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Safety & Efficacy of TC-5619 in Adults With Inattentive-predominant Attention Deficit/Hyperactivity Disorder (ADHD)

Primary Purpose

Attention Deficit Hyperactivity Disorder

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
TC-5619-238 5mg
TC-5619-238 25mg
Placebo
Sponsored by
Targacept Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Diagnosis of Inattentive predominant ADHD per DSM-IV TR) criteria at Screening
  2. Score ≥ 2 on at least 6 of 9 items in the inattentive subscale of the CAARS-INV at Baseline (Day 1)
  3. Score of < 2 on at least 4 of 9 items in the hyperactive/impulsivity subscale of the CAARS-INV at Baseline (Day 1)
  4. Score ≥ 4 (at least moderate) on the CGI-S
  5. Tobacco non-users as indicated by lack of tobacco use within the last 6 months prior to Screening, and by negative urinary cotinine level of < 50 ng/mL after quantification

Exclusion Criteria:

  1. Current DSM-IV Axis I psychiatric disorder other than ADHD;
  2. Use of tobacco cessation agents within 4 weeks prior to Screening
  3. Known or suspected drug abuse within the last 6 months prior to Screening
  4. Urine drug screen positive for illegal or non-prescribed drugs at Screening
  5. Patients at imminent risk of suicide or of danger to themselves or others as judged by the investigator
  6. Use of drugs affecting cognitive function within 4 weeks prior to Day 1. This includes use of any concomitant medications for treatment of ADHD.
  7. History of significant other major or unstable neurological, metabolic, hepatic, renal, hematological, pulmonary, cardiovascular (CV), gastrointestinal (GI), or urological disorder; or diagnosis of major depressive disorder
  8. Myocardial infarction within past year
  9. Seizure disorder within past year
  10. Type 1 diabetes mellitus (DM); type 2 DM that requires medication (diet-controlled allowed)
  11. HbA1C > 7.4 at Screening
  12. BMI < 15 or > 35; male weight < 100 lbs; female weight < 80 lbs.
  13. Current tuberculosis (TB) or known systemic infection [Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV)]
  14. Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control
  15. Participation in another Central Nervous System (CNS)-related clinical trial in the last 3 months and any other clinical trial in last 30 days prior to Screening, or participation in a previous TC-5619 clinical trial

Sites / Locations

  • Southwestern Research, Inc
  • Synergy Clinical Research Center
  • MCB Clinical Research Centers, LLC
  • Florida Clinical Research Center, LLC
  • Clinical Neuroscience Solutions, Inc.
  • Florida Clinical Research Center, LLC
  • Clinical Neuroscience Solutions, Inc.
  • Compass Research, Inc.
  • Compass Research, LLC
  • Clinical Trials Network & Institute, Massachusetts General Hospital
  • Neuro-Behavioral Clinical Reseach, Inc.
  • Midwest Clinical Research Center
  • CNS Healthcare
  • FutureSearch Clinical Trials, LP

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

TC-5619-238 (25mg)

Placebo

TC-5619-238 (5 mg)

Arm Description

TC-5619-238 25 mg will be provided as hard gelatin capsules

Placebo will be provided as hard gelatin capsules similar to TC-5619-238

TC-5619-238 5 mg will be provided as hard gelatin capsules.

Outcomes

Primary Outcome Measures

Inattentive Subscale of the Conner's Adult ADHD-Investigator Version (CAARS-INV)
Scores on the inattentive subscale of the CAARS-INV obtained at Day 1 (baseline) and weeks 2, 4, and 6. Primary comparison will be difference between Day 1 and Week 4 (TC-5619 5mg and 25 mg vs. placebo).

Secondary Outcome Measures

Conner's Adult ADHD-Investigator Version total score
Scores on the total CAARS-INV obtained at Day 1 (baseline) and weeks 2, 4, and 6. Primary comparison will be difference between Day 1 and Week 4 (TC-5619 5mg and 25 mg vs. placebo).
Conner's Adult ADHD Rating Scale-Subject Self-Rating Version (CAARS-S)
Scores on the CAARS-S obtained at Day 1 (baseline) and weeks 2, 4, and 6. Primary comparison will be difference between Day 1 and Week 4 (TC-5619 5mg and 25 mg vs. placebo).

