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NCT00697515

Safety and Efficacy Workplace Environment Study of Lisdexamfetamine Dimesylate (LDX) in Adults With Attention-Deficit Hyperactivity Disorder (ADHD)

Completed Phase 3 Results posted Last updated 9 June 2021
What this trial tests

Phase 3 trial testing LDX in ADHD in 142 participants. Completed in 20 December 2008.

Timeline
18 July 2008
Primary endpoint
20 December 2008
20 December 2008

Quick facts

Lead sponsorShire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingtriple
Primary purposetreatment
Enrollment142
Start date18 July 2008
Primary completion20 December 2008
Estimated completion20 December 2008
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Adults 18 to 55, any sex, with ADHD. 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.

Permanent Product Measure of Performance (PERMP) Total Score Over the Treatment Day in the Crossover Phase Primary · 2, 4, 8, 10, 12 and 14 hours post-dose on Day 7

The Permanent Product Measure of Performance (PERMP) is a skill adjusted math test. The PERMP score is the sum of the number of math problems attempted plus the number of math problems answered correctly in a 10-minute session. The scores range from 0-800 with higher scores indicating better performance.

GroupValue95% CI
SPD489312.9± 8.59
Placebo289.5± 8.59
PERMP Total Score by Timepoint in the Crossover Phase Secondary · 2, 4, 8, 10, 12 and 14 hours post-dose on Day 7

The Permanent Product Measure of Performance (PERMP) is a skill adjusted math test. The PERMP score is the sum of the number of math problems attempted plus the number of math problems answered correctly in a 10-minute session. The scores range from 0-800 with higher scores indicating better performance.

2.0 hours post-dose
GroupValue95% CI
SPD489301.5± 8.78
Placebo285.9± 8.78
4.0 hours post-dose
GroupValue95% CI
SPD489314.1± 9.16
Placebo284.7± 9.16
8.0 hours post-dose
GroupValue95% CI
SPD489311.4± 9.07
Placebo287.1± 9.07
10.0 hours post-dose
GroupValue95% CI
SPD489313.5± 8.82
Placebo288.8± 8.82
12.0 hours post-dose
GroupValue95% CI
SPD489318.7± 8.77
Placebo293.1± 8.77
14.0 hours post-dose
GroupValue95% CI
SPD489318.6± 9.03
Placebo296.7± 9.03
PERMP Score for the Number of Math Problems Attempted by Timepoint in the Crossover Phase Secondary · 2, 4, 8, 10, 12 and 14 hours post-dose on Day 7

The Permanent Product Measure of Performance (PERMP) is a skill adjusted math test. The PERMP score is the sum of the number of math problems attempted plus the number of math problems answered correctly in a 10-minute session. The scores range from 0-800 with higher scores indicating better performance.

Over the treatment day
GroupValue95% CI
SPD489158.6± 4.33
Placebo146.6± 4.33
2.0 hours post-dose
GroupValue95% CI
SPD489153.1± 4.41
Placebo144.9± 4.41
4.0 hours post-dose
GroupValue95% CI
SPD489159.3± 4.60
Placebo144.2± 4.60
8.0 hours post-dose
GroupValue95% CI
SPD489157.6± 4.56
Placebo145.3± 4.56
10.0 hours post-dose
GroupValue95% CI
SPD489158.6± 4.44
Placebo146.1± 4.44
12.0 hours post-dose
GroupValue95% CI
SPD489161.2± 4.43
Placebo148.4± 4.43
14.0 hours post-dose
GroupValue95% CI
SPD489161.5± 4.57
Placebo150.4± 4.57
PERMP Score for the Number of Math Problems Answered Correctly by Timepoint in the Crossover Phase Secondary · 2, 4, 8, 10, 12 and 14 hours post-dose on Day 7

The Permanent Product Measure of Performance (PERMP) is a skill adjusted math test. The PERMP score is the sum of the number of math problems attempted plus the number of math problems answered correctly in a 10-minute session. The scores range from 0-800 with higher scores indicating better performance.

