PRC-063 in an ADULT Workplace Environment
Primary Purpose
Attention Deficit Hyperactivity Disorder (ADHD)
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
PRC-063 25 mg
Placebo
PRC-063 35 mg
PRC-063 45 mg
PRC-063 55 mg
PRC-063 70 mg
PRC-063 85 mg
PRC-063 100 mg
Sponsored by
About this trial
This is an interventional treatment trial for Attention Deficit Hyperactivity Disorder (ADHD) focused on measuring ADHD, Adult
Eligibility Criteria
Inclusion Criteria:
- Must be male or non-pregnant female at least 18 years of age and less than or equal to 60 years of age.
- Must have an ADHD diagnosis, in attentive, hyperactive/impulsive or combined, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) based on clinician assessment using multiple informants and a structured interview.
- Clinician-completed ADHD-5-RS total score must be equal to or greater than 24, as assessed at Visit 2a.
- Must be unsatisfied with his or her current pharmacological therapy for treatment of ADHD or not currently receiving pharmacological therapy for ADHD. Inclusion of subjects naïve to pharmacological therapy for ADHD is permitted.
- Female subjects must be one of the following: a. surgically sterile prior to screening; b. if of childbearing potential, abstinent or willing to use a reliable method of contraception, such as oral contraceptive, two barrier methods, a barrier method plus a spermicidal agent.
- Female subjects of Child-Bearing Potential (FOCP) must be a negative serum β-hCG pregnancy test at screening.
- Must have a minimum level of intellectual functioning, as determined by an Intelligence Quotient (IQ) score of 80 or above based on the KBIT-2.
- Mentally and physically competent to sign an informed assent document, in the case of the subject, and an informed consent document, in the case of the parent/guardian, indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
- Able and willing to comply with the study procedures for the entire length of the study, including a successful swallow test of an empty 100 mg capsule.
Exclusion Criteria:
- Having an allergy to methylphenidate or amphetamines or a history of serious adverse reactions to methylphenidate.
- Known to be non-responsive to methylphenidate treatment. Non-response is defined as methylphenidate use at various doses for a phase of at least four weeks at each dose with little or no clinical benefit in the last 10 years.
- Being diagnosed with or having a history of strokes, epilepsy, migraine headaches (greater than 1 instance every two months), glaucoma, thyrotoxicosis, tachyarrhythmias or severe angina pectoris or have serious or unstable medical illness. Subjects with controlled or stable asthma or diabetes will be permitted.
- Elevated blood pressure, defined as any values above 89 diastolic or 139 systolic, as assessed at Visit 1.
- Clinically significant ECG abnormalities, as assessed at Visit 1.
- Clinically significant laboratory abnormalities, as assessed at Visit 1.
- Currently receiving guanethidine, pressor agents, MAO inhibitors, coumarin anticoagulants, anticonvulsants (e.g., phenobarbital, phenytoin, primidone), phenylbutazone, tricyclic antidepressants (e.g., imipramine, desipramine), selective serotonin reuptake inhibitors (SSRIs) or herbal remedies (unless on a stable dose for 4 weeks).
- Subject has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary heart disease, transient ischemic attack or stroke or other serious cardiac problems that may place the subject at increased vulnerability to the sympathomimetic effects of a stimulant drug.
- Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
- Subjects who are currently considered a suicide risk by the investigator.
- Having a primary diagnosis of schizophrenia, schizoaffective disorder, primary affective disorder, schizotypal personality, major depression, bipolar disorder, generalized anxiety, borderline personality disorder, antisocial personality or another unstable psychiatric condition requiring treatment, as assessed by the structured interview conducted at Visit 1.
- Having a history or suspected physiological dependence within the past 5 years (excluding nicotine) on narcotic analgesics or other psychoactive drugs (including barbiturates, opiates, cocaine, cannabinoids, amphetamines and benzodiazepines).
- Excessive consumption of alcohol (consumes alcohol in quantities greater than 15 drinks per week; 1 drink is defined as 360 mL/12 oz. of beer, 120 mL/4 oz. of wine, or 30 mL/1 oz. of hard liquor), or history (within previous 6 months) of alcohol abuse.
- Currently (or within 30 days before the planned start of treatment) receiving an investigational drug or using an experimental medical device.
- Homeless.
Sites / Locations
- AVIDA, Inc.
- Center for Psychiatry and Behavioral Medicine Inc.
