ECG. The RR interval is the time duration between two consecutive R waves of the ECG. The QRS interval is the beginning of Q to the end of the S wave. The QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate. A corrected QT interval (QTc) has been corrected in order to aid interpretation. QTbz is the QT interval using Bazett's correction formula. QTfr is the QT interval using Fridericia's correction formula.QTdat is the QT interval using a data specific correction method for children.
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Heart Rate
Patients were assessed for changes in heart rate using electrocardiogram.
baseline, 5 years
Number of Patients Meeting Committee for Proprietary Medicinal Products (CPMP) Categorical QTc Interval Criteria Part I (Numerical Increase)
QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate. A corrected QT interval (QTc) has been corrected in order to aid interpretation. QTbz is the QT interval using Bazett's correction formula. QTfr is the QT interval using Fridericia's correction formula. QTdat is the QT interval using a data specific correction method for children.
baseline through 5 years
Number of Patients Meeting CPMP Categorical QTc Interval Criteria Part II (Interpretation at Baseline and Endpoint)
QT interval is a measure of time between the start of the Q wave and the end of the T wave and is dependent on the heart rate. A corrected QT interval (QTc) has been corrected in order to aid interpretation. QTbz is the QT interval using Bazett's correction formula. QTfr is the QT interval using Fridericia's correction formula. QTdat is the QT interval using a data specific correction method for children. For Males: Normal is \<430 ms, Borderline is \>=430 ms and \<450 ms, Prolonged is \>=450 ms. For Females: Normal is \<450 ms, Borderline is \>=450 ms and \<470 ms, Prolonged is \>=470 ms.
baseline through 5 years
Number of Participants With Abnormal Laboratory Analytes During the Study
Standard reference ranges from Covance Laboratories were used in the determination of abnormal high and low values based on age and gender, where appropriate. Aspartate aminotransferase (AST); serum glutamic oxaloacetic transaminase (SGOT); units/liter (U/L); alanine aminotransferase (ALT); serum glutamic pyruvic transaminase (SGPT); millimoles/liter (mmol/L); grams/liter (g/L); micromoles/liter (umol/L); millimoles/liter-iron (mmol/L-Fe); trillion/liter (TI/L)or 10\^12 units/liter; Giga/liter (GI/L)or 10\^9 units/liter; femtoliters (fL); urinalysis (UA)
baseline through 5 years
Number of Participants in Each Tanner Stage (Pubic Hair) by Age Group
Tanner Stage: I: no pubic hair at all (prepubertal Dominic state) II: small amount of long, downy hair with slight pigmentation at the base of the penis and scrotum (males) or on the labia majora (females) III: hair becomes more coarse and curly, and begins to extend laterally IV: adult-like hair quality, extending across pubis but sparing medial thighs V: hair extends to medial surface of the thighs Age Groups: 1. age\<11.0 (female) and age\<12 (male) 2. 11=\<age\<12 (female) or 12\<=age\<13 (male) 3. 12=\<age\<15 (female) or 13=\<age\<15 (male) 4. age\>=15 (female and male)
1 year through 5 years
Secondary Outcomes (4)
Change From Baseline to 5 Year Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) Total Score and Subscale Scores
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Clinical Global Impressions-Attention-Deficit/Hyperactivity Disorder-Severity (CGI-ADHD-S) Score
baseline, 5 years
Change From Baseline to 5 Year Endpoint in Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S) Subscale Scores
baseline, 5 years
Change From Baseline to 5 Year Endpoint in the Stroop Word Color Test
baseline, 5 years
Study Arms (1)
Atomoxetine
EXPERIMENTALAtomoxetine-naive patients will have an acute titration to a stable dose, atomoxetine experienced patients whose therapy has been interrupted with be rapidly titrated to their previously established stable dose, and atomoxetine patients on a known stable dose may continue treatment at that dose.
Interventions
0.5-1.8 mg/kg/day, by mouth (PO), for up to 5 years
Eligibility Criteria
You may qualify if:
- Must be at least 6 years old but less than 18 years old when enrolled in first atomoxetine study
- Must meet the study criteria for ADHD
- Must be willing to have blood drawn and to complete other test required for this study
You may not qualify if:
- allergic to more than 1 kind of medicine or have had multiple bad reactions to any drug
- taking certain medicines that could interact with atomoxetine
- plan to move too far away from a doctor participating in this study in the next 5 years
- current or past history of any of the following: alcohol or drug abuse within the past 3 months, bipolar I or II disorder, high blood pressure, organic brain disease or seizures, psychosis, other disorders or conditions diagnosed by a doctor that might make you unsuitable to participate in this study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (100)
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Birmingham, Alabama, 35233, United States
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Phoenix, Arizona, 85016, United States
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El Centro, California, 92243, United States
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Irvine, California, 92618, United States
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Lafayette, California, 94549, United States
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Los Angeles, California, 90095, United States
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San Diego, California, 92123, United States
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Spring Valley, California, 91978, United States
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Walnut Creek, California, 94596, United States
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Norwich, Connecticut, 06360, United States
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Boca Raton, Florida, 33433, United States
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Gainsville, Florida, 32607, United States
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Miami, Florida, 33173, United States
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Orlando, Florida, 32806, United States
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Tallahassee, Florida, 32308, United States
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West Palm Beach, Florida, 33407, United States
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Boise, Idaho, 83704, United States
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Northbrook, Illinois, 60062, United States
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Indianapolis, Indiana, 46202, United States
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Lafayette, Indiana, 47904, United States
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Iowa City, Iowa, 52242, United States
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Bardstown, Kentucky, 40004, United States
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Lexington, Kentucky, 40509, United States
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New Orleans, Louisiana, 70112, United States
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Baltimore, Maryland, 21287, United States
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Cambridge, Massachusetts, 02138, United States
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Worcester, Massachusetts, 01655, United States
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Detroit, Michigan, 48201, United States
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Kalamazoo, Michigan, 49008, United States
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Troy, Michigan, 48085, United States
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St Louis, Missouri, 63141, United States
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Omaha, Nebraska, 68198, United States
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Cherry Hill, New Jersey, 08034, United States
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Clementon, New Jersey, 08021, United States
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Moorestown, New Jersey, 08057, United States
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Piscataway, New Jersey, 08855, United States
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Manhasset, New York, 11030, United States
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New Hyde Park, New York, 11042, United States
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New York, New York, 10016, United States
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Rochester, New York, 14620, United States
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Stony Brook, New York, 11794, United States
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Chapel Hill, North Carolina, 27514, United States
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Charlotte, North Carolina, 28211, United States
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Durham, North Carolina, 27705, United States
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Cincinnati, Ohio, 45267, United States
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Cleveland, Ohio, 44195, United States
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Columbus, Ohio, 43210, United States
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Oklahoma City, Oklahoma, 73103, United States
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Portland, Oregon, 97239, United States
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Hershey, Pennsylvania, 17033, United States
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Media, Pennsylvania, 19063, United States
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Philadelphia, Pennsylvania, 19129, United States
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Pittsburgh, Pennsylvania, 15241, United States
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Rydal, Pennsylvania, 19046, United States
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Providence, Rhode Island, 02903, United States
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Nashville, Tennessee, 37212, United States
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Dallas, Texas, 75235, United States
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Galveston, Texas, 77555, United States
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Lake Jackson, Texas, 77566, United States
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Salt Lake City, Utah, 84107, United States
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Fairfax, Virginia, 22031, United States
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Herndon, Virginia, 20170, United States
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Midlothian, Virginia, 23112, United States
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Norfolk, Virginia, 23510, United States
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Richmond, Virginia, 23298, United States
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Vienna, Virginia, 22180, United States
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Spokane, Washington, 99220, United States
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Marshfield, Wisconsin, 54449, United States
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Middleton, Wisconsin, 53562, United States
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Milwaukee, Wisconsin, 53226, United States
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Wallsend, New South Wales, 2287, Australia
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South Brisbane, Queensland, 4101, Australia
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West Perth, Western Australia, 6005, Australia
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Antwerp, 2020, Belgium
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Leuven, 3000, Belgium
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Edmonton, Alberta, T5G0B7, Canada
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Halifax, Nova Scotia, B3J3G9, Canada
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Toronto, Ontario, M5G1X8, Canada
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Québec, Quebec, G1R2W8, Canada
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Bordeaux, 33076, France
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Lyon, 69395, France
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Paris, 75019, France
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Paris, 75571, France
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Heiligenstadt/Ofr, D-91332, Germany
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Mannheim, 68159, Germany
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Holon, 22100, Israel
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Ness Ziona, 70450, Israel
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Cagliari, 09124, Italy
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Pisa, 50018, Italy
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Groningen, 9713 GZ, Netherlands
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Utrecht, 3584 CX, Netherlands
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Oslo, 0319, Norway
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Rio Piedras, 00936, Puerto Rico
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San Juan, 00936, Puerto Rico
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Benmore, Sandown, 2010, South Africa
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Garsfontein, 0042, South Africa
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Panorama, 7500, South Africa
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Gothenburg, 41118, Sweden
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Glasgow, Scotland, G3 8SJ, United Kingdom
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Sheffield, South Yorkshire, S10 5DD, United Kingdom
Related Publications (1)
Michelson D, Read HA, Ruff DD, Witcher J, Zhang S, McCracken J. CYP2D6 and clinical response to atomoxetine in children and adolescents with ADHD. J Am Acad Child Adolesc Psychiatry. 2007 Feb;46(2):242-51. doi: 10.1097/01.chi.0000246056.83791.b6.
PMID: 17242628DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-619-4559 Mon-Fri 9 AM - 5 PM Eastern Time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 19, 2005
Study Start
August 1, 2000
Primary Completion
October 1, 2009
Study Completion
October 1, 2009
Last Updated
January 17, 2011
Results First Posted
January 17, 2011
Record last verified: 2010-12