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NCT02604407

Safety and Efficacy Study of SHP465 in Adults Aged 18-55 Years With Attention-deficit/ Hyperactivity Disorder (ADHD)

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

Phase 3 trial testing SHP465 12.5mg capsules (one capsule daily) in Attention Deficit Hyperactivity Disorder (ADHD) in 275 participants. Completed in 24 March 2016.

Timeline
19 November 2015
Primary endpoint
24 March 2016
24 March 2016

Quick facts

Lead sponsorShire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment275
Start date19 November 2015
Primary completion24 March 2016
Estimated completion24 March 2016
Sites45 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Adults 18 to 55, any sex, with Attention Deficit Hyperactivity Disorder (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.

Change From Baseline in the Adult Attention-deficit/Hyperactivity Disorder Rating Scale-4 (ADHD-RS) With Prompts Total Score at Visit 6 (Week 4) Primary · Baseline, Visit 6 (Week 4)

The ADHD-RS was developed to measure the behaviors of children with Attention deficit hyperactivity disorder (ADHD). The adult ADHD-RS with prompts consists of 18 items designated to reflect current symptomatology of ADHD based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. Each item is scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms), with the total score for the rating scale ranging from 0 to 54. Higher score = more severe symptoms.The scale is subdivided into 2 subscales of 9 symptoms each: hyperactivity/impulsivity

Baseline
GroupValue95% CI
Placebo40.5± 6.52
SHP465 12.5 mg39.8± 6.38
SHP465 37.5 mg39.9± 7.07
Change at Visit 6
GroupValue95% CI
Placebo-11.0± 11.47
SHP465 12.5 mg-18.1± 13.42
SHP465 37.5 mg-23.8± 11.89
Clinical Global Impression of Improvement (CGI-I) Score at Visit 6 (Week 4) Secondary · Visit 6 (Week 4)

CGI scales permit a global evaluation of the participant's severity and improvement over time. CGI-I was performed to rate the severity of a participant's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants).

GroupValue95% CI
Placebo3.1± 1.05
SHP465 12.5 mg2.4± 1.16
SHP465 37.5 mg1.9± 1.10

Adverse events — posted to ClinicalTrials.gov

Time frame: From the Start of Study Drug Administration up to Follow-up (Week 5). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/89 (0%)
Deaths:
SHP465 12.5 mg
Serious: 0/92 (0%)
Deaths:
SHP465 37.5 mg
Serious: 0/90 (0%)
Deaths:
Other adverse events (8 terms — click to expand)

ReactionSystemPlaceboSHP465 12.5 mgSHP465 37.5 mg
Decreased appetiteMetabolism and nutrition disorders
Dry mouthGastrointestinal disorders
InsomniaPsychiatric disorders
HeadacheNervous system disorders
AnxietyPsychiatric disorders
Initial insomniaPsychiatric disorders
BruxismPsychiatric disorders
IrritabilityPsychiatric disorders

Data from ClinicalTrials.gov NCT02604407 adverse events section.

Sponsor's own description

The study is designed to evaluate the efficacy and safety of each dose of SHP465 (12.5 and 37.5 mg) given to participants daily in the morning compared to placebo in the treatment of adults aged 18 to 55 years diagnosed with ADHD.

Publications & conference data

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

  1. 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
  2. Efficacy and Safety of SHP465 Mixed Amphetamine Salts in the Treatment of Attention-Deficit/Hyperactivity Disorder in Adults: Results of a Randomized, Double-Blind, Placebo-Controlled, Forced-Dose Clinical Study.
    Weisler RH, Greenbaum M, Arnold V, Yu M, et al · · 2017 · cited 24× · PMID 28712074 · DOI 10.1007/s40263-017-0455-7
  3. Methods to Develop an <i>in silico</i> Clinical Trial: Computational Head-to-Head Comparison of Lisdexamfetamine and Methylphenidate.
    Gutiérrez-Casares JR, Quintero J, Jorba G, Junet V, et al · · 2021 · cited 13× · PMID 34803764 · DOI 10.3389/fpsyt.2021.741170

Verify or expand the search:

Other recruiting trials for Attention Deficit Hyperactivity Disorder (ADHD)

Currently open trials in the same condition.

Other Shire trials

Trials by the same sponsor.

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