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
PRC-063
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Permanent Product Measure of Performance (PERMP)
Secondary Outcome Measures
Observer-rated SKAMP
Clinician-administered ADHD-5-Rating Scale
Clinical Global Impressions of Improvement (CGI-I)
Subject-rated Conners' Adult ADHD Rating Scale (CAARS)
Self-report of the Pittsburgh Sleep Quality Index (PSQI)
Patient Satisfaction Survey (PSS)
Full Information
NCT ID
NCT02225639
First Posted
August 22, 2014
Last Updated
July 7, 2015
Sponsor
Rhodes Pharmaceuticals, L.P.
Collaborators
Purdue Pharma LP
1. Study Identification
Unique Protocol Identification Number
NCT02225639
Brief Title
PRC-063 in an ADULT Workplace Environment
Official Title
A Randomized, Double-blind Study of the Time Course of Response of PRC-063 in Adults With ADHD in a Simulated Adult Workplace Environment
Study Type
Interventional
2. Study Status
Record Verification Date
July 2015
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
May 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rhodes Pharmaceuticals, L.P.
Collaborators
Purdue Pharma LP
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary objective of this study is to assess the time of onset and time course of efficacy over 16 hours of PRC-063 compared to placebo in adults diagnosed with ADHD in a simulated adult workplace environment (AWE) setting, as measured by the PERMP (an individually-adjusted math test) at pre-dose, 1.0, 2.0, 5.0, 8.0, 11.0, 14.0 and 16.0 hours post-dose.
Detailed Description
This is a randomized, double-blind, crossover, placebo-controlled, optimized-dose, phase 3 study to evaluate the safety and efficacy of PRC-063 (methylphenidate hydrochloride controlled-release capsules 25, 35, 45, 55, 70, 85 or 100 mg/day) in the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in adult subjects greater than or equal to 18 years of age and less than or equal to 60 years of age. After giving written informed consent, subjects will be screened to ascertain their suitability for the study according to the inclusion and exclusion criteria. The study will have four phases: (1) Screening and subsequent washout, if needed; (2) baseline and open-label dose optimization during which subjects will be titrated from a starting dose of 25 mg up to his/her final dose (25, 35, 45, 55, 70, 85 or 100 mg/day); (3) AWE sessions 1 and 2 in the adult analog setting following a practice session; and (4) 14-day safety follow-up. Subjects will be required to visit the clinic up to 10 times over a 9-week period.
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
ADHD, Adult
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PRC-063
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
PRC-063 25 mg
Other Intervention Name(s)
25 mg capsule
Intervention Description
Oral 25 mg capsule - active
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo capsule
Intervention Description
Oral placebo capsule
Intervention Type
Drug
Intervention Name(s)
PRC-063 35 mg
Other Intervention Name(s)
35 mg capsule
Intervention Description
Oral 35 mg capsule - active
Intervention Type
Drug
Intervention Name(s)
PRC-063 45 mg
Other Intervention Name(s)
45 mg capsule
Intervention Description
Oral 45 mg capsule - active
Intervention Type
Drug
Intervention Name(s)
PRC-063 55 mg
Other Intervention Name(s)
55 mg capsule
Intervention Description
Oral 55 mg capsule - active
Intervention Type
Drug
Intervention Name(s)
PRC-063 70 mg
Other Intervention Name(s)
70 mg capsule
Intervention Description
Oral 70 mg capsule - active
Intervention Type
Drug
Intervention Name(s)
PRC-063 85 mg
Other Intervention Name(s)
85 mg capsule
Intervention Description
Oral 85 mg capsule - active
Intervention Type
Drug
Intervention Name(s)
PRC-063 100 mg
Other Intervention Name(s)
100 mg capsule
Intervention Description
Oral 100 mg capsule - active
Primary Outcome Measure Information:
Title
Permanent Product Measure of Performance (PERMP)
Time Frame
Pre-dose, 1.0, 2.0, 5.0, 8.0, 11.0, 14.0 and 16.0 hours post-dose
Secondary Outcome Measure Information:
Title
Observer-rated SKAMP
Time Frame
Pre-dose, 1.0, 2.0, 5.0, 8.0, 11.0, 14.0 and 16.0 hours post-dose
Title
Clinician-administered ADHD-5-Rating Scale
Time Frame
12.0 hours post-dose
Title
Clinical Global Impressions of Improvement (CGI-I)
Time Frame
Pre-dose, 1.0, 2.0, 5.0, 8.0, 11.0, 14.0 and 16.0 hours post-dose
Title
Subject-rated Conners' Adult ADHD Rating Scale (CAARS)
Time Frame
12.0 hours post-dose
Title
Self-report of the Pittsburgh Sleep Quality Index (PSQI)
Time Frame
Pre-dose, 1.0, 2.0, 5.0, 8.0, 11.0, 14.0 and 16.0 hours post-dose
Title
Patient Satisfaction Survey (PSS)
Time Frame
Pre-dose, 1.0, 2.0, 5.0, 8.0, 11.0, 14.0 and 16.0 hours post-dose
Other Pre-specified Outcome Measures:
Title
Occurrence of treatment-emergent adverse events and specific evaluation of blood pressure, heart rate, electrocardiogram (ECG), laboratory findings and physical examination (PE).
