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Safety and Efficacy of GTS21 in Adults With Attention-deficit Hyperactivity Disorder

Primary Purpose

Attention Deficit Hyperactivity Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GTS21/Placebo
Sponsored by
CoMentis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit Hyperactivity Disorder focused on measuring Attention Deficit Hyperactivity Disorder in adults

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female between the ages of 18-55, inclusive.
  • Diagnostic and Statistical Manual for the Classification of Mental Disorders, Fourth Edition (DSM-IV) criteria for ADHD, any subtype, based on a detailed psychiatric evaluation including the Conners' Adult ADHD Interview for DSM-IV (CAADID) and the Structured Clinical Interview for DSM-IV (SCID).
  • A minimum Total ADHD Symptoms Index score of 28 on the clinician administered CAARS.
  • A Clinical Global Impressions-Severity (CGI-S) score of ≥ 4 at Screening.
  • Normal or clinically insignificant ECG and clinical laboratory (e.g., liver enzymes, complete blood count, etc.) findings at Screening.
  • Intellectual function at age-appropriate levels, as deemed by the Investigator.
  • Supine systolic and diastolic blood pressure measurements < 140 and < 90, respectively, at Screening.
  • Written, signed and dated informed consent for the patient to participate in the study must have been given by the patient.
  • Females of child-bearing potential must have had a negative serum beta human chorionic gonadotropin (HCG) pregnancy test at Screening and be practicing double-barrier methods of contraception, if sexually active and for 30 days following administration of any study drug.
  • Male patients who were sexually active must have agreed to use a reliable form of contraception during the study and for 30 days following administration of any study drug.
  • Be fluent in English (speaking, writing and reading).

Exclusion Criteria:

  • Any current, controlled (requiring a prohibited medication) or uncontrolled, comorbid psychiatric diagnosis (except simple phobias), all major depressive disorders [dysthymia and mood disorder not otherwise specified (NOS) allowed unless medication required],and any severe comorbid Axis II disorders or severe Axis I disorders such as Post Traumatic Stress Disorder, bipolar illness, psychosis, obsessive-compulsive disorder, substance abuse disorder, or other symptomatic manifestations that, in the opinion of the Investigator, contraindicated treatment with GTS21 or confound efficacy or safety assessments.
  • Any condition or illness (including clinically significant abnormal laboratory values) which, in the opinion of the Investigator, represented an inappropriate risk to the patient and/or could confound the interpretation of the study.
  • Regular use of nicotine products (including 90 days before Screening), including smoking, transdermal patch, chewing tobacco, etc. (verified via salivary cotinine levels at Screening).
  • Current use of any prohibited medication or other medications, including herbal supplements, that have central nervous system (CNS) effects or affect cognitive performance, such as sedating antihistamines and decongestant sympathomimetics (bronchodilators were permitted).
  • Use of another investigational product or participation in a clinical study within 30 days prior to Screening.
  • Body Mass Index (BMI) > 32.
  • Known or suspected allergy, hypersensitivity, or clinically significant intolerance to nicotine or nicotinic agonists.
  • Clinically important abnormality on urine drug screen (excluding the patient's current ADHD stimulant, if applicable) at Screening.
  • Pregnant or currently lactating.
  • Patients that had previously been enrolled into this study and subsequently withdrawn.

Sites / Locations

  • George Washington University Medical Center
  • Duke University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

GTS21 25 mg tid/Placebo 25 mg tid

GTS21 75 mg tid/Placebo 75 mg tid

GTS21 150 mg tid/Placebo 150 mg tid

Arm Description

Outcomes

Primary Outcome Measures

To Assess the Safety and Tolerability of GTS21 (25 mg Tid, 75 mg Tid, 150 mg Tid).
The proportion of subjects with Treatment Emergent Adverse Events.

