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CX717 in the Treatment of Adult ADHD

Primary Purpose

Attention Deficit Hyperactivity Disorder

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
CX717 200 mg
CX717 800 mg
Placebo
Sponsored by
RespireRx
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit Hyperactivity Disorder focused on measuring ADHD, ampakine, Phase II clinical trial

Eligibility Criteria

18 Years - 50 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject had ADHD as established by the Adult ADHD Clinical Diagnostic Scale (ACDS) Version 1.2
  2. Patients must have at least moderately severe ADHD symptoms:

    • Subject had an ADHD-RS score of ≥22
    • Subject had a CGI-S score of ≥4
  3. Subject was male
  4. Subject was 18 - 50 years old, inclusive
  5. Subject could read well enough to understand the informed consent form and other patient materials.

Exclusion Criteria:

  1. Subject had a DSM-IV diagnosis of ADHD not otherwise specified
  2. Subject had a current or lifetime history of bipolar disorder or any psychotic disorder as established by the Structured Clinical Interview for DSM-IV (SCID) (12)
  3. Subject had a current history of major depression, substance abuse or dependence, generalized anxiety disorder, obsessive compulsive disorder, panic disorder, or posttraumatic stress disorder as established by SCID
  4. Subject had a history of epilepsy, seizures, syncope, unexplained blackout spell(s), head trauma with loss of consciousness, or febrile seizures
  5. Subject had a currently active medical condition (other than ADHD) that in the opinion of the Investigator could interfere with the ability of subject to participate in the study
  6. Subject had a history of development delay in milestones
  7. By history, the subject had an IQ less than 80
  8. In the opinion of the Investigator, the subject had not derived significant therapeutic benefit from 2 or more appropriately dosed ADHD therapies
  9. Subject was currently taking medication specifically for treatment of ADHD symptoms (e.g., stimulants, atomoxetine, tricyclic antidepressants, or bupropion).

    NOTE: subjects were off of stimulants for 2 weeks and off non-stimulant ADHD therapies for 4 weeks prior to the Period 1 Baseline Visit. Subject did not have evidence of a discontinuation or withdrawal reaction.

  10. Subject was currently taking an anti-depressant prescription medication (e.g., paroxetine, sertraline, venlafaxine, etc.) or St. John's Wort
  11. Subject was currently taking an anti-convulsant medication (e.g., phenytoin, carbamazepine, lamotrigine, valproic acid, etc.) or anti-psychotic medication
  12. Subject had a clinically relevant abnormality on Screening evaluation including physical examination, vital signs, ECG, or laboratory tests
  13. Subject was currently taking on a chronic basis any medication known to be primarily metabolized by a route other than the cytochrome P450 system
  14. Subject was unwilling to refrain from taking medications that may have interfered with the assessment of cognitive function. Examples included benzodiazepines, sedating anti-histamines, zolpidem, and zaleplon. Herbal preparations with effects on the central nervous system (e.g., St. John's Wort, melatonin) were prohibited. These medications and herbal preparations were also prohibited throughout the study.
  15. Subject was unwilling to refrain from taking more than 1 unit of alcohol within 24 hours of the clinic visits
  16. Subject had a Body Mass Index (BMI) of less than 18 or greater than 35. No waivers were allowed.
  17. Subject reported passive or active suicidal ideation or intent
  18. Subject was concurrently participating in another clinical research study or investigational drug trial or had participated within the past 1 month
  19. Subject was at high risk of non-compliance in the Investigator's opinion

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Sequence 1 PL

    Sequence 2 PH

    Sequence 3 LP

    Sequence 4 HP

    Arm Description

    Eligible subjects were randomized to Sequence 1 PL in which they received placebo (P) followed by crossover to CX717 200 mg low dose (L) of active treatment

    Eligible subjects were randomized to Sequence 2 PH in which they received placebo (P) followed by crossover to CX717 800 mg High dose (H) of active treatment

    Eligible subjects were randomized to Sequence 3 LP in which they received CX717 200 mg Low dose (L) of active treatment followed by crossover to placebo (P)

    Eligible subjects were randomized to Sequence 2 PH in which they received CX717 800 mg High dose (H) of active treatment followed by crossover to placebo (P)

    Outcomes

    Primary Outcome Measures

    ADHD-RS
    Attention-Deficit Hyperactivity Disorder Rating Scale (ADHD-RS) with Prompts The ADHD-RS is an 18-item scale that assesses the severity ADHD symptoms based on the symptom list in the DSM-IV. It is administered by a qualified health care professional. Each item is rated 0 - 3 (0=not present and 3=severe). Thus the scale has a range from 0 to 54.