Description
AWE sessions 1 and 2 in the adult analog setting following a practice session; and (4) 14-day safety follow-up. Subjects will be required to visit the clinic up to 10 times over a 9-week period.
Time Frame
Controlled phase and 14-day safety followup
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Must be male or non-pregnant female at least 18 years of age and less than or equal to 60 years of age.
Must have an ADHD diagnosis, in attentive, hyperactive/impulsive or combined, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) based on clinician assessment using multiple informants and a structured interview.
Clinician-completed ADHD-5-RS total score must be equal to or greater than 24, as assessed at Visit 2a.
Must be unsatisfied with his or her current pharmacological therapy for treatment of ADHD or not currently receiving pharmacological therapy for ADHD. Inclusion of subjects naïve to pharmacological therapy for ADHD is permitted.
Female subjects must be one of the following: a. surgically sterile prior to screening; b. if of childbearing potential, abstinent or willing to use a reliable method of contraception, such as oral contraceptive, two barrier methods, a barrier method plus a spermicidal agent.
Female subjects of Child-Bearing Potential (FOCP) must be a negative serum β-hCG pregnancy test at screening.
Must have a minimum level of intellectual functioning, as determined by an Intelligence Quotient (IQ) score of 80 or above based on the KBIT-2.
Mentally and physically competent to sign an informed assent document, in the case of the subject, and an informed consent document, in the case of the parent/guardian, indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
Able and willing to comply with the study procedures for the entire length of the study, including a successful swallow test of an empty 100 mg capsule.
Exclusion Criteria:
Having an allergy to methylphenidate or amphetamines or a history of serious adverse reactions to methylphenidate.
Known to be non-responsive to methylphenidate treatment. Non-response is defined as methylphenidate use at various doses for a phase of at least four weeks at each dose with little or no clinical benefit in the last 10 years.
Being diagnosed with or having a history of strokes, epilepsy, migraine headaches (greater than 1 instance every two months), glaucoma, thyrotoxicosis, tachyarrhythmias or severe angina pectoris or have serious or unstable medical illness. Subjects with controlled or stable asthma or diabetes will be permitted.
Elevated blood pressure, defined as any values above 89 diastolic or 139 systolic, as assessed at Visit 1.
Clinically significant ECG abnormalities, as assessed at Visit 1.
Clinically significant laboratory abnormalities, as assessed at Visit 1.
Currently receiving guanethidine, pressor agents, MAO inhibitors, coumarin anticoagulants, anticonvulsants (e.g., phenobarbital, phenytoin, primidone), phenylbutazone, tricyclic antidepressants (e.g., imipramine, desipramine), selective serotonin reuptake inhibitors (SSRIs) or herbal remedies (unless on a stable dose for 4 weeks).
Subject has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary heart disease, transient ischemic attack or stroke or other serious cardiac problems that may place the subject at increased vulnerability to the sympathomimetic effects of a stimulant drug.
Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
Subjects who are currently considered a suicide risk by the investigator.
Having a primary diagnosis of schizophrenia, schizoaffective disorder, primary affective disorder, schizotypal personality, major depression, bipolar disorder, generalized anxiety, borderline personality disorder, antisocial personality or another unstable psychiatric condition requiring treatment, as assessed by the structured interview conducted at Visit 1.
Having a history or suspected physiological dependence within the past 5 years (excluding nicotine) on narcotic analgesics or other psychoactive drugs (including barbiturates, opiates, cocaine, cannabinoids, amphetamines and benzodiazepines).
Excessive consumption of alcohol (consumes alcohol in quantities greater than 15 drinks per week; 1 drink is defined as 360 mL/12 oz. of beer, 120 mL/4 oz. of wine, or 30 mL/1 oz. of hard liquor), or history (within previous 6 months) of alcohol abuse.
Currently (or within 30 days before the planned start of treatment) receiving an investigational drug or using an experimental medical device.
Homeless.
Facility Information:
Facility Name
AVIDA, Inc.
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660
Country
United States
Facility Name
Center for Psychiatry and Behavioral Medicine Inc.
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89128
Country
United States
12. IPD Sharing Statement
Learn more about this trial
PRC-063 in an ADULT Workplace Environment
We'll reach out to this number within 24 hrs