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Amphetamine Extended Release Tablets and Driving Performance in Subjects With Attention Deficit/Hyperactivity Disorder (ADHD)

Primary Purpose

ADHD

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Amphetamine Extended Release (ER) Tablet 20 mg
Sponsored by
Tris Pharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for ADHD

Eligibility Criteria

18 Years - 25 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males or females aged 18 to 25 years, inclusive, at the time of screening who have a valid driver's license.
  2. Normal visual acuity (either uncorrected or corrected with glasses, contact lenses or surgery) at Screening based upon clinical assessment of the Investigator
  3. Diagnosed with ADHD using the Diagnostic and Statistical Manual of Mental Disorders Version 5 (DSM-5) criteria based on ADHD module from the Mini-International Neuropsychiatric Interview (M.I.N.I) version 7.0.2.
  4. IQ within normal range based upon clinical assessment of the Investigator.
  5. For female participants, presently using an acceptable method of contraception based upon clinical assessment of the Investigator.
  6. Willing to abstain from using any forms of cannabinoids (THC, CBD, hemp oil, etc.) for 2 weeks prior to the Driving Simulation Visit (if applicable).
  7. Be able to understand, read, write, and speak English fluently to complete the study related materials.
  8. Be informed of the nature of the study and give written consent prior to any study procedure.

Exclusion Criteria:

  1. Current or lifetime history of bipolar disorder or any psychotic disorder.
  2. Current active symptoms of major depression generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, or post-traumatic stress disorder based upon clinical assessment of the Investigator.
  3. Known history of chronic medical illnesses including known structural cardiac disorders, serious cardiac conditions, serious arrhythmias, cardiomyopathy, and known family history of sudden death.
  4. History of uncontrolled hypertension or a resting systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg. Patients with well-controlled hypertension on a stable dose for at least 3 months of anti-hypertensives will be allowed to participate.
  5. Have clinically significant findings in vital signs measurements at Screening including:

    • Systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg (average of triplicate measurements)
    • Heart rate >100 bpm (average of triplicate measurements)
  6. Known history or presence of significant renal or hepatic disease.
  7. Use of monoamine oxidase inhibitors (MAOI), e.g. selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue, within 14 days of the Driving Simulator Visit.
  8. Use of ADHD medications including all stimulants (methylphenidate, amphetamine or derivatives of any of these products), within 48 hours of the Driving Simulator Visit.
  9. Participation in a clinical study in which an investigational drug was administered within 30 days prior to Screening.
  10. Known history of allergy/hypersensitivity to amphetamine or any of the components of the test products.
  11. Known history of lack of clinical response to amphetamine based upon Investigator assessment
  12. Any uncontrolled medical condition that, in the opinion of Medical Monitor or Sponsor, would preclude study participation.
  13. History or presence of alcohol dependence or substance abuse disorder or within the last 6 months based upon clinical assessment of the Investigator.
  14. Positive urine pregnancy test at Driving Simulator Visit
  15. Positive breath alcohol test at Driving Simulator Visit.
  16. Patient's inability or unwillingness to follow directions from the study research staff.

Sites / Locations

  • Massachusetts General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Amphetamine ER Tablets, 20 mg

Placebo

Arm Description

Double-blind amphetamine extended-release tablets, 20 mg dose, single tablet, administered at baseline

Matching double-blind placebo tablets, 20 mg dose, single tablet, administered at baseline

Outcomes

Primary Outcome Measures

Change in Composite Reaction Time Score
Measurement of reaction time across a series of driving simulations

Secondary Outcome Measures

Full Information

First Posted
July 16, 2019
Last Updated
February 16, 2022
Sponsor
Tris Pharma, Inc.
Collaborators
Massachusetts General Hospital, Massachusetts Institute of Technology
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1. Study Identification

Unique Protocol Identification Number
NCT04027361
Brief Title
Amphetamine Extended Release Tablets and Driving Performance in Subjects With Attention Deficit/Hyperactivity Disorder (ADHD)
Official Title
Driving Performance in Patients Aged 18 to 25 Years With Attention-Deficit/Hyperactivity Disorder (ADHD) After a Single-Dose of Amphetamine Extended-Release Tablets: A Pilot, Double-Blind, Placebo-Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
October 1, 2019 (Actual)
Primary Completion Date
October 15, 2021 (Actual)
Study Completion Date
October 15, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tris Pharma, Inc.
Collaborators
Massachusetts General Hospital, Massachusetts Institute of Technology