    Secondary Outcome Measures

    ADHD-RS subscales
    Attention Deficit Hyperactivity Disorder Rating Subscales: hyperactivity consisting of items 1-4, 8-10, 17-18, and inattentiveness consisting of items 5-7 and 11-16.
    CGI-I
    Clinical Global Impression of Improvement
    HAM-A
    Hamilton Rating Scale of Anxiety
    HAM-D
    Hamilton Rating Scale of Depression
    PSQI
    Pittsburgh Sleep Quality Index
    ESS
    Eppworth Sleepiness Scale
    ADHD-SRS
    Attention Deficit Hyperactivity Disorder Self Rating Scale
    SCWT
    Stroop Color and Word Test
    CTMT
    Comprehensive Trail Making Test
    CPT
    Continuous Performance Task
    FBDS
    Forward and Backward Digit Span

    Full Information

    First Posted
    December 7, 2017
    Last Updated
    December 14, 2017
    Sponsor
    RespireRx
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03375021
    Brief Title
    CX717 in the Treatment of Adult ADHD
    Official Title
    A Randomized, Double-Blind, Tw0-Period Crossover Study to Assess the Efficacy and Safety of the Ampakine® Compound, CX717, Versus Placebo in Adults With Attention-Deficit Hyperactive Disorder
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    July 19, 2005 (Actual)
    Primary Completion Date
    January 10, 2006 (Actual)
    Study Completion Date
    January 10, 2006 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    RespireRx

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    A Randomized, Double-Blind, Two-Period Crossover Study to Assess the Efficacy And Safety of the Ampakine® Compound, CX717, versus Placebo in Adults with Attention-Deficit Hyperactivity Disorder
    Detailed Description
    This study examined the clinical efficacy, tolerability and safety of CX717 in the treatment of adults with ADHD. The study was a double-blind, 2-period crossover study that compared 2 different doses of CX717 with placebo. Subjects were randomized to 1 of 4 different treatment sequences: placebo - low dose; low dose - placebo; placebo - high dose; or high dose - placebo. Each treatment period was 3 weeks with a 2-week washout between treatment periods. The doses chosen were 200 mg b.i.d. and 800 mg b.i.d.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Attention Deficit Hyperactivity Disorder
    Keywords
    ADHD, ampakine, Phase II clinical trial

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Crossover Assignment
    Model Description
    A Randomized, Double-Blind, Two-Period Crossover Study
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Masking Description
    200 mg of drug product or placebo in matching size 0 capsules
    Allocation
    Randomized
    Enrollment
    68 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Sequence 1 PL
    Arm Type
    Experimental
    Arm Description
    Eligible subjects were randomized to Sequence 1 PL in which they received placebo (P) followed by crossover to CX717 200 mg low dose (L) of active treatment
    Arm Title
    Sequence 2 PH
    Arm Type
    Experimental
    Arm Description
    Eligible subjects were randomized to Sequence 2 PH in which they received placebo (P) followed by crossover to CX717 800 mg High dose (H) of active treatment
    Arm Title
    Sequence 3 LP
    Arm Type
    Experimental
    Arm Description
    Eligible subjects were randomized to Sequence 3 LP in which they received CX717 200 mg Low dose (L) of active treatment followed by crossover to placebo (P)
    Arm Title
    Sequence 4 HP
    Arm Type
    Experimental
    Arm Description
    Eligible subjects were randomized to Sequence 2 PH in which they received CX717 800 mg High dose (H) of active treatment followed by crossover to placebo (P)
    Intervention Type
    Drug
    Intervention Name(s)
    CX717 200 mg
    Other Intervention Name(s)
    Low Dose
    Intervention Description
    CX717 200 mg capsules BID
    Intervention Type
    Drug
    Intervention Name(s)
    CX717 800 mg
    Other Intervention Name(s)
    High Dose
    Intervention Description
    CX717 4 X 200 mg capsules BID
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo 200 mg or 800 mg capsules BID
    Primary Outcome Measure Information:
    Title
    ADHD-RS
    Description
    Attention-Deficit Hyperactivity Disorder Rating Scale (ADHD-RS) with Prompts The ADHD-RS is an 18-item scale that assesses the severity ADHD symptoms based on the symptom list in the DSM-IV. It is administered by a qualified health care professional. Each item is rated 0 - 3 (0=not present and 3=severe). Thus the scale has a range from 0 to 54.
    Time Frame
    3 Weeks
    Secondary Outcome Measure Information:
    Title
    ADHD-RS subscales
    Description
    Attention Deficit Hyperactivity Disorder Rating Subscales: hyperactivity consisting of items 1-4, 8-10, 17-18, and inattentiveness consisting of items 5-7 and 11-16.
    Time Frame
    3 Weeks
    Title
    CGI-I
    Description
    Clinical Global Impression of Improvement
    Time Frame
    3 Weeks
    Title
    HAM-A
    Description
    Hamilton Rating Scale of Anxiety
    Time Frame
    3 Weeks
    Title
    HAM-D
    Description
    Hamilton Rating Scale of Depression
    Time Frame
    3 Weeks
    Title
    PSQI
    Description
    Pittsburgh Sleep Quality Index
    Time Frame
    3 Weeks
    Title
    ESS
    Description
    Eppworth Sleepiness Scale
    Time Frame
    3 Weeks
    Title
    ADHD-SRS
    Description
    Attention Deficit Hyperactivity Disorder Self Rating Scale
    Time Frame
    3 Weeks
    Title
    SCWT
    Description
    Stroop Color and Word Test
    Time Frame
    3 Weeks
    Title
    CTMT
    Description
    Comprehensive Trail Making Test
    Time Frame
    3 Weeks
    Title
    CPT
    Description
    Continuous Performance Task
    Time Frame
    3 Weeks
    Title
    FBDS
    Description
    Forward and Backward Digit Span
    Time Frame
    3 Weeks

