A Phase 2 interventional study of Atomoxetine in Attention Deficit Hyperactivity Disorder, sponsored by Eli Lilly and Company. Completed at 11 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2010-11-04.
Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment
The primary objective of this clinical study is to assess overall safety and tolerability as measured by discontinuation rate due to adverse events in doses up to 120 mg/day in relation to global clinical studies in adult subjects who meet Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV™) criteria for Attention-Deficit/Hyperactivity Disorder (ADHD).
729 studies on the registry are indexed under Hyperkinesis; 25 are open to participants now.
This study's enrollment of 45 is below the median of 80 across 583 interventional studies indexed under Hyperkinesis.
Browse Hyperkinesis studies →Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.
Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Atomoxetine
Study drug is administered once daily in the morning. This study is designed with 4-step titration. At Day 1, study drug is started from 40 mg/day, and is increased to 80 mg/day on Day 7, 105 mg/day on Day 14, and 120 mg/day on Day 28. Total administration period is 8 weeks. The dosage is adjusted according to investigator's decision based on safety and tolerability.
Also known as: LY139603, Strattera
Discontinuations Due to Adverse Events (AE)
The definition of a study adverse event was any unfavorable medical event, newly emerged or a deterioration of a preexisting condition, in other words any untoward medical occurrence in a patient administered a pharmaceutical product, without regard to the possibility of a causal relationship, that occurred after the visit for informed consent and up to the visit for completion of administration, or discontinuation.
Time frame: Baseline to 8 Weeks
Change From Baseline to 8 Week Endpoint in Conners' Adult Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale-Investigator Rated:Screening Version (CAARS-Inv:SV) Total ADHD Symptom Score
Conners' Adult Attention-Deficit Hyperactivity Disorder (ADHD) Rating Scale-Investigator Rating:Screening Version. Total ADHD symptom score consisted of 18 items (sum of inattention and hyperactivity-impulsivity subscales) using a 4-point scale (0=not at all/never to 3=very much/very frequently) for total score range of 0 to 54.
Time frame: Baseline and 8 Weeks
Change From Baseline to 8 Week Endpoint in Clinical Global Impressions-ADHD Severity (CGI-ADHD-S)
Measures severity of the patient's overall severity of ADHD symptoms (1=normal, not at all ill; 7=among the most extremely ill patients).
Time frame: Baseline and 8 Weeks
Change From Baseline to 8 Week Endpoint in Conners' Adult ADHD Rating Scale-Self Rated:Screening Version (CAARS-S:SV) Total ADHD Symptom Score
Conners' Adult Attention-Deficit Hyperactivity Disorder (ADHD) Rating Scale-Self Rating:Screening Version. Total ADHD symptom score consisted of 18 items (sum of inattention and hyperactivity-impulsivity subscales) using a 4-point scale (0=not at all/never to 3=very much/very frequently) for total score range of 0 to 54.
Time frame: Baseline and 8 Weeks
Change From Baseline to 8 Week Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17)
The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe).
Time frame: Baseline and 8 Weeks
Change From Baseline to 8 Week Endpoint in Hamilton Anxiety Rating Scale (HAMA-14)
The HAMA-14 scale measures anxiety symptoms accompanying Major Depressive Disorder (MDD). Each item of the 14-item HAMA was scored from 0 (not present) to 4 (very severe), with a resulting maximum total score of 56.
Time frame: Baseline and 8 Weeks
Change From Baseline to 8 Week Endpoint in Stroop Color Word Test
This was a psychological test to observe the interference in which disparity between the meaning and color affects reading speed. A subject was given 3 tasks of recognition: reading the printed colored ink (Color Test), reading color words in black ink (Word Test), and interference, reading color words printed in different colored ink (Word-Color Test). The test was scored on the number of correct answers. There were 100 items for each of the three categories and if they made it through the 100 words with time remaining, they would repeat the list.
Time frame: Baseline and 8 Weeks
Change From Baseline to 8 Week Endpoint in Short Form-36 Version 2 (SF-36v2)
SF-36 assesses quality of life (QoL) on 8 domains and 2 summary scores (mental component summary \[MCS\] and physical component summary \[PCS\]). MCS and PCS scores=0-100 (higher scores indicate better QoL). Raw domain scores: general health=5-25; physical functioning=10-30; role-physical=4-20; role-emotional=3-15; social functioning=2-10; bodily pain=2-12; vitality=4-20; mental health=5-25. Using norm based scores, all domains, MCS and PCS scores have average score of 50 with standard deviation of 10. Norm-based score=Z-score\*10+50 in each subscale. Range cannot be specified in norm-based scores.
Time frame: Baseline and 8 Weeks
Number of Participants With Potentially Clinically Significant Changes in Vital Signs During the Study
Vital signs reported are Pulse (beats per minute \[bpm\]), Systolic Blood Pressure (SBP) (mmHg), and Diastolic Blood Pressure (DBP) (mmHg).
Time frame: Baseline to 8 Weeks
Significant Changes in Body Weight During the Study
Potentially clinically significant weight loss was defined as any decrease of at least 7 percent (%). Potentially clinically significant weight gain was defined as any increase of at least 7%.