Full Information

First Posted
November 14, 2011
Last Updated
April 22, 2013
Sponsor
Targacept Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01472991
Brief Title
Safety & Efficacy of TC-5619 in Adults With Inattentive-predominant Attention Deficit/Hyperactivity Disorder (ADHD)
Official Title
A Double-Blind, Randomized, Placebo-Controlled, Multicenter, Fixed Dose Study to Assess Efficacy, Safety, and Tolerability of TC-5619 in Adults With Inattentive-Predominant Attention Deficit/Hyperactivity Disorder (ADHD)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
July 2012 (Actual)
Study Completion Date
July 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Targacept Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Study is to assess if TC-5619 improves symptoms for adults diagnosed with the inattentive-predominant subtype of ADHD over a 4-week treatment period.
Detailed Description
A 3-arm, double-blind, randomized, placebo-controlled, multicenter, fixed dose study to assess efficacy and safety of TC-5619 in adults with inattentive-predominant attention deficit/hyperactivity disorder (ADHD) utilizing the Connor's Adult ADHD Rating Scale-Investigator Completed Version (CAARS-INV) inattentive subscale scores through 4 weeks of treatment.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
250 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TC-5619-238 (25mg)
Arm Type
Experimental
Arm Description
TC-5619-238 25 mg will be provided as hard gelatin capsules
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo will be provided as hard gelatin capsules similar to TC-5619-238
Arm Title
TC-5619-238 (5 mg)
Arm Type
Experimental
Arm Description
TC-5619-238 5 mg will be provided as hard gelatin capsules.
Intervention Type
Drug
Intervention Name(s)
TC-5619-238 5mg
Intervention Description
TC-5619-238 5mg capsule taken once daily for 4 weeks
Intervention Type
Drug
Intervention Name(s)
TC-5619-238 25mg
Intervention Description
TC-5619-238 25mg capsules taken once daily for 4 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsules will be taken once daily for 4 weeks
Primary Outcome Measure Information:
Title
Inattentive Subscale of the Conner's Adult ADHD-Investigator Version (CAARS-INV)
Description
Scores on the inattentive subscale of the CAARS-INV obtained at Day 1 (baseline) and weeks 2, 4, and 6. Primary comparison will be difference between Day 1 and Week 4 (TC-5619 5mg and 25 mg vs. placebo).
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Conner's Adult ADHD-Investigator Version total score
Description
Scores on the total CAARS-INV obtained at Day 1 (baseline) and weeks 2, 4, and 6. Primary comparison will be difference between Day 1 and Week 4 (TC-5619 5mg and 25 mg vs. placebo).
Time Frame
4 weeks
Title
Conner's Adult ADHD Rating Scale-Subject Self-Rating Version (CAARS-S)
Description
Scores on the CAARS-S obtained at Day 1 (baseline) and weeks 2, 4, and 6. Primary comparison will be difference between Day 1 and Week 4 (TC-5619 5mg and 25 mg vs. placebo).
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Diagnosis of Inattentive predominant ADHD per DSM-IV TR) criteria at Screening Score ≥ 2 on at least 6 of 9 items in the inattentive subscale of the CAARS-INV at Baseline (Day 1) Score of < 2 on at least 4 of 9 items in the hyperactive/impulsivity subscale of the CAARS-INV at Baseline (Day 1) Score ≥ 4 (at least moderate) on the CGI-S Tobacco non-users as indicated by lack of tobacco use within the last 6 months prior to Screening, and by negative urinary cotinine level of < 50 ng/mL after quantification Exclusion Criteria: Current DSM-IV Axis I psychiatric disorder other than ADHD; Use of tobacco cessation agents within 4 weeks prior to Screening Known or suspected drug abuse within the last 6 months prior to Screening Urine drug screen positive for illegal or non-prescribed drugs at Screening Patients at imminent risk of suicide or of danger to themselves or others as judged by the investigator Use of drugs affecting cognitive function within 4 weeks prior to Day 1. This includes use of any concomitant medications for treatment of ADHD. History of significant other major or unstable neurological, metabolic, hepatic, renal, hematological, pulmonary, cardiovascular (CV), gastrointestinal (GI), or urological disorder; or diagnosis of major depressive disorder Myocardial infarction within past year Seizure disorder within past year Type 1 diabetes mellitus (DM); type 2 DM that requires medication (diet-controlled allowed) HbA1C > 7.4 at Screening BMI < 15 or > 35; male weight < 100 lbs; female weight < 80 lbs. Current tuberculosis (TB) or known systemic infection [Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV)] Women of child-bearing potential and male participants unwilling or unable to use accepted methods of birth control Participation in another Central Nervous System (CNS)-related clinical trial in the last 3 months and any other clinical trial in last 30 days prior to Screening, or participation in a previous TC-5619 clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Timothy Wilens, MD
Organizational Affiliation
Clinical Trials Network & Institute, Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Southwestern Research, Inc
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90210
Country
United States
Facility Name
Synergy Clinical Research Center
City
National City
State/Province
California
ZIP/Postal Code
91920
Country
United States
Facility Name
MCB Clinical Research Centers, LLC
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80910
Country
United States
Facility Name
Florida Clinical Research Center, LLC
City
Bradenton
State/Province
Florida
ZIP/Postal Code
34201
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Facility Name
Florida Clinical Research Center, LLC
City
Maitland
State/Province
Florida
ZIP/Postal Code
32751
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Compass Research, Inc.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Compass Research, LLC
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Clinical Trials Network & Institute, Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Neuro-Behavioral Clinical Reseach, Inc.
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Midwest Clinical Research Center
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
CNS Healthcare
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
FutureSearch Clinical Trials, LP
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States

12. IPD Sharing Statement

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Safety & Efficacy of TC-5619 in Adults With Inattentive-predominant Attention Deficit/Hyperactivity Disorder (ADHD)

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