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The MEASURE Study - A Phase 3 Study of MDX 1400 mg Daily Compared With Placebo in Adults With ADHD

Primary Purpose

Attention Deficit Hyperactivity Disorder (ADHD)

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
MDX
Placebo
Sponsored by
Alcobra Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit Hyperactivity Disorder (ADHD)

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject is a man or a non-pregnant, non-lactating woman 18 to 55 years of age, inclusive, at the Screening visit.
  2. Subject has a diagnosis of ADHD based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM5) as assessed by the Adult ADHD Clinician Diagnostic Scale, (ACDS Version 1.2) modified for DSM-IV and DSM5 diagnoses; a diagnosis of ADHD not otherwise specified is unacceptable.
  3. Male and Female subjects of childbearing potential must agree to use an effective contraceptive throughout the study
  4. Subject is able to attend the clinic regularly and reliably.
  5. Subject is able to swallow tablets and capsules.
  6. Subject is able to understand, read, write, and speak the local language fluently to complete the study-related materials.
  7. Subject is able to understand and sign an informed consent form to participate in the study.

Exclusion criteria

  1. Subject has any current major psychiatric condition (e.g., schizophrenia, bipolar or personality disorder) or autism spectrum disorder.
  2. Subject has any clinically significant or unstable medical or surgical condition that may preclude safe and complete study participation.
  3. Subject has used an investigational medication/treatment or was enrolled in another clinical trial in the 30 days before the Screening visit.
  4. Subject has used any medication or food supplement that the investigator or the medical monitor consider unacceptable during the 14-day period before the Baseline visit.
  5. Subject's alcohol and caffeine intake will be assessed.
  6. Subject has current suicidality, defined as active ideation, intent or plan, or any significant lifetime suicidal behavior (actual attempt, aborted attempt, interrupted attempt, or act or preparation towards imminently making a suicide attempt). Subjects exhibiting history (within previous 12 months) of non-suicidal self-injurious behavior will be excluded.
  7. Subject has taken any prescription or non-prescription medication for ADHD during the 14 days (or 21 days for atomoxetine) before the Baseline visit. Subjects will not be allowed to take any other medications for ADHD besides the study medication (when prescribed) after the washout period and for the duration of the study, up to and including the safety Follow-up visit. (Other ADHD medications should NOT be prescribed to subjects before completion of the Follow-up visit or Early Termination Visit).
  8. Subject is significantly visually impaired to an extent that is not able to be corrected by prescription glasses or contact lenses.
  9. Subject is closely related to the sponsor, investigator, or study staff. Eligibility of subjects with any relationship to the sponsor, investigator, or study staff will be discussed with the medical monitor before study entry, and the medical monitor will decide on the eligibility of these cases.
  10. Subject has previously been enrolled in an MDX clinical trial.
  11. Subject lives in the same household as another subject in this clinical trial or in another on-going trial with MDX. Subject lives in the same household as someone who has previously participated in a trial with MDX.
  12. Subject has any condition that, in the principal investigator's opinion, 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 as judged by the investigator.
  13. Subject cannot fully comprehend the implications of the protocol, cannot comply with its requirements, or is incapable of following the study schedule for any reason.
  14. Subject is pregnant, lactating, or using an inadequate contraceptive method. Complete entry criteria will be reviewed and evaluated individually by a protocol trained delegate.

