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Study Comparing Two Doses of MG01CI and Placebo in Adults With Predominantly Inattentive Attention Deficit Hyperactivity Disorder

Primary Purpose

ADHD Predominantly Inattentive Type

Status
Completed
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
Metadoxine (MG01CI)
Placebo
Sponsored by
Alcobra Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for ADHD Predominantly Inattentive Type focused on measuring ADHD , Inattention

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult men and women, 18 to 55 years old
  2. Diagnosed with predominantly inattentive ADHD based on DSM-IV criteria for ADHD as assessed by the Adult ADHD Clinician Diagnostic Scale (ACDS V1.2);
  3. Clinical severity of at least a moderate level (Clinical Global Impression score of 4 or above)
  4. TOVA ADHD score of -1.8 or below at Screening /Baseline
  5. Women with childbearing potential must agree to use effective contraceptive and have negative urine pregnancy test at screening visit
  6. Able to attend the clinic regularly and reliably
  7. Able to swallow tablets/capsules
  8. Able to understand, read, write and speak Hebrew fluently to complete study related materials
  9. Able to understand and sign written informed consent to participate in the study

Exclusion Criteria:

  1. Subjects with ADHD not otherwise specified (NOS) diagnosis
  2. Subjects with combined type or predominantly hyperactive impulsive ADHD diagnoses
  3. Subjects with current Axis I diagnosis on SCID
  4. Subjects with lifetime bipolar or psychosis
  5. Subjects in treatment for Axis I disorders, even if the disorder is remitted
  6. Subjects who were non-responders to at least two adequately administered ADHD treatments
  7. Subjects with any medical or psychiatric condition common diseases such as hypertension, type 2 diabetes mellitus, hyperlipidemia, etc. are allowed per the Investigator's judgment, as long as they are stable and controlled by medical therapy that is constant for at least 8 weeks prior to randomization and throughout the study
  8. Any prescription or non-prescription ADHD medications during the 14 days (for stimulants) or 28 days (for non-stimulants and other psychotropics) prior to the screening visit
  9. Known or suspected HIV-positive or with advanced diseases such as AIDS, Hepatitis C, Hepatitis B or tuberculosis
  10. History of allergy or sensitivity to B complex vitamins
  11. History or suspicion of PDD, NLD or other psychotic conditions
  12. Use of Vitamin B throughout the study (either alone or in any multi-vitamin)
  13. Use of ADHD medications throughout the study
  14. Use of any psychotropic medications throughout the study
  15. Use of investigational medication/treatment in the past 30 days prior to the screening visit
  16. Use of any medication or food supplement unless cleared by the medical monitor during the 14-day period before randomization
  17. Current (or history within the last 6 months) of drug dependence or substance abuse disorder according to DSM-IV-TR criteria (excluding nicotine). Subjects should also agree to refrain from significantly changing consumption of caffeine during the study.
  18. Suicidality, defined as active ideation, intent or plan, or any lifetime attempt (CSSRS)
  19. Subjects who cannot complete any study instruments or questionnaires
  20. Any relation to the Sponsor, Investigator or study staff
  21. Any condition, which in the opinion of the Principal Investigator would place the subject at risk or influence the conduct of the study or interpretation of results, including (but not limited to) abnormally low intellectual capacity.
  22. Subjects who cannot fully comprehend the implications of the protocol or comply with its requirements or are capable to follow the study schedule for any reason
  23. Women of childbearing potential must test negative for pregnancy at the time of enrollment based on a serum pregnancy test and agree to use a reliable method of birth control (e.g., oral contraceptives or Norplant®; a reliable barrier method of birth control [diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam]; intrauterine devices; partner with vasectomy; or abstinence) during the study. Note that this inclusion criterion applies only to females of childbearing potential. Females of childbearing potential are defined as women not surgically sterilized and between menarche and 2 years post-menopause

Sites / Locations

  • Geha Medical Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Metadoxine (MG01CI) 1400 mg

