Last reviewed · How we verify

NCT00150592

Safety, Tolerability and Efficacy of SPD503 in Treating ADHD in Children Aged 6-17

Completed Phase 2 Results posted Last updated 10 June 2021
What this trial tests

Phase 2 trial testing SPD503 (Guanfacine HCl) in Attention Deficit Disorder With Hyperactivity in 182 participants. Completed in 5 October 2005.

Timeline
12 May 2005
Primary endpoint
5 October 2005
5 October 2005

Quick facts

Lead sponsorShire
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment182
Start date12 May 2005
Primary completion5 October 2005
Estimated completion5 October 2005

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Adults 6 to 17, any sex, with Attention Deficit Disorder With Hyperactivity. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Choice Reaction Time (CRT) at 6 Weeks Primary · Baseline and 6 weeks

Choice reaction time (CRT) is a computerized assessment that trains the subject in holding down a press-pad and releasing the press-pad in response to stimuli presented on the screen. The task requires the subject to react as soon as a yellow dot appears in one of five locations, and the subject must respond by lifting their hand from the press-pad. This is the reaction time (RT) and ranges from 100 to 5000 msec. Lower scores indicate better performance.

GroupValue95% CI
SPD50320.7± 63.11
Placebo21.9± 64.04
Change From Baseline in Digital Symbol Substitution Task/Coding Test (DSST/Coding) Scores at 6 Weeks in Age Category 8-17 Years Secondary · Baseline and 6 weeks

The Digital Symbol Substitution Task/Coding Test (DSST/Coding) assesses relative contributions of speed, memory, and visual scanning. Subjects are required to copy symbols that are paired with simple geometric shapes or numbers within a specific time. Scores range from 0-65 in age category 6-7 years and 0-199 in age category 8-17 years. Higher scores indicate better performance.

GroupValue95% CI
SPD50318.3± 14.03
Placebo20.7± 17.18
Change From Baseline in DSST/Coding Scores at 6 Weeks in Age Category 6-7 Years Secondary · Baseline and 6 weeks

The Digital Symbol Substitution Task/Coding Test (DSST/Coding) assesses relative contributions of speed, memory, and visual scanning. Subjects are required to copy symbols that are paired with simple geometric shapes or numbers within a specific time. Scores range from 0-65 in age category 6-7 years and 0-199 in age category 8-17 years. Higher scores indicate better performance.

GroupValue95% CI
SPD5031.9± 1.95
Placebo9.7± 0
Change From Baseline in Spatial Working Memory (SWM) Scores at 6 Weeks Secondary · Baseline and 6 weeks

The Spatial Working Memory (SWM) Test is a computerized assessment of working memory and strategy performance. The subject is required to find blue "tokens" in various displayed boxes and use the "tokens" to fill a column on the right side of the screen. Subjects can only find "tokens" in new boxes, therefore they must remember where previous "tokens" were found. SWM scores including number of between errors, number of within errors, and number of double errors range 0-800 and SWM strategy scores range 8-56. Lower scores indicate better performance.

Between errors
GroupValue95% CI
SPD503-4.4± 7.42
Placebo-3.2± 6.75
Within errors
GroupValue95% CI
SPD5030.0± 1.11
Placebo-0.1± 0.73
Double errors
GroupValue95% CI
SPD503-0.0± 0.69
Placebo0.1± 0.53
Strategy
GroupValue95% CI
SPD503-0.9± 2.74
Placebo-0.1± 2.56
Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS-IV) Total Score at 6 Weeks Secondary · Baseline and 6 weeks

Change in the Attention Deficit Hyperactivity Disorder Rating Scale-fourth edition (ADHD-RS-IV) total score from baseline. The ADHD-RS-IV consists of 18 items scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms) with total score ranging from 0 to 54.

GroupValue95% CI
SPD503-8.8± 5.98
Placebo-5.5± 7.23
Number of Participants With Improvement in Clinical Global Impression-Improvement (CGI-I) at 6 Weeks Secondary · 6 weeks

Clinical Global Impression-Improvement (CGI-I) consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale.

GroupValue95% CI
SPD50367
Placebo20
Change From Baseline in Pediatric Daytime Sleepiness Scale (PDSS) Scores at 6 Weeks Secondary · Baseline and 6 weeks

The Pediatric Daytime Sleepiness Scale (PDSS) is an 8 question questionnaire scored on a scale from 0 (never) to 4 (always). Total scores range from 0 to 32, with increasing score reflecting greater sleepiness.

GroupValue95% CI
SPD503-1.3± 5.36
Placebo0.9± 5.31
Change From Baseline in Pictorial Sleepiness Scale (PSS) Scores at 6 Weeks Secondary · Baseline and 6 weeks

The Pictorial Sleepiness Scale (PSS) scores range from 1 (far left wide awake face) to 5 (far right very sleepy face). Increasing score reflects greater sleepiness.

GroupValue95% CI
SPD5030.0± 0.61
Placebo0.1± 0.63

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SPD503
Serious: 2/121 (2%)
Deaths:
Placebo
Serious: 0/57 (0%)
Deaths:

Serious adverse events (2 terms)

ReactionSystemSPD503Placebo
Asthma exacerbationRespiratory, thoracic and mediastinal disorders
Moderate loss of consciousnessInjury, poisoning and procedural complications
Other adverse events (14 terms — click to expand)

ReactionSystemSPD503Placebo
SomnolenceNervous system disorders
HeadacheNervous system disorders
Abdominal pain upperGastrointestinal disorders
SedationNervous system disorders
Abdominal painGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
IrritabilityPsychiatric disorders
Ear painEar and labyrinth disorders
Dry mouthGastrointestinal disorders
Non-cardiac chest painGeneral disorders
PyrexiaGeneral disorders
InsomniaPsychiatric disorders
DysmenorrheaReproductive system and breast disorders

Most-reported serious reactions: Asthma exacerbation, Moderate loss of consciousness.

Data from ClinicalTrials.gov NCT00150592 adverse events section.

Sponsor's own description

The purpose of this study is to determine the effects of SPD503 compared to placebo on tasks of sustained attention in children and adolescents aged 6-17 diagnosed with ADHD.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A simple formula for enumerating comparisons in trials and network meta-analysis.
    Shokraneh F, Adams CE. · · 2019 · cited 2× · PMID 30863537 · DOI 10.12688/f1000research.17352.2

Verify or expand the search:

Other recruiting trials for Attention Deficit Disorder With Hyperactivity

Currently open trials in the same condition.

Other Shire trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00150592.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing