Vayarin® Medical Food Study for Adults With Attention Deficit Hyperactivity Disorder (ADHD)
Primary Purpose
Attention Deficit Hyperactivity Disorder (ADHD)
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Vayarin®
Placebo
Sponsored by
About this trial
This is an interventional other trial for Attention Deficit Hyperactivity Disorder (ADHD)
Eligibility Criteria
Inclusion Criteria:
- Male and female age 18-60 inclusive.
- Primary diagnosis of ADHD
- At least 50% of the sample will have an abnormal score on the Emotional Control subscale of the BRIEF-A of ≥65.
- AISRS total score ≥ 24
- CGI-S ≥4 (moderately ill or worse).
- Subjects in ongoing psychotherapy will be allowed, but no significant changes in the frequency, type or intensity of the therapy are to be made during the course of their study participation per the discretion of the principal investigator. The subject must be in psychotherapy at least 4 weeks prior to the screening visit.
- Understands and is able, willing, and likely to fully comply with the study procedures and restrictions.
- Has given written informed consent to participate in the study.
Exclusion Criteria:
- BMI less than18.5 or greater than 35.
- Any underlying/ history or current diagnosis of systemic and/or metabolic disease (e.g. diabetes, Crohn's disease) and/or neurological condition state that may render the subject illegible to participate in the study as assessed by medical history, physical exam, clinical and lab evaluation.
- History of uncontrolled hypertension or a resting systolic blood pressure > 140mmHg or diastolic blood pressure > 90mmHg (Subjects with well controlled hypertension on a stable dose (2 months) of anti-hypertensives will be allowed to participate).
- Hamilton Anxiety Scale (HAM-A) ≥ 17).
- Hamilton Depression scale (HAM-D ≥ 13).
- Major depression or anxiety disorder which is a focus of treatment or requires taking medication.
- A lifetime history of psychosis or bipolar disorder based on a clinician-administered interview using the Mini International Neuropsychiatric Interview (M.I.N.I 7.0). Subjects with mild to moderate forms of social phobia and dysthymia, not requiring treatment, will be allowed.
- Has any concurrent chronic or unstable medical condition that could confound with the results of safety assessments, increase risk to the subject or lead to difficulty complying with the protocol.
- Subjects taking any medication with CNS effects (excluding subjects who discontinue the medications at least 2 weeks prior to the study for stimulants and 4 weeks for SSRI, non-stimulants, and alpha 2-agonist).
- Subjects with a history of two or more prior failed adequate trials of ADHD treatment due to adverse events.
- Use of dietary supplements with potential CNS effect, including omega-3 supplements, 30 days before study initiation and throughout the study.
- Clinical history of cognitive impairment in judgment of investigator.
- Pregnant or breast-feeding subjects. Women of childbearing potential must have a negative pregnancy test performed at screening visit prior to randomization. Women of childbearing potential must agree to use adequate birth control for the entire duration of the study.
- Subjects with a current (within the last 3 months) DSM-V diagnosis of alcohol or drug abuse or dependence (excluding nicotine).
- Known history of allergic reactions or sensitivity to marine products (fish and seafood), or soy.
- Has taken an investigational drug or taken part in a clinical trial within 30 days prior to screening.
- Any other reason that, in the opinion of the investigator, prevents the subject from participating in the study or compromise the subject safety.
Sites / Locations
- Northwest Behavioral Research Center
- Bioscience Research, LLC
- New York University School of Medicine
- The Medical Research Network, LLC
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
Placebo Comparator
Arm Label
Sequence 1: Treatment/Treatment
Sequence 2: Placebo/Treatment
Sequence 3: Placebo/Placebo
Arm Description
Treatment/Treatment- consists of Vayarin® for 8 weeks followed by 8 weeks of additional treatment with Vayarin®
Placebo/Treatment- consists of Placebo for 8 weeks followed by 8 weeks of treatment with Vayarin®
Placebo/Placebo- consists of Placebo for 8 weeks followed by 8 weeks of additional treatment with Placebo
Outcomes
Primary Outcome Measures
Adult ADHD Investigator Symptom Rating Scale (AISRS) total score
Secondary Outcome Measures
AISRS
Adult ADHD Self-Report Scale (ASRS)
Clinician Global Impression-Severity (CGI-S)
Clinician Global Impression improvement (CGI-I)
Behavior Rating Inventory of Executive Function for adults (BRIEF-A)
Pittsburgh Sleep Quality Index (PSQI)
Adult ADHD Quality of Life Measure (AAQoL)
Adverse events monitoring
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02257216
Brief Title
Vayarin® Medical Food Study for Adults With Attention Deficit Hyperactivity Disorder (ADHD)
Official Title
A Randomized, Sequential Parallel, Double-Blind, Placebo- Controlled Medical Food Study for the Safety and Efficacy of Vayarin® in Adults With Attention Deficit Hyperactivity Disorder (ADHD)
Study Type
Interventional
2. Study Status
Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
May 2017 (Actual)
Study Completion Date
June 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Enzymotec
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary study objective is to evaluate the efficacy of Vayarin in ADHD adults.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Attention Deficit Hyperactivity Disorder (ADHD)
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
171 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Sequence 1: Treatment/Treatment
Arm Type
Active Comparator
Arm Description