Time frame: Baseline to 8 Weeks
Number of Participants With Abnormal QTc Interval Based on International Conference on Harmonisation Criterion
The Fridericia correction of the QT interval (QTcF) was used.
Time frame: Baseline to 8 Weeks
Cytochrome P450 2D6 (CYP2D6) Phenotype Status
CYP2D6 is the primary atomoxetine metabolizing enzyme. Metabolizzer status was determined by focusing on the normal, decreased, and defective allele. Poor metabolizer = defective/defective. Extensive metabolizer is all except for poor metabolizer.
Time frame: 8 Weeks
| Milestone | Atomoxetine |
|---|---|
| Started | 45 |
| Received at least one dose of study drug | 44 |
| Completed | 34 |
| Not completed | 11 |
| Withdrew: Adverse event | 1 |
| Withdrew: Lost to follow-up | 2 |
| Withdrew: Entry criteria exclusion | 3 |
| Withdrew: Protocol violation | 1 |
| Withdrew: Withdrawal by subject | 4 |
The definition of a study adverse event was any unfavorable medical event, newly emerged or a deterioration of a preexisting condition, in other words any untoward medical occurrence in a patient administered a pharmaceutical product, without regard to the possibility of a causal relationship, that occurred after the visit for informed consent and up to the visit for completion of administration, or discontinuation.
| participants | Atomoxetine |
|---|---|
| Participants with >=1 AE (Discontinuation) | 1 |
| Somnolence (Nervous System Disorder) | 1 |
Conners' Adult Attention-Deficit Hyperactivity Disorder (ADHD) Rating Scale-Investigator Rating:Screening Version. Total ADHD symptom score consisted of 18 items (sum of inattention and hyperactivity-impulsivity subscales) using a 4-point scale (0=not at all/never to 3=very much/very frequently) for total score range of 0 to 54.
| units on a scale | Atomoxetine |
|---|---|
| Baseline | 32.0 ± 6.3 |
| Change from Baseline | -12.8 ± 10.4 |
Measures severity of the patient's overall severity of ADHD symptoms (1=normal, not at all ill; 7=among the most extremely ill patients).
| units on a scale | Atomoxetine |
|---|---|
| Baseline | 4.8 ± 0.8 |
| Change from Baseline | -1.7 ± 1.3 |
Conners' Adult Attention-Deficit Hyperactivity Disorder (ADHD) Rating Scale-Self Rating:Screening Version. Total ADHD symptom score consisted of 18 items (sum of inattention and hyperactivity-impulsivity subscales) using a 4-point scale (0=not at all/never to 3=very much/very frequently) for total score range of 0 to 54.
| units on a scale | Atomoxetine |
|---|---|
| Baseline | 30.6 ± 9.7 |
| Change from Baseline | -12.1 ± 10.2 |
The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe).
| units on a scale | Atomoxetine |
|---|---|
| Baseline | 4.8 ± 3.9 |
| Change from Baseline | -1.5 ± 3.8 |
The HAMA-14 scale measures anxiety symptoms accompanying Major Depressive Disorder (MDD). Each item of the 14-item HAMA was scored from 0 (not present) to 4 (very severe), with a resulting maximum total score of 56.
| units on a scale | Atomoxetine |
|---|---|
| Baseline | 6.7 ± 4.7 |
| Change from Baseline | -2.0 ± 4.4 |
This was a psychological test to observe the interference in which disparity between the meaning and color affects reading speed. A subject was given 3 tasks of recognition: reading the printed colored ink (Color Test), reading color words in black ink (Word Test), and interference, reading color words printed in different colored ink (Word-Color Test). The test was scored on the number of correct answers. There were 100 items for each of the three categories and if they made it through the 100 words with time remaining, they would repeat the list.
| number of correct answers | Atomoxetine |
|---|---|
| Word Test: Baseline | 82.4 ± 16.6 |
| Word Test: Change from Baseline | 4.5 ± 9.9 |
| Color Test: Baseline | 68.7 ± 14.8 |
| Color Test: Change from Baseline | 4.8 ± 10.6 |
| Color-Word Test: Baseline | 49.0 ± 16.5 |
| Color-Word Test: Change from Baseline | 3.5 ± 15.4 |
SF-36 assesses quality of life (QoL) on 8 domains and 2 summary scores (mental component summary \[MCS\] and physical component summary \[PCS\]). MCS and PCS scores=0-100 (higher scores indicate better QoL). Raw domain scores: general health=5-25; physical functioning=10-30; role-physical=4-20; role-emotional=3-15; social functioning=2-10; bodily pain=2-12; vitality=4-20; mental health=5-25. Using norm based scores, all domains, MCS and PCS scores have average score of 50 with standard deviation of 10. Norm-based score=Z-score\*10+50 in each subscale. Range cannot be specified in norm-based scores.