Sites / Locations

  • Harmonex, Inc.
  • Pharmacology Research Institute
  • Pharmacology Research Institute
  • Artemis Institute for Clinical Research
  • University of California, San Francisco
  • MCB Clinical Research Centers
  • Connecticut Clinical Research
  • Coastal Connecticut Research
  • Sarkis Clinical Trials
  • Clinical Neuroscience Solutions
  • CNS Healthcare
  • Miami Research Associates
  • Institute for Advanced Medical Research
  • Goldpoint Clinical Research
  • Lake Charles Clinical Trials
  • Kennedy Krieger Institute
  • Rochester Center For Behavioral Medicine
  • St. Charles Psychiatric Associates - Midwest Research Group
  • Premier Psychiatric Research Institute
  • Center for Emotional Fitness
  • Global Medical Institutes, LLC, Princeton Medical Institute
  • The Medical Research Network
  • Richard H Weisler, MD, PA
  • Neuro-Behavioral Clinical Research, Inc.
  • IPS Research Company
  • Village Clinical Research Inc
  • Summit Research Network
  • Suburban Research Associates
  • Carolina Clinical Research, Inc.
  • Clinical Neuroscience Solutions
  • BioBehavioral Research of Austin at Specialty Clinic of Austin
  • Bayou City Research
  • Psychiatric & Behavioral Solutions
  • NeuroScience, Inc. (NSI)
  • Summit Research Network(Seattle)LLC
  • Dean Foundation - Middleton
  • Rambam Medical Center
  • Geha Medical Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

MDX

Placebo

Arm Description

Metadoxine Immediate-release/slow-release, bilayer tablet PO of 1400 mg, taken once daily for 10 weeks.; alternative name: MG01CI.

Inert tablets

Outcomes

Primary Outcome Measures

18-item total ADHD symptom score of the Conners Adult ADHD Rating Scale:O-SV (with the investigator as observer) with adult ADHD prompts (CAARS investigator).
The scale will be analyzed by change from Baseline to Week 10.

Secondary Outcome Measures

Questionnaires of Clinical Global Severity of Illness (CGI-S) and Clinical Global Improvement (CGI-I).
The questionnaires will be analyzed by change from Baseline to all visits as well as by response rates.
Adult ADHD Self Report Scale (ASRS-Self) v1.1 Symptom Checklist - expanded version
The scale will be analyzed by change from Baseline to Week 10 in total score and sub- scales.
Test of Variables of Attention (TOVA)
A continuous performance test performed on the computer. Change from Baseline and response rate of Attention Comparison Score (ACS) will be assessed.
Test of Variables of Attention (TOVA)
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in variability of response time will be assessed.
Test of Variables of Attention (TOVA)
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in response time will be assessed.
Test of Variables of Attention (TOVA)
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in errors of commission will be assessed.
Test of Variables of Attention (TOVA)
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in errors of omission will be assessed.
Test of Variables of Attention (TOVA)
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in D-prime will be assessed.
Safety as assessed by adverse events (AEs)
Any undesirable experience associated with the use of a medical product in a subject
Safety as assessed by body temperature measurements
Body temperature measurements as part of vital signs measurements
Safety as assessed by Columbia Suicide Severity Rating Scale (C-SSRS)
C-SSRS scale allows investigators to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior
Safety as assessed by laboratory tests; blood and urine
Laboratory test results (hematology, chemistry and urinalysis).
Safety as assessed by neurological evaluation
Neurological evaluation done by investigator
Safety as assessed by Electrocardiogram (ECG) test
Analysis and Interpretation of the Electrocardiogram
Safety as assessed by physical examinations
Physical examination done by investigator
Safety as assessed by discontinuations due to AEs
Discontinuations of subjects due to AEs
Safety as assessed by heart rate measurements
Heart rate measurements as part of vital signs measurements
Safety as assessed by respiratory rate measurements
Respiratory rate measurements as part of vital signs measurements
Safety as assessed by supine blood pressure
Supine blood pressure as part of vital signs measurements

