Lisdexamfetamine Dimesylate (LDX) Pilot Cognition Study to Evaluate the Utility of a Standardized Battery of Tests in Adults With Attention-Deficit Hyperactivity Disorder (ADHD)
A Phase I, Randomized, Double Blind, Three-Period Crossover, Estimation Study Using Lisdexamfetamine Dimesylate, Immediate Release Mixed Amphetamine Salts and Placebo to Evaluate the Utility of a Standardized Computer Battery of Tests in Adults With Attention-Deficit Hyperactivity Disorder (ADHD)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Texas
-
Houston, Texas, United States
- Claghorn-Lesem Research Clinic
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject meets Diagnostic and Statistical Manual of Mental Disorders Fourth Edition; Text Revision (DSM IV TR) criteria for a primary diagnosis of ADHD (diagnostic code 314.00 and 314.01) established by a comprehensive psychiatric evaluation that reviews DSM-IV-TR criteria with at least 6 of the 9 subtype criteria met.
- Subject has been previously treated for ADHD with an adequate course of amphetamine therapy with no history of intolerance, or lack of efficacy, as determined by the Investigator.
- Subject does not have any physical disability (eg. colorblindness, limitations with use of one or both hands, etc) that would interfere with the subject's participation in or performance on any of the neuropsychometric tests. For a number of these tasks speed is a key factor thus subjects cannot have any obvious impediments/impairments in the use of their hands.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: LDX + MAS-IR Placebo
Lisdexamfetamine Dimesylate (LDX) + Immediate Release Mixed Amphetamine Salts (MAS-IR) placebo
|
Lisdexamfetamine Dimesylate (LDX) + Immediate Release Mixed Amphetamine Salts (MAS-IR) placebo
|
|
Active Comparator: MAS-IR + LDX Placebo
Immediate Release Mixed Amphetamine Salts (MAS-IR) + Lisdexamfetamine Dimesylate (LDX) placebo
|
Immediate Release Mixed Amphetamine Salts (MAS-IR) + Lisdexamfetamine Dimesylate (LDX) placebo
|
|
Placebo Comparator: Placebo
Lisdexamfetamine Dimesylate (LDX) Placebo + Immediate Release Mixed Amphetamine Salts (MAS-IR) Placebo
|
Lisdexamfetamine Dimesylate (LDX) Placebo + Immediate Release Mixed Amphetamine Salts (MAS-IR) Placebo
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Power of Attention Score
Time Frame: pre-dose and at 1, 2, 3, 4, 5, 8, 12, 14 and 16 hours post-dose on Day 7
|
The Power of Attention score reflects the ability to focus attention, and is calculated as the sum of the reaction time, measured in milliseconds, from 3 attention tests (Simple Reaction Time, Choice Reaction Time, and Digit Vigilance Speed).
Faster performance (lower times) reflects more intense concentration.
A decrease in the Power of Attention score indicates improvement.
|
pre-dose and at 1, 2, 3, 4, 5, 8, 12, 14 and 16 hours post-dose on Day 7
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Conners Adult ADHD Rating Scales-Self Report: Short Version (CAARS-S:S) Subscale Total Score (T-Score): Inattention/Memory Problems
Time Frame: 2 and 14 hours post-dose on Day 7
|
Consists of 5 items with each item rated on a scale of 0-3 (not at all, just a little, pretty much, very much).
The T-score is then calculated as: T = 50 + 10 * (raw score - mean)/Standard Deviation.
The average score is 50.
Scores below 50 are better than scores above 50.
|
2 and 14 hours post-dose on Day 7
|
|
CAARS-S:S Subscale T-Score: Hyperactivity/Restlessness
Time Frame: 2 and 14 hours post-dose on Day 7
|
Consists of 5 items with each item rated on a scale of 0-3 (not at all, just a little, pretty much, very much).
The T-score is then calculated as: T = 50 + 10 * (raw score - mean)/Standard Deviation.
The average score is 50.
Scores below 50 are better than scores above 50.
|
2 and 14 hours post-dose on Day 7
|
|
CAARS-S:S Subscale T-Score: Impulsivity/Emotional Liability
Time Frame: 2 and 14 hours post-dose on Day 7
|
Consists of 5 items with each item rated on a scale of 0-3 (not at all, just a little, pretty much, very much).
The T-score is then calculated as: T = 50 + 10 * (raw score - mean)/Standard Deviation.
The average score is 50.
Scores below 50 are better than scores above 50.
|
2 and 14 hours post-dose on Day 7
|
|
CAARS-S:S Subscale T-Score: Problems With Self-Concept
Time Frame: 2 and 14 hours post-dose on Day 7
|
Consists of 5 items with each item rated on a scale of 0-3 (not at all, just a little, pretty much, very much).
The T-score is then calculated as: T = 50 + 10 * (raw score - mean)/Standard Deviation.
The average score is 50.
Scores below 50 are better than scores above 50.
|
2 and 14 hours post-dose on Day 7
|
|
CAARS-S:S Subscale T-Score: Attention Deficit Hyperactivity Disorder (ADHD) Index
Time Frame: 2 and 14 hours post-dose on Day 7
|
Consists of 12 items with each item rated on a scale of 0-3 (not at all, just a little, pretty much, very much).
The T-score is then calculated as: T = 50 + 10 * (raw score - mean)/Standard Deviation.
The average score is 50.
Scores below 50 are better than scores above 50.
|
2 and 14 hours post-dose on Day 7
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Nervous System Diseases
- Neurologic Manifestations
- Dyskinesias
- Attention Deficit and Disruptive Behavior Disorders
- Neurodevelopmental Disorders
- Attention Deficit Disorder with Hyperactivity
- Hyperkinesis
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Dopamine Agents
- Dopamine Uptake Inhibitors
- Central Nervous System Stimulants
- Sympathomimetics
- Adrenergic Uptake Inhibitors
- Lisdexamfetamine Dimesylate
- Amphetamine
Other Study ID Numbers
Other Study ID Numbers
- SPD489-115
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