| T-Score | Atomoxetine |
|---|---|
| Physical Component Summary: Baseline | 46.77 ± 9.11 |
| Physical Component Summary: Change from Baseline | -0.38 ± 9.23 |
| Mental Component Summary: Baseline | 43.71 ± 6.93 |
| Mental Component Summary: Change from Baseline | 3.62 ± 5.36 |
| Physical Functioning: Baseline | 53.12 ± 6.79 |
| Physical Functioning: Change from Baseline | -3.02 ± 9.09 |
| Role-Physical: Baseline | 43.58 ± 11.36 |
| Role-Physical: Change from Baseline | 1.30 ± 10.94 |
| Bodily Pain: Baseline | 50.46 ± 10.71 |
| Bodily Pain: Change from Baseline | 1.32 ± 9.31 |
| General Health Perception: Baseline | 47.81 ± 9.67 |
| General Health Perception: Change from Baseline | 2.48 ± 9.17 |
| Vitality: Baseline | 43.73 ± 8.63 |
| Vitality: Change from Baseline | 2.78 ± 8.61 |
| Social Functioning: Baseline | 40.97 ± 11.36 |
| Social Functioning: Change from Baseline | 2.82 ± 10.39 |
| Role-Emotional: Baseline | 36.63 ± 11.59 |
| Role-Emotional: Change from Baseline | 5.46 ± 13.05 |
| Mental Health: Baseline | 40.38 ± 9.42 |
| Mental Health: Change from Baseline | 5.51 ± 8.04 |
Vital signs reported are Pulse (beats per minute \[bpm\]), Systolic Blood Pressure (SBP) (mmHg), and Diastolic Blood Pressure (DBP) (mmHg).
| participants | Atomoxetine |
|---|---|
| High Pulse (bpm)=Increase ≥15 to a value >120 | 0 |
| Low Pulse (bpm)=Decrease ≥15 to a value <50 | 0 |
| High SBP (mmHg)=Increase ≥20 to a value >180 | 0 |
| Low SBP (mmHg)=Decrease ≥20 to value of at most 90 | 1 |
| High DBP (mmHg)=Increase ≥15 to value at least 105 | 0 |
| Low DBP (mmHg)=Decrease ≥15 to value of at most 50 | 0 |
Potentially clinically significant weight loss was defined as any decrease of at least 7 percent (%). Potentially clinically significant weight gain was defined as any increase of at least 7%.
| participants | Atomoxetine |
|---|---|
| Weight Loss = Any Decrease of at Least 7% | 5 |
| Weight Gain = Any Increase of at Least 7% | 0 |
The Fridericia correction of the QT interval (QTcF) was used.
| participants | Atomoxetine |
|---|---|
| QTcF Interval of >450 milliseconds (msec) | 0 |
| QTcF Interval of >480 msec | 0 |
| QTcF Interval of >500 msec | 0 |
| QTcF Interval Increase from Baseline of ≥30 msec | 1 |
| QTcF Interval Increase from Baseline of ≥60 msec | 0 |
CYP2D6 is the primary atomoxetine metabolizing enzyme. Metabolizzer status was determined by focusing on the normal, decreased, and defective allele. Poor metabolizer = defective/defective. Extensive metabolizer is all except for poor metabolizer.
| participants | Atomoxetine |
|---|---|
| Extensive Metabolizer | 44 |
| Poor Metabolizer | 0 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Atomoxetine | — | 1/44 (2.3%) | 41/44 (93.2%) |
| Event | Atomoxetine |
|---|---|
| Hand-foot-and-mouth diseaseInfections and infestations | 1/44 |
| Event | Atomoxetine |
|---|---|
| NauseaGastrointestinal disorders | 16/44 |
| DizzinessNervous system disorders | 15/44 |
| SomnolenceNervous system disorders | 13/44 |
| Decreased appetiteMetabolism and nutrition disorders | 7/44 |
| InsomniaPsychiatric disorders | 7/44 |
| FatigueGeneral disorders | 6/44 |
| PalpitationsCardiac disorders | 5/44 |
| Dry mouthGastrointestinal disorders | 5/44 |
| HeadacheNervous system disorders | 5/44 |
| VomitingGastrointestinal disorders | 4/44 |
| Age Continuous(years) | Atomoxetine |
|---|---|
| Mean | 28.24 ± 9.02 |
| Sex: Female, Male(Participants) | Atomoxetine |
|---|---|
| Female | 14 |
| Male | 30 |
| Region of Enrollment(participants) | Atomoxetine |
|---|---|
| Taiwan | 12 |
| China | 15 |
| Korea, Republic of | 17 |
| Attention-Deficit/Hyperactivity Disorder (ADHD) Subtype(participants) | Atomoxetine |
|---|---|
| Inattentive | 25 |
| Hyperactive/Impulsive | 2 |
| Mixed | 17 |
| Prior Stimulant Exposure(participants) | Atomoxetine |
|---|---|
| No | 30 |
| Yes | 13 |
| Unknown | 1 |
| Race/Ethnicity(participants) | Atomoxetine |
|---|---|
| East Asian | 44 |
| Height(centimeters (cm)) | Atomoxetine |
|---|---|
| Mean | 168.98 ± 6.04 |
| Weight(kilograms (kg)) | Atomoxetine |
|---|---|
| Mean | 64.53 ± 9.27 |
This study is completed, as verified in Oct 2010. You cannot join it, but the record below documents what was studied.
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Eli Lilly and Company