Full Information

First Posted
June 8, 2015
Last Updated
January 18, 2017
Sponsor
Alcobra Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02477748
Brief Title
The MEASURE Study - A Phase 3 Study of MDX 1400 mg Daily Compared With Placebo in Adults With ADHD
Official Title
A 10-week Randomized, Multicenter, Double-blind, Parallel, Fixed-dose Study of MDX (Metadoxine Immediate-release/Slow-release, Bilayer Tablet) 1400 mg Compared With Placebo in Adults With Attention Deficit Hyperactivity Disorder (ADHD)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Terminated
Why Stopped
FDA Clinical hold
Study Start Date
June 2015 (undefined)
Primary Completion Date
January 2017 (Actual)
Study Completion Date
January 2017 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is a multi-center, randomized, double-blind, placebo-controlled, phase 3 study of MDX (1400 mg daily) for 10 weeks compared with placebo in adults with ADHD. The study will be comprised of Screening, Washout (if required), Treatment (total of 10 weeks) and Follow-up periods. Approximately 750 patients will be enrolled and undergo initial eligibility assessments.
Detailed Description
A 10-week randomized, multi-center, double-blind, placebo-controlled, phase 3 study of MDX (1400 mg daily) for 10 weeks compared with placebo in adults with ADHD. The study will be comprised of Screening, Washout (if required), Treatment (total of 10 weeks) and Follow-up periods. Approximately 750 patients will be enrolled and undergo initial eligibility assessments. Subjects requiring a washout will undergo a Washout period where ADHD medication is discontinued (21 days for atomoxetine, 14 days for other ADHD medications). These subjects will have an Interim Visit (off drug) on or about Day -10 (Day -10 to Day -3) for CAARS-Inv assessment at the end of the Washout period. Subjects will be randomly assigned to placebo/MDX for a total treatment duration of up to ten weeks. There will be a one week Follow-up period after the last dose of study treatment or early termination.

