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A Trial to Assess the Pharmacokinetics, Safety, and Tolerability of Centanafadine in Pediatric Subjects With Attention-deficit/Hyperactivity Disorder

Primary Purpose

Attention Deficit Hyperactivity Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Centanafadine
Sponsored by
Otsuka Pharmaceutical Development & Commercialization, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit Hyperactivity Disorder

Eligibility Criteria

4 Years - 12 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female subjects 4 to 12 years of age, inclusive, at the time of informed consent/assent.
  • Subjects must weight ≥ 13 kg.
  • Subjects with a diagnosis of any ADHD subtype based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria and confirmed by the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-Kid).
  • Subject is judged by the investigator to be clinically stable, and has not had any psychiatric hospitalizations within the past 12 weeks.
  • Subjects and their caregivers must be able and willing to utilize the AiCure Platform for each daily dose.

Exclusion Criteria:

  • Subjects with a clinical presentation or history that is consistent with delirium, dementia, amnesia, or other cognitive disorders; subjects with psychiatric symptoms that are better accounted for by another psychiatric or general medical condition(s) or direct effect of a substance.
  • Subjects with developmental disorders, such as Autism Spectrum Disorder.
  • Subjects with a history of at least mild intellectual disability as determined by IQ < 70, clinical evidence, or a social or school history that is suggestive of intellectual disability.
  • Subjects with hypothyroidism or hyperthyroidism (unless condition has been stabilized with medications for at least 90 days prior to first dose of IMP) or an abnormal result for free T4 at screening.
  • Subjects who currently have clinically significant neurological, dermatological, hepatic, renal, metabolic, hematological, immunological, cardiovascular, pulmonary, or gastrointestinal disorders such as any history of myocardial infarction, congestive heart failure, HIV seropositive status/AIDS, or chronic hepatitis B or C.
  • Subjects with insulin dependent diabetes mellitus (i.e. any subjects using insulin)
  • Subjects with epilepsy, Tourette's Disorder, or a history of seizures or a history of severe head trauma or cerebrovascular disease.
  • Any major surgery within 30 days prior to the first dose of IMP.
  • Any history of significant bleeding or hemorrhagic tendencies.
  • Blood transfusions within 30 days prior to the first dose of IMP.
  • Subjects who have supine or standing diastolic blood pressure, after resting for at least 5 minutes, > 80 mmHg.
  • Subjects who participated in a clinical trial and were exposed to IMP within the last 30 days prior to screening or who participated in more than 2 interventional clinical trials within the past year. Subjects who have had any previous exposure to centanafadine.
  • Subjects with a history of true allergic response to a medication or a history of dermatologic adverse reactions or anaphylaxis secondary drug exposure.
  • Subjects with a history of allergic reaction or known or suspected sensitivity to any substance that is contained in the IMP formulation.
  • Subjects who do not tolerate venipuncture or have poor venous access that would cause difficulty for collecting blood samples.
  • Consumption of alcohol and/or food and beverages containing methylxanthines, foods known to affect CYP1A2 (e.g. charbroiled or pan-fried meats and cruciferous vegetables) within 72 hours prior to dosing.
  • Relative of the trial site employees cannot participate in the trial.
  • Siblings, other family members, and those having the same place of residence as the subject are also excluded from the trial.

Sites / Locations

  • For additional information regarding sites, contact 844-687-8522

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1 (9-12 y)

Cohort 2 (9-12 y)

Cohort 3 (9-12 y)

Cohort 4 (6-8 y)

Cohort 5 (4-5 y)

Arm Description

Centanafadine extended release capsule; 100 mg adult equivalent; twice daily for 14 days

Centanafadine extended release capsule; 200 mg adult equivalent; twice daily for 14 days

Centanafadine extended release capsule; 400 mg adult equivalent; twice daily for 14 days

Centanafadine extended release capsule; 100 mg adult equivalent; twice daily for 14 days

Centanafadine extended release capsule; 100 mg adult equivalent; twice daily for 14 days

Outcomes

Primary Outcome Measures

Maximal peak plasma concentration (Cmax)
Area under the concentration-time curve from time 0 to 24 hours (AUC0-24h) on day 14
Apparent clearance and apparent volume of distribution of centanafadine on Day 14