Secondary Outcome Measures

Full Information

First Posted
January 4, 2007
Last Updated
August 16, 2010
Sponsor
CoMentis
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1. Study Identification

Unique Protocol Identification Number
NCT00419445
Brief Title
Safety and Efficacy of GTS21 in Adults With Attention-deficit Hyperactivity Disorder
Official Title
A Double-Blind, Randomized, Proof-of-Concept Crossover Trial to Assess the Effects of GTS21 on Cognitive Function, Clinical Symptoms, and Adverse Events in Adults Diagnosed With Attention-Deficit Hyperactivity Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
August 2010
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
January 2008 (Actual)
Study Completion Date
January 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
CoMentis

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will be a randomized, double-blind, placebo-controlled crossover study to assess the effects of GTS21 (25 mg three times a day (tid), 75 mg tid, 150 mg tid) compared to placebo in non-smoking adults aged 18-55 with a diagnosis of ADHD, any subtype.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Attention Deficit Hyperactivity Disorder
Keywords
Attention Deficit Hyperactivity Disorder in adults

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GTS21 25 mg tid/Placebo 25 mg tid
Arm Type
Active Comparator
Arm Title
GTS21 75 mg tid/Placebo 75 mg tid
Arm Type
Active Comparator
Arm Title
GTS21 150 mg tid/Placebo 150 mg tid
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
GTS21/Placebo
Primary Outcome Measure Information:
Title
To Assess the Safety and Tolerability of GTS21 (25 mg Tid, 75 mg Tid, 150 mg Tid).
Description
The proportion of subjects with Treatment Emergent Adverse Events.
Time Frame
Baseline to study completion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female between the ages of 18-55, inclusive. Diagnostic and Statistical Manual for the Classification of Mental Disorders, Fourth Edition (DSM-IV) criteria for ADHD, any subtype, based on a detailed psychiatric evaluation including the Conners' Adult ADHD Interview for DSM-IV (CAADID) and the Structured Clinical Interview for DSM-IV (SCID). A minimum Total ADHD Symptoms Index score of 28 on the clinician administered CAARS. A Clinical Global Impressions-Severity (CGI-S) score of ≥ 4 at Screening. Normal or clinically insignificant ECG and clinical laboratory (e.g., liver enzymes, complete blood count, etc.) findings at Screening. Intellectual function at age-appropriate levels, as deemed by the Investigator. Supine systolic and diastolic blood pressure measurements < 140 and < 90, respectively, at Screening. Written, signed and dated informed consent for the patient to participate in the study must have been given by the patient. Females of child-bearing potential must have had a negative serum beta human chorionic gonadotropin (HCG) pregnancy test at Screening and be practicing double-barrier methods of contraception, if sexually active and for 30 days following administration of any study drug. Male patients who were sexually active must have agreed to use a reliable form of contraception during the study and for 30 days following administration of any study drug. Be fluent in English (speaking, writing and reading). Exclusion Criteria: Any current, controlled (requiring a prohibited medication) or uncontrolled, comorbid psychiatric diagnosis (except simple phobias), all major depressive disorders [dysthymia and mood disorder not otherwise specified (NOS) allowed unless medication required],and any severe comorbid Axis II disorders or severe Axis I disorders such as Post Traumatic Stress Disorder, bipolar illness, psychosis, obsessive-compulsive disorder, substance abuse disorder, or other symptomatic manifestations that, in the opinion of the Investigator, contraindicated treatment with GTS21 or confound efficacy or safety assessments. Any condition or illness (including clinically significant abnormal laboratory values) which, in the opinion of the Investigator, represented an inappropriate risk to the patient and/or could confound the interpretation of the study. Regular use of nicotine products (including 90 days before Screening), including smoking, transdermal patch, chewing tobacco, etc. (verified via salivary cotinine levels at Screening). Current use of any prohibited medication or other medications, including herbal supplements, that have central nervous system (CNS) effects or affect cognitive performance, such as sedating antihistamines and decongestant sympathomimetics (bronchodilators were permitted). Use of another investigational product or participation in a clinical study within 30 days prior to Screening. Body Mass Index (BMI) > 32. Known or suspected allergy, hypersensitivity, or clinically significant intolerance to nicotine or nicotinic agonists. Clinically important abnormality on urine drug screen (excluding the patient's current ADHD stimulant, if applicable) at Screening. Pregnant or currently lactating. Patients that had previously been enrolled into this study and subsequently withdrawn.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Carl Grove
Organizational Affiliation
CoMentis (formerly Athenagen)
Official's Role
Study Director
Facility Information:
Facility Name
George Washington University Medical Center
City
Washington
State/Province
District of Columbia
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.comentis.com
Description
Related Info

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Safety and Efficacy of GTS21 in Adults With Attention-deficit Hyperactivity Disorder

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