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
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
283 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MDX
Arm Type
Active Comparator
Arm Description
Metadoxine Immediate-release/slow-release, bilayer tablet PO of 1400 mg, taken once daily for 10 weeks.; alternative name: MG01CI.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Inert tablets
Intervention Type
Drug
Intervention Name(s)
MDX
Other Intervention Name(s)
MG01CI
Intervention Description
Immediate-release/slow-release,bilayer tablet PO of 1400 mg, taken once daily for 10 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Inert tablet
Intervention Description
Tablet PO, taken once daily for 10 weeks.
Primary Outcome Measure Information:
Title
18-item total ADHD symptom score of the Conners Adult ADHD Rating Scale:O-SV (with the investigator as observer) with adult ADHD prompts (CAARS investigator).
Description
The scale will be analyzed by change from Baseline to Week 10.
Time Frame
10 weeks
Secondary Outcome Measure Information:
Title
Questionnaires of Clinical Global Severity of Illness (CGI-S) and Clinical Global Improvement (CGI-I).
Description
The questionnaires will be analyzed by change from Baseline to all visits as well as by response rates.
Time Frame
10 weeks
Title
Adult ADHD Self Report Scale (ASRS-Self) v1.1 Symptom Checklist - expanded version
Description
The scale will be analyzed by change from Baseline to Week 10 in total score and sub- scales.
Time Frame
10 weeks
Title
Test of Variables of Attention (TOVA)
Description
A continuous performance test performed on the computer. Change from Baseline and response rate of Attention Comparison Score (ACS) will be assessed.
Time Frame
10 weeks
Title
Test of Variables of Attention (TOVA)
Description
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in variability of response time will be assessed.
Time Frame
10 weeks
Title
Test of Variables of Attention (TOVA)
Description
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in response time will be assessed.
Time Frame
10 weeks
Title
Test of Variables of Attention (TOVA)
Description
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in errors of commission will be assessed.
Time Frame
10 weeks
Title
Test of Variables of Attention (TOVA)
Description
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in errors of omission will be assessed.
Time Frame
10 weeks
Title
Test of Variables of Attention (TOVA)
Description
A continuous performance test performed on the computer. Change from Baseline, as well as response rates, in D-prime will be assessed.
Time Frame
10 weeks
Title
Safety as assessed by adverse events (AEs)
Description
Any undesirable experience associated with the use of a medical product in a subject
Time Frame
10 weeks
Title
Safety as assessed by body temperature measurements
Description
Body temperature measurements as part of vital signs measurements
Time Frame
10 weeks
Title
Safety as assessed by Columbia Suicide Severity Rating Scale (C-SSRS)
Description
C-SSRS scale allows investigators to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior
Time Frame
10 weeks
Title
Safety as assessed by laboratory tests; blood and urine
Description
Laboratory test results (hematology, chemistry and urinalysis).
Time Frame
10 weeks
Title
Safety as assessed by neurological evaluation
Description
Neurological evaluation done by investigator
Time Frame
10 weeks
Title
Safety as assessed by Electrocardiogram (ECG) test
Description
Analysis and Interpretation of the Electrocardiogram
Time Frame
10 weeks
Title
Safety as assessed by physical examinations
Description
Physical examination done by investigator
Time Frame
10 weeks
Title
Safety as assessed by discontinuations due to AEs
Description
Discontinuations of subjects due to AEs
Time Frame
10 weeks
Title
Safety as assessed by heart rate measurements
Description
Heart rate measurements as part of vital signs measurements
Time Frame
10 weeks
Title
Safety as assessed by respiratory rate measurements
Description
Respiratory rate measurements as part of vital signs measurements
Time Frame
10 weeks
Title
Safety as assessed by supine blood pressure
Description
Supine blood pressure as part of vital signs measurements
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is a man or a non-pregnant, non-lactating woman 18 to 55 years of age, inclusive, at the Screening visit. Subject has a diagnosis of ADHD based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM5) as assessed by the Adult ADHD Clinician Diagnostic Scale, (ACDS Version 1.2) modified for DSM-IV and DSM5 diagnoses; a diagnosis of ADHD not otherwise specified is unacceptable. Male and Female subjects of childbearing potential must agree to use an effective contraceptive throughout the study Subject is able to attend the clinic regularly and reliably. Subject is able to swallow tablets and capsules. Subject is able to understand, read, write, and speak the local language fluently to complete the study-related materials. Subject is able to understand and sign an informed consent form to participate in the study. Exclusion criteria Subject has any current major psychiatric condition (e.g., schizophrenia, bipolar or personality disorder) or autism spectrum disorder. Subject has any clinically significant or unstable medical or surgical condition that may preclude safe and complete study participation. Subject has used an investigational medication/treatment or was enrolled in another clinical trial in the 30 days before the Screening visit. Subject has used any medication or food supplement that the investigator or the medical monitor consider unacceptable during the 14-day period before the Baseline visit. Subject's alcohol and caffeine intake will be assessed. Subject has current suicidality, defined as active ideation, intent or plan, or any significant lifetime suicidal behavior (actual attempt, aborted attempt, interrupted attempt, or act or preparation towards imminently making a suicide attempt). Subjects exhibiting history (within previous 12 months) of non-suicidal self-injurious behavior will be excluded. Subject has taken any prescription or non-prescription medication for ADHD during the 