Over the treatment day
GroupValue95% CI
SPD489154.4± 4.27
Placebo142.9± 4.27
2.0 hours post-dose
GroupValue95% CI
SPD489148.4± 4.38
Placebo141.0± 4.38
4.0 hours post-dose
GroupValue95% CI
SPD489154.8± 4.56
Placebo140.4± 4.56
8.0 hours post-dose
GroupValue95% CI
SPD489153.7± 4.51
Placebo141.7± 4.51
10.0 hours post-dose
GroupValue95% CI
SPD489154.8± 4.39
Placebo142.7± 4.39
12.0 hours post-dose
GroupValue95% CI
SPD489157.4± 4.36
Placebo144.7± 4.36
14.0 hours post-dose
GroupValue95% CI
SPD489157.1± 4.48
Placebo146.3± 4.48
Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale With Prompts (ADHD-RS) Total Score at up to 28 Days in the Dose Optimization Phase Secondary · Baseline and 7, 14, 21 and 28 days

The Attention Deficit Hyperactivity Disorder Rating Scale with Prompts (ADHD-RS) 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
SPD489-21.4± 7.31
ADHD-RS With Prompts Total Score in the Crossover Phase Secondary · 7 days

The Attention Deficit Hyperactivity Disorder Rating Scale with Prompts (ADHD-RS) 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
SPD48918.1± 0.94
Placebo29.6± 0.94
Assessment of Clinical Global Impression-Severity of Illness (CGI-S) in the Dose Optimization Phase Secondary · Baseline

CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)

Normal, not at all ill
GroupValue95% CI
SPD4890
Borderline mentally ill
GroupValue95% CI
SPD4890
Mildly ill
GroupValue95% CI
SPD4890
Moderately ill
GroupValue95% CI
SPD48992
Markedly ill
GroupValue95% CI
SPD48946
Severely ill
GroupValue95% CI
SPD4894
Among the most extremely ill subjects
GroupValue95% CI
SPD4890
Number of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) in the Dose Optimization Phase Secondary · 7, 14, 21 and 28 days

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
SPD489130
Number of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) in the Crossover Phase Secondary · 7 days

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
SPD48970
Placebo13
Change From Baseline in the Brown Attention Deficit Disorder Scale (BADDS) Total Scores at 26 Days in the Dose Optimization Phase Secondary · Baseline and 26 days

The BADDS assessment consists of 40 items rated on a scale from 0 (never) to 3 (almost daily). The total score ranges from 0 to 120 with increasing scores indicating more severe impairment.

GroupValue95% CI
SPD489-34.1± 20.99
Level of Satisfaction With Study Treatment on Medication Satisfaction Questionnaire (MSQ) in the Dose Optimization Phase Secondary · 26 days

MSQ is a survey rating the subject's level of satisfaction with the study treatment medication.

Very satisfied
GroupValue95% CI
SPD48979
Moderately satisfied
GroupValue95% CI
SPD48944
Not satisfied
GroupValue95% CI
SPD4892
Don't know
GroupValue95% CI
SPD4892
Change From Baseline in Adult ADHD Impact Module (AIM-A) Question 1 Score at 26 Days in the Dose Optimization Phase Secondary · Baseline and 26 days

AIM-A is a quality of life instrument. Question 1 is 'On a scale of 1 to 10, how would you rate the overall quality of life right now?' It is rated on a scale of 1 (worst) to 10 (best).

GroupValue95% CI
SPD4890.9± 1.67

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SPD489
Serious: 0/142 (0%)
Deaths:
Placebo
Serious: 0/117 (0%)
Deaths:
Other adverse events (10 terms — click to expand)

ReactionSystemSPD489Placebo
Decreased appetiteMetabolism and nutrition disorders
Dry mouthGastrointestinal disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
Upper respiratory tract infectionInfections and infestations
FatigueGeneral disorders
IrritabilityGeneral disorders
NauseaGastrointestinal disorders
Feeling jitteryGeneral disorders
AnxietyPsychiatric disorders

Data from ClinicalTrials.gov NCT00697515 adverse events section.

Sponsor's own description

To evaluate the efficacy of LDX compared to placebo in adults with ADHD in the adult workplace environment (AWE) setting

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Randomized, double-blind, placebo-controlled, crossover study of the efficacy and safety of lisdexamfetamine dimesylate in adults with attention-deficit/hyperactivity disorder: novel findings using a simulated adult workplace environment design.
    Wigal T, Brams M, Gasior M, Gao J, et al · · 2010 · cited 111× · PMID 20576091 · DOI 10.1186/1744-9081-6-34
  2. Amphetamines for attention deficit hyperactivity disorder (ADHD) in adults.
    Castells X, Blanco-Silvente L, Cunill R. · · 2018 · cited 66× · PMID 30091808 · DOI 10.1002/14651858.cd007813.pub3
  3. Lisdexamfetamine's Efficacy in Treating Attention Deficit Hyperactivity Disorder (ADHD): A Meta-Analysis and Review.
    Rutledge-Jukes H, Jonnalagadda P, McIntosh AP, Krstovski S, et al · · 2024 · cited 1× · PMID 39350825 · DOI 10.7759/cureus.68324

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Other recruiting trials for ADHD

Currently open trials in the same condition.

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