Secondary Outcome Measures

Full Information

First Posted
May 18, 2020
Last Updated
June 1, 2022
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04398225
Brief Title
A Trial to Assess the Pharmacokinetics, Safety, and Tolerability of Centanafadine in Pediatric Subjects With Attention-deficit/Hyperactivity Disorder
Official Title
A Phase 1b, Multicenter, Open-label, Multiple Ascending Dose Trial to Assess the Pharmacokinetics, Safety and Tolerability of Centanafadine Extended-release Capsules After Oral Administration in Pediatric Subjects (4 to 12 Years, Inclusive) With Attention-deficit/Hyperactivity Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
June 11, 2020 (Actual)
Primary Completion Date
April 1, 2021 (Actual)
Study Completion Date
April 1, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This trial will evaluate the pharmacokinetics, safety, and tolerability of centanafadine in pediatric subjects with ADHD.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 (9-12 y)
Arm Type
Experimental
Arm Description
Centanafadine extended release capsule; 100 mg adult equivalent; twice daily for 14 days
Arm Title
Cohort 2 (9-12 y)
Arm Type
Experimental
Arm Description
Centanafadine extended release capsule; 200 mg adult equivalent; twice daily for 14 days
Arm Title
Cohort 3 (9-12 y)
Arm Type
Experimental
Arm Description
Centanafadine extended release capsule; 400 mg adult equivalent; twice daily for 14 days
Arm Title
Cohort 4 (6-8 y)
Arm Type
Experimental
Arm Description
Centanafadine extended release capsule; 100 mg adult equivalent; twice daily for 14 days
Arm Title
Cohort 5 (4-5 y)
Arm Type
Experimental
Arm Description
Centanafadine extended release capsule; 100 mg adult equivalent; twice daily for 14 days
Intervention Type
Drug
Intervention Name(s)
Centanafadine
Intervention Description
Extended release capsule
Primary Outcome Measure Information:
Title
Maximal peak plasma concentration (Cmax)
Time Frame
24 hours
Title
Area under the concentration-time curve from time 0 to 24 hours (AUC0-24h) on day 14
Time Frame
24 hours
Title
Apparent clearance and apparent volume of distribution of centanafadine on Day 14
Time Frame
24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
4 Years
Maximum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects 4 to 12 years of age, inclusive, at the time of informed consent/assent. Subjects must weight ≥ 13 kg. Subjects with a diagnosis of any ADHD subtype based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria and confirmed by the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-Kid). Subject is judged by the investigator to be clinically stable, and has not had any psychiatric hospitalizations within the past 12 weeks. Subjects and their caregivers must be able and willing to utilize the AiCure Platform for each daily dose. Exclusion Criteria: Subjects with a clinical presentation or history that is consistent with delirium, dementia, amnesia, or other cognitive disorders; subjects with psychiatric symptoms that are better accounted for by another psychiatric or general medical condition(s) or direct effect of a substance. Subjects with developmental disorders, such as Autism Spectrum Disorder. Subjects with a history of at least mild intellectual disability as determined by IQ < 70, clinical evidence, or a social or school history that is suggestive of intellectual disability. Subjects with hypothyroidism or hyperthyroidism (unless condition has been stabilized with medications for at least 90 days prior to first dose of IMP) or an abnormal result for free T4 at screening. Subjects who currently have clinically significant neurological, dermatological, hepatic, renal, metabolic, hematological, immunological, cardiovascular, pulmonary, or gastrointestinal disorders such as any history of myocardial infarction, congestive heart failure, HIV seropositive status/AIDS, or chronic hepatitis B or C. Subjects with insulin dependent diabetes mellitus (i.e. any subjects using insulin) Subjects with epilepsy, Tourette's Disorder, or a history of seizures or a history of severe head trauma or cerebrovascular disease. Any major surgery within 30 days prior to the first dose of IMP. Any history of significant bleeding or hemorrhagic tendencies. Blood transfusions within 30 days prior to the first dose of IMP. Subjects who have supine or standing diastolic blood pressure, after resting for at least 5 minutes, > 80 mmHg. Subjects who participated in a clinical trial and were exposed to IMP within the last 30 days prior to screening or who participated in more than 2 interventional clinical trials within the past year. Subjects who have had any previous exposure to centanafadine. Subjects with a history of true allergic response to a medication or a history of dermatologic adverse reactions or anaphylaxis secondary drug exposure. Subjects with a history of allergic reaction or known or suspected sensitivity to any substance that is contained in the IMP formulation. Subjects who do not tolerate venipuncture or have poor venous access that would cause difficulty for collecting blood samples. Consumption of alcohol and/or food and beverages containing methylxanthines, foods known to affect CYP1A2 (e.g. charbroiled or pan-fried meats and cruciferous vegetables) within 72 hours prior to dosing. Relative of the trial site employees cannot participate in the trial. Siblings, other family members, and those having the same place of residence as the subject are also excluded from the trial.
Facility Information:
Facility Name
For additional information regarding sites, contact 844-687-8522
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal. Small studies with less than 25 participants are excluded from data sharing.
IPD Sharing Time Frame
Data will be available after marketing approval in global markets, or beginning 1-3 years following article publication. There is no end date to the availability of the data.
IPD Sharing Access Criteria
Otsuka will share data on an Otsuka-owned remotely accessible data sharing platform with Python and R analytical software. Research requests should be directed to clinicaltransparency@Otsuka-us.com
IPD Sharing URL
https://clinical-trials.otsuka.com

Learn more about this trial

A Trial to Assess the Pharmacokinetics, Safety, and Tolerability of Centanafadine in Pediatric Subjects With Attention-deficit/Hyperactivity Disorder

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