NCT02677519

Brief Summary

The primary objective of this study is to evaluate the long-term safety and tolerability of methylphenidate hydrochloride extended-release capsules (Aptensio XR®) in children aged 4-5 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Safety and tolerability will be evaluated by assessing treatment-emergent adverse events (TEAEs) blood pressure, pulse, height, weight, electrocardiograms (ECGs), laboratory The primary objective of this study is to evaluate the long-term (12-month) safety and tolerability of Aptensio XR® in children aged 4 to less than 6 years who have been diagnosed with ADHD. Safety and tolerability will be evaluated by assessing treatment-emergent adverse events (TEAEs) blood pressure, pulse, height, weight, electrocardiograms (ECGs), laboratory values and Columbia Suicide Severity Rating Scale (C-SSRS). Disturbances in sleep (quantity and quality) patterns will also be assessed using the Child Sleep Habits Questionnaire (CSHQ). Secondary objectives include assessment of long-term efficacy of Aptensio XR®. Secondary measures include:

  • Investigator administered Attention-Deficit/Hyperactivity Disorder Rating Scale Preschool Version (ADHD-RS-IV Preschool Version)
  • Clinical Global Impressions-Severity Scale (CGI-S )
  • Connors Early Childhood Behavior-Parent Short form \[Conners EC BEH-P(S)\]

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Sep 2016

Shorter than P25 for phase_4

Geographic Reach
1 country

2 active sites

Status
unknown

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

First Submitted

Initial submission to the registry

February 4, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 9, 2016

Completed
7 months until next milestone

Study Start

First participant enrolled

September 1, 2016

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2017

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2017

Completed
Last Updated

August 25, 2016

Status Verified

August 1, 2016

Enrollment Period

7 months

First QC Date

February 4, 2016

Last Update Submit

August 24, 2016

Conditions

Keywords

ADHDchildrenmethylphenidate

Outcome Measures

Primary Outcomes (4)

  • Treatment-emergent adverse events (TEAEs)

    Incidence of TEAEs during maintenance phase

    12 month maintenance phase

  • Columbia Suicide Severity Rating Scale (C-SSRS)

    Standardized assessment of suicide risk

    12 month maintenance phase

  • Vital signs

    blood pressure, pulse, height, weight

    12 month maintenance phase

  • 12-lead electrocardiogram

    12 month maintenance phase

Secondary Outcomes (3)

  • ADHD-RS-IV Preschool Version

    12 month maintenance phase

  • Clinical Global Impressions-Severity Scale (CGI-S)

    12 month maintenance phase

  • Connors Early Childhood Behavior-Parent Short [ConnorsEC BEH-P(S)]

    12 month maintenance phase

Study Arms (7)

10 mg Aptensio XR

EXPERIMENTAL

10 mg methylphenidate, extended release

Drug: Aptensio XR

15 mg Aptensio XR

EXPERIMENTAL

15 mg methylphenidate, extended release

Drug: Aptensio XR

20 mg Aptensio XR

EXPERIMENTAL

20 mg methylphenidate, extended release once daily

Drug: Aptensio XR

30 mg Aptensio XR

EXPERIMENTAL

30 mg methylphenidate, extended release

Drug: Aptensio XR

40 mg Aptensio XR

EXPERIMENTAL

40 mg methylphenidate, extended release

Drug: Aptensio XR

50 mg Aptensio XR

EXPERIMENTAL

50 mg methylphenidate, extended release

Drug: Aptensio XR

60 mg Aptensio XR

EXPERIMENTAL

60 mg methylphenidate, extended release

Drug: Aptensio XR

Interventions

Orally-administered extended release formulation of methylphenidate; once daily dosing

Also known as: Methylphenidate Extended Release
10 mg Aptensio XR15 mg Aptensio XR20 mg Aptensio XR30 mg Aptensio XR40 mg Aptensio XR50 mg Aptensio XR60 mg Aptensio XR

Eligibility Criteria

Age4 Years - 6 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Male and female subjects aged 4 to less than 6 years inclusive at the time consent was given to participate in Prior Studies. New Subjects must be at least 4 years but less than 6 years of age when written consent is given to participate in this trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Center for Psychiatry and Behavioral Medicine Inc.

Las Vegas, Nevada, 89128, United States

Location

Duke University Medical Center

Durham, North Carolina, 27705, United States

Location

Related Publications (1)

  • Childress AC, Foehl HC, Newcorn JH, Faraone SV, Levinson B, Adjei AL. Long-Term Treatment With Extended-Release Methylphenidate Treatment in Children Aged 4 to <6 Years. J Am Acad Child Adolesc Psychiatry. 2022 Jan;61(1):80-92. doi: 10.1016/j.jaac.2021.03.019. Epub 2021 Apr 20.

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior DisordersNeurodevelopmental DisordersMental Disorders

Study Officials

  • Ann Childress, MD

    Center for Psychiatry And Behavioral Medicine Inc.

    PRINCIPAL INVESTIGATOR
  • Scott Kollins, MD

    Department of Psychiatry & Behavioral Sciences, Duke University, Durham, NC

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Akwete Adjei, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 4, 2016

First Posted

February 9, 2016

Study Start

September 1, 2016

Primary Completion

April 1, 2017

Study Completion

September 1, 2017

Last Updated

August 25, 2016

Record last verified: 2016-08

Locations