Metadoxine (MG01CI) 700 mg

Placebo

Arm Description

single dose of Metadoxine (MG01CI) 1400 mg

Single dose of Metadoxine (MG01CI) 700 mg

Single dose of Placebo

Outcomes

Primary Outcome Measures

Change in TOVA ADHD score from Screening/Baseline to 4 hours post-dose;
TOVA® is a computerized test that provides information about an individual's sustained attention, speed and consistency of responding, and behavioral self-regulation and executive functioning

Secondary Outcome Measures

Change in CANTAB sub-scores from baseline (Visit 2) to 4 hours post-dose;
The CANTAB is a computerized test assessing the key cognitive deficits present in ADHD. Sub-scores will include spatial working memory (SWM), stop signal task (SST), rapid visual information processing (RVP), and reaction time (RTI).
Change in TOVA sub-scores from Screening/Baseline to 4 hours post-dose
Number of participants who withdrew early from the study due to AE

Full Information

First Posted
September 12, 2012
Last Updated
January 13, 2014
Sponsor
Alcobra Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01685281
Brief Title
Study Comparing Two Doses of MG01CI and Placebo in Adults With Predominantly Inattentive Attention Deficit Hyperactivity Disorder
Official Title
Randomized, Double-blind, Single-center, Dose-finding Study Designed to Compare Two Doses of MG01CI (Metadoxine Extended Release) and Placebo in Adults With Predominantly Inattentive Attention Deficit Hyperactivity Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alcobra Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
study objectives are to compare the efficacy, safety and tolerability of two doses of MG01CI (1400 mg and 700 mg) to Placebo for the treatment of symptoms in adults diagnosed with PI-ADHD. subjects will be randomly assigned in a 1:1:1 ratio to one of three treatment sequences as follows: week 1:1400 mg, week 2:700 mg, week 3:placebo week 1:700 mg,week 2: placebo,week 3:1400 mg week 1: placebo, week2:1400 mg, week 3 700 mg The study will consist of three periods: a screening period of up to one week, a 3-week double-blind treatment period, and a one-week safety follow-up period.
Detailed Description
The purpose of this dose finding study is to compare two doses of MG01CI (1400 mg and 700 mg) to Placebo, in adult subjects with PI-ADHD. A crossover study design will allow evaluation of safety/tolerability and efficacy using validated computerized tests. subjects will be randomly assigned in a 1:1:1 ratio to one of three treatment sequences as follows: week 1:1400 mg, week 2:700 mg, week 3:placebo week 1:700 mg,week 2: placebo,week 3:1400 mg week 1: placebo, week2:1400 mg, week 3 700 mg Overview of Study Visits Screening Period: Visit 1 - Screening/Baseline Visit (up to 7 days prior to dosing) Treatment Period: Visit 2 - Day 0 (Randomization Visit) Visit 3 - Day 7 ± 3 days Visit 4 - Day 14 ± 3 days Visit 5 - Day 21 ± 3 days Follow-up period: Visit 6 - Day 28 ± 3 days Study duration for each subject will be up to 35 days .

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
ADHD Predominantly Inattentive Type
Keywords
ADHD , Inattention

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Metadoxine (MG01CI) 1400 mg
Arm Type
Active Comparator
Arm Description
single dose of Metadoxine (MG01CI) 1400 mg
Arm Title
Metadoxine (MG01CI) 700 mg
Arm Type
Active Comparator
Arm Description
Single dose of Metadoxine (MG01CI) 700 mg
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose of Placebo
Intervention Type
Drug
Intervention Name(s)
Metadoxine (MG01CI)
Other Intervention Name(s)
metadoxil
Intervention Description
MG01CI is an orally administered extended release formulation of metadoxine. Doses: 1400 mg and 700 mg and Placebo
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo tablets will be similar in appearance (color and size) to the investigational product
Primary Outcome Measure Information:
Title
Change in TOVA ADHD score from Screening/Baseline to 4 hours post-dose;
Description
TOVA® is a computerized test that provides information about an individual's sustained attention, speed and consistency of responding, and behavioral self-regulation and executive functioning
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Change in CANTAB sub-scores from baseline (Visit 2) to 4 hours post-dose;
Description
The CANTAB is a computerized test assessing the key cognitive deficits present in ADHD. Sub-scores will include spatial working memory (SWM), stop signal task (SST), rapid visual information processing (RVP), and reaction time (RTI).
Time Frame
4 weeks
Title
Change in TOVA sub-scores from Screening/Baseline to 4 hours post-dose
Time Frame
4 weeks
Title
Number of participants who withdrew early from the study due to AE
Time Frame
5 weeks
Other Pre-specified Outcome Measures:
Title
Number of Adverse Events
Time Frame
5 weeks