Treatment/Treatment- consists of Vayarin® for 8 weeks followed by 8 weeks of additional treatment with Vayarin®
Arm Title
Sequence 2: Placebo/Treatment
Arm Type
Active Comparator
Arm Description
Placebo/Treatment- consists of Placebo for 8 weeks followed by 8 weeks of treatment with Vayarin®
Arm Title
Sequence 3: Placebo/Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo/Placebo- consists of Placebo for 8 weeks followed by 8 weeks of additional treatment with Placebo
Intervention Type
Other
Intervention Name(s)
Vayarin®
Intervention Description
Medical Food
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Cellulose
Primary Outcome Measure Information:
Title
Adult ADHD Investigator Symptom Rating Scale (AISRS) total score
Time Frame
over 16 weeks
Secondary Outcome Measure Information:
Title
AISRS
Time Frame
over 16 weeks
Title
Adult ADHD Self-Report Scale (ASRS)
Time Frame
over 16 weeks
Title
Clinician Global Impression-Severity (CGI-S)
Time Frame
over 16 weeks
Title
Clinician Global Impression improvement (CGI-I)
Time Frame
over 16 weeks
Title
Behavior Rating Inventory of Executive Function for adults (BRIEF-A)
Time Frame
over 16 weeks
Title
Pittsburgh Sleep Quality Index (PSQI)
Time Frame
over 16 weeks
Title
Adult ADHD Quality of Life Measure (AAQoL)
Time Frame
over 16 weeks
Title
Adverse events monitoring
Time Frame
over 16 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female age 18-60 inclusive.
Primary diagnosis of ADHD
At least 50% of the sample will have an abnormal score on the Emotional Control subscale of the BRIEF-A of ≥65.
AISRS total score ≥ 24
CGI-S ≥4 (moderately ill or worse).
Subjects in ongoing psychotherapy will be allowed, but no significant changes in the frequency, type or intensity of the therapy are to be made during the course of their study participation per the discretion of the principal investigator. The subject must be in psychotherapy at least 4 weeks prior to the screening visit.
Understands and is able, willing, and likely to fully comply with the study procedures and restrictions.
Has given written informed consent to participate in the study.
Exclusion Criteria:
BMI less than18.5 or greater than 35.
Any underlying/ history or current diagnosis of systemic and/or metabolic disease (e.g. diabetes, Crohn's disease) and/or neurological condition state that may render the subject illegible to participate in the study as assessed by medical history, physical exam, clinical and lab evaluation.
History of uncontrolled hypertension or a resting systolic blood pressure > 140mmHg or diastolic blood pressure > 90mmHg (Subjects with well controlled hypertension on a stable dose (2 months) of anti-hypertensives will be allowed to participate).
Hamilton Anxiety Scale (HAM-A) ≥ 17).
Hamilton Depression scale (HAM-D ≥ 13).
Major depression or anxiety disorder which is a focus of treatment or requires taking medication.
A lifetime history of psychosis or bipolar disorder based on a clinician-administered interview using the Mini International Neuropsychiatric Interview (M.I.N.I 7.0). Subjects with mild to moderate forms of social phobia and dysthymia, not requiring treatment, will be allowed.
Has any concurrent chronic or unstable medical condition that could confound with the results of safety assessments, increase risk to the subject or lead to difficulty complying with the protocol.
Subjects taking any medication with CNS effects (excluding subjects who discontinue the medications at least 2 weeks prior to the study for stimulants and 4 weeks for SSRI, non-stimulants, and alpha 2-agonist).
Subjects with a history of two or more prior failed adequate trials of ADHD treatment due to adverse events.
Use of dietary supplements with potential CNS effect, including omega-3 supplements, 30 days before study initiation and throughout the study.
Clinical history of cognitive impairment in judgment of investigator.
Pregnant or breast-feeding subjects. Women of childbearing potential must have a negative pregnancy test performed at screening visit prior to randomization. Women of childbearing potential must agree to use adequate birth control for the entire duration of the study.
Subjects with a current (within the last 3 months) DSM-V diagnosis of alcohol or drug abuse or dependence (excluding nicotine).
Known history of allergic reactions or sensitivity to marine products (fish and seafood), or soy.
Has taken an investigational drug or taken part in a clinical trial within 30 days prior to screening.
Any other reason that, in the opinion of the investigator, prevents the subject from participating in the study or compromise the subject safety.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lenard A Adler, M.D
Organizational Affiliation
NYU Langone Health
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael Banov, M.D
Organizational Affiliation
Northwest Behavioral Research Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael R Liebowitz, M.D
Organizational Affiliation
The Medical Research Network, LLC
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
David S Krakow, M.D
Organizational Affiliation
Bioscience Research, LLC
Official's Role
Principal Investigator
Facility Information:
Facility Name
Northwest Behavioral Research Center
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Bioscience Research, LLC
City
Mount Kisco
State/Province
New York
ZIP/Postal Code
10549
Country
United States
Facility Name
New York University School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
The Medical Research Network, LLC
City
New York
State/Province
New York
ZIP/Postal Code
10128
Country
United States
12. IPD Sharing Statement
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Vayarin® Medical Food Study for Adults With Attention Deficit Hyperactivity Disorder (ADHD)
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