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L-Threonic Acid Magnesium Salt (L-TAMS) in ADHD

Primary Purpose

Attention Deficit/Hyperactivity Disorder, ADHD

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
L-Threonic Acid Magnesium Salt (L-TAMS)
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit/Hyperactivity Disorder focused on measuring Attention Deficit/Hyperactivity Disorder, ADHD, Attention Deficit Disorder, ADD, Magnesium

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female adults ages 18-55 years of age
  • A diagnosis of childhood-onset Attention Deficit/Hyperactivity Disorder (ADHD), meeting the Diagnostic and Statistical Manual, Fifth Edition (DSM-V) criteria for ADHD in adulthood, including at least 5 current symptoms of inattentive or impulsive-hyperactive traits, and childhood onset by age 12, defined as two symptoms of inattentive or of impulsive/hyperactive traits by the age of 12
  • A score of 20 or more on the Adult ADHD Investigator Symptom Report Scale (AISRS), and, for those individuals stably treated with stimulants, a Clinical Global Impression -ADHD (CGI-ADHD) severity score of no greater than 4 ("moderately ill")
  • Subjects on a stable dose of stimulant medication must be treated on the same dose for at least 1 month prior to study entry

Exclusion Criteria:

  • A history of intolerance to magnesium supplementation, or the ingredients in MMFS202 (6-hour release) AND MMFS302 (12-hour release)
  • Pregnant or nursing females
  • A known unstable medical illness including hepatic, renal, gastroenterological, respiratory, cardiovascular (including hypertension ≥ 140/90 mmHg at screening), endocrinologic (e.g. thyroid), neurologic (e.g. seizure), immunologic, hematologic, or psychiatric (other than ADHD) disorder); individuals with kidney dysfunction will be excluded, as dysfunctional kidneys may have difficulty clearing the magnesium from the body (which can result in dangerously high magnesium levels); individuals with heart block will be excluded from the study
  • Any medical condition that the Principal Investigator (PI) believes will be exacerbated by study participation
  • A history of cancer (except localized skin cancer without metastases or in situ cervical cancer) within 5 years prior to screening
  • A known history of narrow-angle glaucoma
  • Current (within 3 months) DSM-V criteria for abuse or dependence with any psychoactive substance other than nicotine
  • Intelligence Quotient (IQ) less than 80 (based on the Wechsler Abbreviated Scale of Intelligence-II Full Scale IQ calculation)
  • Multiple adverse drug reactions
  • Any other concomitant medication with primarily central nervous system activity as specified in the study protocol
  • Current use of a monoamine-oxidase inhibitor (MAOI) or use within the past two weeks
  • Current use of antibiotics, as the study agent may reduce the absorption of antibiotics
  • Subjects may not take any of the following substances for at least 7 days prior to baseline and throughout the study: Calcium channel blockers; any psychoactive medications; any medications known to interact with magnesium; supplemental magnesium or any magnesium-containing products; all dietary or herbal supplements or products including those purported to improve memory, improve sleep, or decrease stress.
  • Investigator and his/her immediate family; defined as the investigator's spouse, parent, child, grandparent, or grandchild

Sites / Locations

  • Massachusetts General Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

L-Threonic Acid Magnesium Salt (L-TAMS)

Arm Description

Subjects received open label L-Threonic acid Magnesium salt for 12 weeks. Subjects took MMFS202 (6-hour release) and MMFS302 (12-hour release) by mouth each day, up to three times a day.

Outcomes

Primary Outcome Measures

Change in Adult ADHD Investigator Symptom Rating Scale (AISRS) Score
The Adult ADHD Investigator Symptom Report Scale (AISRS) assesses each of the 18 individual symptoms of ADHD in DSM-IV on a Likert scale from 0 (not present) to 3 (severe), with a total possible score of 54. The change in AISRS score from baseline to endpoint (12 weeks) was calculated as the later time point score minus the earlier time point score.

Secondary Outcome Measures

Full Information

First Posted
September 23, 2015
Last Updated
April 11, 2018
Sponsor
Massachusetts General Hospital
Collaborators
Neurocentria, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02558790
Brief Title
L-Threonic Acid Magnesium Salt (L-TAMS) in ADHD
Official Title
L-Threonic Acid Magnesium Salt (L-TAMS) in ADHD: An Open-label Pilot Study of Cognitive and Functional Effects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
March 2016 (undefined)
Primary Completion Date
October 2017 (Actual)
Study Completion Date
October 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital
Collaborators
Neurocentria, Inc.