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: Adult men and women, 18 to 55 years old Diagnosed with predominantly inattentive ADHD based on DSM-IV criteria for ADHD as assessed by the Adult ADHD Clinician Diagnostic Scale (ACDS V1.2); Clinical severity of at least a moderate level (Clinical Global Impression score of 4 or above) TOVA ADHD score of -1.8 or below at Screening /Baseline Women with childbearing potential must agree to use effective contraceptive and have negative urine pregnancy test at screening visit Able to attend the clinic regularly and reliably Able to swallow tablets/capsules Able to understand, read, write and speak Hebrew fluently to complete study related materials Able to understand and sign written informed consent to participate in the study Exclusion Criteria: Subjects with ADHD not otherwise specified (NOS) diagnosis Subjects with combined type or predominantly hyperactive impulsive ADHD diagnoses Subjects with current Axis I diagnosis on SCID Subjects with lifetime bipolar or psychosis Subjects in treatment for Axis I disorders, even if the disorder is remitted Subjects who were non-responders to at least two adequately administered ADHD treatments Subjects with any medical or psychiatric condition common diseases such as hypertension, type 2 diabetes mellitus, hyperlipidemia, etc. are allowed per the Investigator's judgment, as long as they are stable and controlled by medical therapy that is constant for at least 8 weeks prior to randomization and throughout the study Any prescription or non-prescription ADHD medications during the 14 days (for stimulants) or 28 days (for non-stimulants and other psychotropics) prior to the screening visit Known or suspected HIV-positive or with advanced diseases such as AIDS, Hepatitis C, Hepatitis B or tuberculosis History of allergy or sensitivity to B complex vitamins History or suspicion of PDD, NLD or other psychotic conditions Use of Vitamin B throughout the study (either alone or in any multi-vitamin) Use of ADHD medications throughout the study Use of any psychotropic medications throughout the study Use of investigational medication/treatment in the past 30 days prior to the screening visit Use of any medication or food supplement unless cleared by the medical monitor during the 14-day period before randomization Current (or history within the last 6 months) of drug dependence or substance abuse disorder according to DSM-IV-TR criteria (excluding nicotine). Subjects should also agree to refrain from significantly changing consumption of caffeine during the study. Suicidality, defined as active ideation, intent or plan, or any lifetime attempt (CSSRS) Subjects who cannot complete any study instruments or questionnaires Any relation to the Sponsor, Investigator or study staff Any condition, which in the opinion of the Principal Investigator would place the subject at risk or influence the conduct of the study or interpretation of results, including (but not limited to) abnormally low intellectual capacity. Subjects who cannot fully comprehend the implications of the protocol or comply with its requirements or are capable to follow the study schedule for any reason Women of childbearing potential must test negative for pregnancy at the time of enrollment based on a serum pregnancy test and agree to use a reliable method of birth control (e.g., oral contraceptives or Norplant®; a reliable barrier method of birth control [diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam]; intrauterine devices; partner with vasectomy; or abstinence) during the study. Note that this inclusion criterion applies only to females of childbearing potential. Females of childbearing potential are defined as women not surgically sterilized and between menarche and 2 years post-menopause
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Iris Manor, Dr.
Organizational Affiliation
Geha Medical center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Geha Medical Centre
City
Petah Tiqva
Country
Israel

12. IPD Sharing Statement

Citations:
PubMed Identifier
25295645
Citation
Manor I, Rubin J, Daniely Y, Adler LA. Attention benefits after a single dose of metadoxine extended release in adults with predominantly inattentive ADHD. Postgrad Med. 2014 Sep;126(5):7-16. doi: 10.3810/pgm.2014.09.2795.
Results Reference
derived

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Study Comparing Two Doses of MG01CI and Placebo in Adults With Predominantly Inattentive Attention Deficit Hyperactivity Disorder

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