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Safety and Efficacy of MTS Versus Concerta in Pediatric Patients (Aged 6-12 Years) With ADHD

Primary Purpose

Attention Deficit Hyperactivity Disorder

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Methylphenidate Transdermal System
Placebo
Concerta
Sponsored by
Noven Therapeutics
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)

Eligibility Criteria

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

Inclusion Criteria:

  • male or female aged 6-12 years
  • females of Child-bearing Potential (FOCP) must have a negative serum beta Human Chorionic Gonadotropin (HCG) pregnancy test at Screening and a negative urine pregnancy test at Baseline.
  • a primary diagnosis of ADHD based on a detailed psychiatric evaluation
  • a total score of =>26 on the ADHD-RS-IV at the Baseline Visit
  • a minimum level of intellectual functioning, as determined by an IQ (based on KBIT) score of 80 or above
  • no comorbid illness that could affect safety or tolerability or in any way interfere with the subject's participation in the study.

EXCLUSION CRITERIA:

  • a current, controlled (requiring a restricted medication) or uncontrolled, comorbid psychiatric diagnosis (except ODD) with significant symptoms such as Post Traumatic Stress Disorder (PTSD), psychosis, bipolar illness, pervasive developmental disorder, severe obsessive compulsive disorder, severe depressive or severe anxiety disorder
  • a known non-responder to psychostimulant treatment
  • overweight (Body Mass Index (BMI)-for-age >90th percentile)
  • a history of seizures during the last 2 years (exclusive of infantile febrile seizures), a tic disorder, a current diagnosis and/or family history of Tourette's Disorder.
  • Conduct Disorder.
  • Subject has taken an investigational drug within 30 days prior to Screening.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Placebo Comparator

    Active Comparator

    Arm Label

    Methylphenidate Transdermal System

    Placebo

    Concerta

    Arm Description

    Methylphenidate 2.7mg, 41.3mg, 55mg, and 82.5mg patches for 7 weeks

    Placebp matching MTS and Concerta for 7 weeks

    Methylphenidate HCL 18mg tablet 7 weeks

    Outcomes

    Primary Outcome Measures

    The primary objective of this study is to evaluate, under controlled conditions, the safety and efficacy of SPD485 (MTS) compared to placebo with reference to CONCERTA®, as determined by the change in the clinician completed ADHD-RS-IV at each visit.

    Secondary Outcome Measures

    CTRS-R, CPRS-R, CGI, PGA scores
    Treatment emergent AEs, dermal evaluations, PK

    Full Information

    First Posted
    March 6, 2007
    Last Updated
    June 23, 2015
    Sponsor
    Noven Therapeutics
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00444574
    Brief Title
    Safety and Efficacy of MTS Versus Concerta in Pediatric Patients (Aged 6-12 Years) With ADHD
    Official Title
    A Phase III, Randomized, Double-Blind, Multi-Center, Parallel-Group, Placebo-Controlled, Dose Optimization Study, Designed to Evaluate the Safety and Efficacy of Methylphenidate Transdermal System (MTS) vs. CONCERTA® in Pediatric Patients Aged 6-12 With Attention-Deficit/Hyperactivity Disorder (ADHD)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2004 (undefined)
    Primary Completion Date
    June 2005 (Actual)
    Study Completion Date
    June 2005 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Noven Therapeutics

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Study designed to evaluate the safety and efficacy of MTS compared to placebo with reference to CONCERTA® in pediatric subjects diagnosed with ADHD.
    Detailed Description
    This is a phase III, randomized, double-blind, multi-center, parallel-group, placebo-controlled, dose optimization study designed to evaluate the safety and efficacy of MTS (12.5, 18.75, 25, and 37.5 cm2) compared to placebo with reference to CONCERTA® in pediatric subjects diagnosed with attention deficit hyperactivity disorder (ADHD).

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    282 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Methylphenidate Transdermal System
    Arm Type
    Active Comparator
    Arm Description
    Methylphenidate 2.7mg, 41.3mg, 55mg, and 82.5mg patches for 7 weeks
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebp matching MTS and Concerta for 7 weeks
    Arm Title
    Concerta
    Arm Type
    Active Comparator
    Arm Description
    Methylphenidate HCL 18mg tablet 7 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Methylphenidate Transdermal System
    Other Intervention Name(s)
    MTS
    Intervention Description
    The primary objective of this study was to evaluate, under controlled conditions, the safety and efficacy of MTS compared to placebo with reference to CONCERTA
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Other Intervention Name(s)
    Sham treatment
    Intervention Description
    The primary objective of this study was to evaluate, under controlled conditions, the safety and efficacy of MTS compared to placebo with reference to CONCERTA
    Intervention Type
    Drug
    Intervention Name(s)
    Concerta
    Other Intervention Name(s)
    Methylphenidate HCL
    Intervention Description
    The primary objective of this study was to evaluate, under controlled conditions, the safety and efficacy of MTS compared to placebo with reference to CONCERTA
    Primary Outcome Measure Information:
    Title
    The primary objective of this study is to evaluate, under controlled conditions, the safety and efficacy of SPD485 (MTS) compared to placebo with reference to CONCERTA®, as determined by the change in the clinician completed ADHD-RS-IV at each visit.
    Time Frame
    7 weeks
    Secondary Outcome Measure Information:
    Title
    CTRS-R, CPRS-R, CGI, PGA scores
    Time Frame
    7 weeks
    Title
    Treatment emergent AEs, dermal evaluations, PK
    Time Frame
    7 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: male or female aged 6-12 years females of Child-bearing Potential (FOCP) must have a negative serum beta Human Chorionic Gonadotropin (HCG) pregnancy test at Screening and a negative urine pregnancy test at Baseline. a primary diagnosis of ADHD based on a detailed psychiatric evaluation a total score of =>26 on the ADHD-RS-IV at the Baseline Visit a minimum level of intellectual functioning, as determined by an IQ (based on KBIT) score of 80 or above no comorbid illness that could affect safety or tolerability or in any way interfere with the subject's participation in the study. EXCLUSION CRITERIA: a current, controlled (requiring a restricted medication) or uncontrolled, comorbid psychiatric diagnosis (except ODD) with significant symptoms such as Post Traumatic Stress Disorder (PTSD), psychosis, bipolar illness, pervasive developmental disorder, severe obsessive compulsive disorder, severe depressive or severe anxiety disorder a known non-responder to psychostimulant treatment overweight (Body Mass Index (BMI)-for-age >90th percentile) a history of seizures during the last 2 years (exclusive of infantile febrile seizures), a tic disorder, a current diagnosis and/or family history of Tourette's Disorder. Conduct Disorder. Subject has taken an investigational drug within 30 days prior to Screening.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    18312050
    Citation
    Findling RL, Bukstein OG, Melmed RD, Lopez FA, Sallee FR, Arnold LE, Pratt RD. A randomized, double-blind, placebo-controlled, parallel-group study of methylphenidate transdermal system in pediatric patients with attention-deficit/hyperactivity disorder. J Clin Psychiatry. 2008 Jan;69(1):149-59. doi: 10.4088/jcp.v69n0120. Erratum In: J Clin Psychiatry. 2008 Feb;69(2):329.
    Results Reference
    result
    Links:
    URL
    http://www.fda.gov/opacom/7alerts.html
    Description
    (FDA Recall Information)

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    Safety and Efficacy of MTS Versus Concerta in Pediatric Patients (Aged 6-12 Years) With ADHD

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