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
The purpose of this study is to assess the effect on driving performance of a single dose of amphetamine extended-release tablets (20 mg/tablet) compared with placebo at 45 minutes and 10 hours post-dose in young adults with ADHD.
Detailed Description
At a single US-based study site, a driving simulation will be used to assess the effect on driving performance for the co-primary endpoints, study subjects' driving performance at 45 minutes and 10 hours post-dose, compared with placebo. Eligible subjects will be prescreened for ADHD but otherwise healthy, aged 18-25 years. Driving simulations that simulate common driving events to which the study subject must react. The reactions to each event will be assessed. Using a parallel-group design, subjects will be assessed while on study drug, and while on placebo. Safety assessments will include spontaneously reported treatment-emergent adverse events and vital signs at 4 hours post-dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
ADHD

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Amphetamine ER Tablets, 20 mg
Arm Type
Active Comparator
Arm Description
Double-blind amphetamine extended-release tablets, 20 mg dose, single tablet, administered at baseline
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching double-blind placebo tablets, 20 mg dose, single tablet, administered at baseline
Intervention Type
Drug
Intervention Name(s)
Amphetamine Extended Release (ER) Tablet 20 mg
Other Intervention Name(s)
Amphetamine extended-release oral tablet 20 mg
Intervention Description
A single 20 mg dose of amphetamine ER Tablet, orally administered
Primary Outcome Measure Information:
Title
Change in Composite Reaction Time Score
Description
Measurement of reaction time across a series of driving simulations
Time Frame
Measured at pre-dose, 45 minutes and 3 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females aged 18 to 25 years, inclusive, at the time of screening who have a valid driver's license. Normal visual acuity (either uncorrected or corrected with glasses, contact lenses or surgery) at Screening based upon clinical assessment of the Investigator Diagnosed with ADHD using the Diagnostic and Statistical Manual of Mental Disorders Version 5 (DSM-5) criteria based on ADHD module from the Mini-International Neuropsychiatric Interview (M.I.N.I) version 7.0.2. IQ within normal range based upon clinical assessment of the Investigator. For female participants, presently using an acceptable method of contraception based upon clinical assessment of the Investigator. Willing to abstain from using any forms of cannabinoids (THC, CBD, hemp oil, etc.) for 2 weeks prior to the Driving Simulation Visit (if applicable). Be able to understand, read, write, and speak English fluently to complete the study related materials. Be informed of the nature of the study and give written consent prior to any study procedure. Exclusion Criteria: Current or lifetime history of bipolar disorder or any psychotic disorder. Current active symptoms of major depression generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, or post-traumatic stress disorder based upon clinical assessment of the Investigator. Known history of chronic medical illnesses including known structural cardiac disorders, serious cardiac conditions, serious arrhythmias, cardiomyopathy, and known family history of sudden death. History of uncontrolled hypertension or a resting systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg. Patients with well-controlled hypertension on a stable dose for at least 3 months of anti-hypertensives will be allowed to participate. Have clinically significant findings in vital signs measurements at Screening including: Systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg (average of triplicate measurements) Heart rate >100 bpm (average of triplicate measurements) Known history or presence of significant renal or hepatic disease. Use of monoamine oxidase inhibitors (MAOI), e.g. selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue, within 14 days of the Driving Simulator Visit. Use of ADHD medications including all stimulants (methylphenidate, amphetamine or derivatives of any of these products), within 48 hours of the Driving Simulator Visit. Participation in a clinical study in which an investigational drug was administered within 30 days prior to Screening. Known history of allergy/hypersensitivity to amphetamine or any of the components of the test products. Known history of lack of clinical response to amphetamine based upon Investigator assessment Any uncontrolled medical condition that, in the opinion of Medical Monitor or Sponsor, would preclude study participation. History or presence of alcohol dependence or substance abuse disorder or within the last 6 months based upon clinical assessment of the Investigator. Positive urine pregnancy test at Driving Simulator Visit Positive breath alcohol test at Driving Simulator Visit. Patient's inability or unwillingness to follow directions from the study research staff.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joseph Biederman, MD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States

12. IPD Sharing Statement

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Amphetamine Extended Release Tablets and Driving Performance in Subjects With Attention Deficit/Hyperactivity Disorder (ADHD)

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