14 days (or 21 days for atomoxetine) before the Baseline visit. Subjects will not be allowed to take any other medications for ADHD besides the study medication (when prescribed) after the washout period and for the duration of the study, up to and including the safety Follow-up visit. (Other ADHD medications should NOT be prescribed to subjects before completion of the Follow-up visit or Early Termination Visit). Subject is significantly visually impaired to an extent that is not able to be corrected by prescription glasses or contact lenses. Subject is closely related to the sponsor, investigator, or study staff. Eligibility of subjects with any relationship to the sponsor, investigator, or study staff will be discussed with the medical monitor before study entry, and the medical monitor will decide on the eligibility of these cases. Subject has previously been enrolled in an MDX clinical trial. Subject lives in the same household as another subject in this clinical trial or in another on-going trial with MDX. Subject lives in the same household as someone who has previously participated in a trial with MDX. Subject has any condition that, in the principal investigator's opinion, 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 as judged by the investigator. Subject cannot fully comprehend the implications of the protocol, cannot comply with its requirements, or is incapable of following the study schedule for any reason. Subject is pregnant, lactating, or using an inadequate contraceptive method. Complete entry criteria will be reviewed and evaluated individually by a protocol trained delegate.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey Newcorn, MD
Organizational Affiliation
Icahn School of Medicine at Mount Sinai
Official's Role
Principal Investigator
Facility Information:
Facility Name
Harmonex, Inc.
City
Dothan
State/Province
Alabama
ZIP/Postal Code
36303
Country
United States
Facility Name
Pharmacology Research Institute
City
Los Alamitos
State/Province
California
ZIP/Postal Code
90720
Country
United States
Facility Name
Pharmacology Research Institute
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660
Country
United States
Facility Name
Artemis Institute for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
University of California, San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
MCB Clinical Research Centers
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80910
Country
United States
Facility Name
Connecticut Clinical Research
City
Cromwell
State/Province
Connecticut
ZIP/Postal Code
06416
Country
United States
Facility Name
Coastal Connecticut Research
City
New London
State/Province
Connecticut
ZIP/Postal Code
06320
Country
United States
Facility Name
Sarkis Clinical Trials
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Clinical Neuroscience Solutions
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
CNS Healthcare
City
Orlando
State/Province
Florida
ZIP/Postal Code
32801
Country
United States
Facility Name
Miami Research Associates
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Institute for Advanced Medical Research
City
Alpharetta
State/Province
Georgia
ZIP/Postal Code
30005
Country
United States
Facility Name
Goldpoint Clinical Research
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
Facility Name
Lake Charles Clinical Trials
City
Lake Charles
State/Province
Louisiana
ZIP/Postal Code
70629
Country
United States
Facility Name
Kennedy Krieger Institute
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
Rochester Center For Behavioral Medicine
City
Rochester Hills
State/Province
Michigan
ZIP/Postal Code
48307
Country
United States
Facility Name
St. Charles Psychiatric Associates - Midwest Research Group
City
St. Charles
State/Province
Missouri
ZIP/Postal Code
63304
Country
United States
Facility Name
Premier Psychiatric Research Institute
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68526
Country
United States
Facility Name
Center for Emotional Fitness
City
Cherry Hill
State/Province
New Jersey
ZIP/Postal Code
08002
Country
United States
Facility Name
Global Medical Institutes, LLC, Princeton Medical Institute
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States
Facility Name
The Medical Research Network
City
New York
State/Province
New York
ZIP/Postal Code
10128
Country
United States
Facility Name
Richard H Weisler, MD, PA
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
Facility Name
Neuro-Behavioral Clinical Research, Inc.
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
IPS Research Company
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
Facility Name
Village Clinical Research Inc
City
Oklahoma
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
Facility Name
Summit Research Network
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Suburban Research Associates
City
Media
State/Province
Pennsylvania
ZIP/Postal Code
19063
Country
United States
Facility Name
Carolina Clinical Research, Inc.
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29405
Country
United States
Facility Name
Clinical Neuroscience Solutions
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
BioBehavioral Research of Austin at Specialty Clinic of Austin
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Bayou City Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77007
Country
United States
Facility Name
Psychiatric & Behavioral Solutions
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84105
Country
United States
Facility Name
NeuroScience, Inc. (NSI)
City
Herndon
State/Province
Virginia
ZIP/Postal Code
20170
Country
United States
Facility Name
Summit Research Network(Seattle)LLC
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Dean Foundation - Middleton
City
Middleton
State/Province
Wisconsin
ZIP/Postal Code
53562
Country
United States
Facility Name
Rambam Medical Center
City
Haifa
ZIP/Postal Code
31096
Country
Israel
Facility Name
Geha Medical Centre
City
Petah Tiqva
Country
Israel

12. IPD Sharing Statement

Plan to Share IPD
No

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The MEASURE Study - A Phase 3 Study of MDX 1400 mg Daily Compared With Placebo in Adults With ADHD

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