4. Oversight

5. Study Description

Brief Summary
This study is a 12-week, open-label pilot study to test the effects of MMFS-201-301 on cognition and function in adults with ADHD. Subjects may enter the trial on a stable dose of medication for ADHD, and MMFS-201-301 will be given. Subjects who do not enter on a stable dose of ADHD medication will receive MMFS-201-301 alone.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Attention Deficit/Hyperactivity Disorder, ADHD
Keywords
Attention Deficit/Hyperactivity Disorder, ADHD, Attention Deficit Disorder, ADD, Magnesium

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
L-Threonic Acid Magnesium Salt (L-TAMS)
Arm Type
Experimental
Arm Description
Subjects received open label L-Threonic acid Magnesium salt for 12 weeks. Subjects took MMFS202 (6-hour release) and MMFS302 (12-hour release) by mouth each day, up to three times a day.
Intervention Type
Drug
Intervention Name(s)
L-Threonic Acid Magnesium Salt (L-TAMS)
Primary Outcome Measure Information:
Title
Change in Adult ADHD Investigator Symptom Rating Scale (AISRS) Score
Description
The Adult ADHD Investigator Symptom Report Scale (AISRS) assesses each of the 18 individual symptoms of ADHD in DSM-IV on a Likert scale from 0 (not present) to 3 (severe), with a total possible score of 54. The change in AISRS score from baseline to endpoint (12 weeks) was calculated as the later time point score minus the earlier time point score.
Time Frame
Baseline and 12 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female adults ages 18-55 years of age A diagnosis of childhood-onset Attention Deficit/Hyperactivity Disorder (ADHD), meeting the Diagnostic and Statistical Manual, Fifth Edition (DSM-V) criteria for ADHD in adulthood, including at least 5 current symptoms of inattentive or impulsive-hyperactive traits, and childhood onset by age 12, defined as two symptoms of inattentive or of impulsive/hyperactive traits by the age of 12 A score of 20 or more on the Adult ADHD Investigator Symptom Report Scale (AISRS), and, for those individuals stably treated with stimulants, a Clinical Global Impression -ADHD (CGI-ADHD) severity score of no greater than 4 ("moderately ill") Subjects on a stable dose of stimulant medication must be treated on the same dose for at least 1 month prior to study entry Exclusion Criteria: A history of intolerance to magnesium supplementation, or the ingredients in MMFS202 (6-hour release) AND MMFS302 (12-hour release) Pregnant or nursing females A known unstable medical illness including hepatic, renal, gastroenterological, respiratory, cardiovascular (including hypertension ≥ 140/90 mmHg at screening), endocrinologic (e.g. thyroid), neurologic (e.g. seizure), immunologic, hematologic, or psychiatric (other than ADHD) disorder); individuals with kidney dysfunction will be excluded, as dysfunctional kidneys may have difficulty clearing the magnesium from the body (which can result in dangerously high magnesium levels); individuals with heart block will be excluded from the study Any medical condition that the Principal Investigator (PI) believes will be exacerbated by study participation A history of cancer (except localized skin cancer without metastases or in situ cervical cancer) within 5 years prior to screening A known history of narrow-angle glaucoma Current (within 3 months) DSM-V criteria for abuse or dependence with any psychoactive substance other than nicotine Intelligence Quotient (IQ) less than 80 (based on the Wechsler Abbreviated Scale of Intelligence-II Full Scale IQ calculation) Multiple adverse drug reactions Any other concomitant medication with primarily central nervous system activity as specified in the study protocol Current use of a monoamine-oxidase inhibitor (MAOI) or use within the past two weeks Current use of antibiotics, as the study agent may reduce the absorption of antibiotics Subjects may not take any of the following substances for at least 7 days prior to baseline and throughout the study: Calcium channel blockers; any psychoactive medications; any medications known to interact with magnesium; supplemental magnesium or any magnesium-containing products; all dietary or herbal supplements or products including those purported to improve memory, improve sleep, or decrease stress. Investigator and his/her immediate family; defined as the investigator's spouse, parent, child, grandparent, or grandchild
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Craig Surman, 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
02144
Country
United States

12. IPD Sharing Statement

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L-Threonic Acid Magnesium Salt (L-TAMS) in ADHD

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