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NCT03605836

A Trial to Evaluate the Efficacy, Safety, and Tolerability of Centanafadine Sustained-release Tablets in Adults With Attention-deficit/Hyperactivity Disorder

Completed Phase 3 Results posted Last updated 18 October 2021
What this trial tests

Phase 3 trial testing Centanafadine SR in Attention Deficit Disorder in 590 participants. Completed in 14 May 2020.

Timeline
16 January 2019
Primary endpoint
14 May 2020
14 May 2020

Quick facts

Lead sponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment590
Start date16 January 2019
Primary completion14 May 2020
Estimated completion14 May 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. — full company profile →

Who can join

Adults 18 to 55, any sex, with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder. 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 ADHD Investigator Symptom Rating Scale (AISRS) Score at Day 42 Primary · Baseline and Day 42

The AISRS is an 18-item clinician rating scale to evaluate individual ADHD symptoms on a scale of 0 (none) to 3 (severe). The total sum ranges from 0 (no ADHD symptoms) to 54 (extremely severe ADHD symptoms). Mixed-effect model repeated measure (MMRM) was used for the analysis.

GroupValue95% CI
Double-blind Treatment Period: Centanafadine SR 200 mg-12.1± 0.96
Double-blind Treatment Period: Centanafadine SR 400 mg-12.5± 0.99
Double-blind Treatment Period: Placebo-8.07± 0.94
Change From Baseline in Clinical Global Impression-Severity of Illness Scale (CGI-S) Score at Day 42 Secondary · Baseline and Day 42

CGI-S is an observer-rated scale used to measure symptom severity with a total score range of 0 to 7 where 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants. A negative change from Baseline indicates improvement. MMRM was used for the analysis.

GroupValue95% CI
Double-blind Treatment Period: Centanafadine SR 200 mg-1.04± 0.09
Double-blind Treatment Period: Centanafadine SR 400 mg-0.99± 0.09
Double-blind Treatment Period: Placebo-0.71± 0.09

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 59 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo: Single-blind Run-in Period Only
Serious: 0/149 (0%)
Deaths: 0/149
Placebo + Centanafadine SR 200 mg
Serious: 1/145 (1%)
Deaths: 0/145
Placebo + Centanafadine SR 400 mg
Serious: 0/143 (0%)
Deaths: 0/143
Placebo + Placebo
Serious: 0/142 (0%)
Deaths: 0/142

Serious adverse events (1 terms)

ReactionSystemPlacebo: Single-blind Run-…Placebo + Centanafadine SR…Placebo + Centanafadine SR…Placebo + Placebo
BronchitisInfections and infestations
Other adverse events (7 terms — click to expand)

ReactionSystemPlacebo: Single-blind Run-…Placebo + Centanafadine SR…Placebo + Centanafadine SR…Placebo + Placebo
NauseaGastrointestinal disorders
HeadacheNervous system disorders
Decreased ApettiteMetabolism and nutrition disorders
Dry MouthGastrointestinal disorders
Upper Respiratory Tract InfectionInfections and infestations
DiarrhoeaGastrointestinal disorders
InsomniaPsychiatric disorders

Most-reported serious reactions: Bronchitis.

Data from ClinicalTrials.gov NCT03605836 adverse events section.

Sponsor's own description

This study evaluated the efficacy, safety, and tolerability of centanafadine sustained-release tablets in adults with ADHD. Participants either received a twice-daily dose of centanafadine sustained-release tablets, or twice-daily placebo.

Publications & conference data

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

  1. G protein-coupled receptors in neurodegenerative diseases and psychiatric disorders.
    Wong TS, Li G, Li S, Gao W, et al · · 2023 · cited 113× · PMID 37137892 · DOI 10.1038/s41392-023-01427-2
  2. Efficacy, Safety, and Tolerability of Centanafadine Sustained-Release Tablets in Adults With Attention-Deficit/Hyperactivity Disorder: Results of 2 Phase 3, Randomized, Double-blind, Multicenter, Placebo-Controlled Trials.
    Adler LA, Adams J, Madera-McDonough J, Kohegyi E, et al · · 2022 · cited 34× · PMID 35652746 · DOI 10.1097/jcp.0000000000001575
  3. Assessment of centanafadine in adults with attention-deficit/hyperactivity disorder: A matching-adjusted indirect comparison vs lisdexamfetamine dimesylate, atomoxetine hydrochloride, and viloxazine extended-release.
    Schein J, Cloutier M, Gauthier-Loiselle M, Catillon M, et al · · 2024 · cited 6× · PMID 38824626 · DOI 10.18553/jmcp.2024.30.6.528
  4. Treatment Preferences of Adult Patients with Attention-Deficit/Hyperactivity Disorder - A Discrete Choice Experiment.
    Schein J, Cloutier M, Gauthier-Loiselle M, Catillon M, et al · · 2024 · cited 3× · PMID 39131693 · DOI 10.2147/ppa.s467724
  5. Assessment of centanafadine in adults with ADHD: a matching adjusted indirect comparison versus methylphenidate hydrochloride extended release (Concerta).
    Schein J, Cloutier M, Gauthier-Loiselle M, Catillon M, et al · · 2024 · cited 3× · PMID 38958732 · DOI 10.1080/03007995.2024.2373883
  6. 52-Week Open-Label Safety and Tolerability Study of Centanafadine Sustained Release in Adults With Attention-Deficit/Hyperactivity Disorder.
    Mattingly GW, Turkoglu O, Chang D, Ward C, et al · · 2025 · cited 2× · PMID 40600581 · DOI 10.1097/jcp.0000000000002020
  7. A Matching-Adjusted Indirect Comparison (MAIC) of Centanafadine versus Methylphenidate Hydrochloride in Adults with Attention-Deficit/Hyperactivity Disorder (ADHD): Short-Term Safety and Efficacy Outcomes: Comparaison indirecte ajustée par appariement (MAIC) entre centanafadine e
    Schein J, Catillon M, Xu C, Qu A, et al · · 2025 · cited 1× · PMID 40452389 · DOI 10.1177/07067437251342279
  8. Treatment Preferences of Physicians Treating Adult Patients with Attention-Deficit/Hyperactivity Disorder in the United States and Canada: A Discrete Choice Experiment.
    Schein J, Cloutier M, Gauthier-Loiselle M, Catillon M, et al · · 2025 · cited 1× · PMID 39549200 · DOI 10.1007/s40120-024-00681-y

Verify or expand the search:

Other trials of Centanafadine SR

Trials testing the same drug.

Other recruiting trials for Attention Deficit Disorder

Currently open trials in the same condition.

Other Otsuka Pharmaceutical Development & Commercialization, Inc. trials

Trials by the same sponsor.

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