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject had ADHD as established by the Adult ADHD Clinical Diagnostic Scale (ACDS) Version 1.2 Patients must have at least moderately severe ADHD symptoms: Subject had an ADHD-RS score of ≥22 Subject had a CGI-S score of ≥4 Subject was male Subject was 18 - 50 years old, inclusive Subject could read well enough to understand the informed consent form and other patient materials. Exclusion Criteria: Subject had a DSM-IV diagnosis of ADHD not otherwise specified Subject had a current or lifetime history of bipolar disorder or any psychotic disorder as established by the Structured Clinical Interview for DSM-IV (SCID) (12) Subject had a current history of major depression, substance abuse or dependence, generalized anxiety disorder, obsessive compulsive disorder, panic disorder, or posttraumatic stress disorder as established by SCID Subject had a history of epilepsy, seizures, syncope, unexplained blackout spell(s), head trauma with loss of consciousness, or febrile seizures Subject had a currently active medical condition (other than ADHD) that in the opinion of the Investigator could interfere with the ability of subject to participate in the study Subject had a history of development delay in milestones By history, the subject had an IQ less than 80 In the opinion of the Investigator, the subject had not derived significant therapeutic benefit from 2 or more appropriately dosed ADHD therapies Subject was currently taking medication specifically for treatment of ADHD symptoms (e.g., stimulants, atomoxetine, tricyclic antidepressants, or bupropion). NOTE: subjects were off of stimulants for 2 weeks and off non-stimulant ADHD therapies for 4 weeks prior to the Period 1 Baseline Visit. Subject did not have evidence of a discontinuation or withdrawal reaction. Subject was currently taking an anti-depressant prescription medication (e.g., paroxetine, sertraline, venlafaxine, etc.) or St. John's Wort Subject was currently taking an anti-convulsant medication (e.g., phenytoin, carbamazepine, lamotrigine, valproic acid, etc.) or anti-psychotic medication Subject had a clinically relevant abnormality on Screening evaluation including physical examination, vital signs, ECG, or laboratory tests Subject was currently taking on a chronic basis any medication known to be primarily metabolized by a route other than the cytochrome P450 system Subject was unwilling to refrain from taking medications that may have interfered with the assessment of cognitive function. Examples included benzodiazepines, sedating anti-histamines, zolpidem, and zaleplon. Herbal preparations with effects on the central nervous system (e.g., St. John's Wort, melatonin) were prohibited. These medications and herbal preparations were also prohibited throughout the study. Subject was unwilling to refrain from taking more than 1 unit of alcohol within 24 hours of the clinic visits Subject had a Body Mass Index (BMI) of less than 18 or greater than 35. No waivers were allowed. Subject reported passive or active suicidal ideation or intent Subject was concurrently participating in another clinical research study or investigational drug trial or had participated within the past 1 month Subject was at high risk of non-compliance in the Investigator's opinion
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Len Adler, MD
    Organizational Affiliation
    NYU School of Medicine
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    CX717 in the Treatment of Adult ADHD

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