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CompletedNCT02059642Updated Mar 28, 2017Results posted

A 6 Week Study of MG01CI 1400 mg Compared With Placebo in Adults With ADHD ( Attention Deficit/Hyperactivity )

A Phase 2/3 interventional study of MG01CI (1400 mg) and placebo in ADHD and Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type, sponsored by Alcobra Ltd.. Completed at 20 sites in 2 countries. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2017-03-28.

Sponsored by Alcobra Ltd. · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
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Study summary

This study is a multisite, randomized, double-blind, placebo-controlled, phase 2/3 study of MG01CI (1400 mg daily) for 6 weeks compared with placebo in a 1:1 ratio of 300 adults with ADHD.

Read the detailed description

This study is a multisite, randomized, double-blind, placebo-controlled, phase 2/3 study of MG01CI (1400 mg once daily) for 6 weeks compared with placebo in a 1:1 ratio of 300 adults with ADHD. The study comprises a Screening Visit at which initial assessment will be made and then a Washout Period during which prospective subjects must discontinue ADHD medication for 14 days (for psychotropic medications other than fluoxetine) or for 28 days (for fluoxetine) before randomization into the study. The Washout Period is 14 days, but may be extended to 28 days for a fluoxetine washout. Subjects requiring either a 14-day or a 28-day Washout Period will have an Interim Visit (off drug) on or about Day -8 (Day -10 to Day -3) for CAARS-Inv assessment after the Washout Period. The Baseline CAARS Inv assessment will be conducted on Day 0. If there is a ≥25% change in the CAARS-Inv results between the Interim Visit (off drug) assessment and the Baseline assessment, or if the subject does not return for the Baseline CAARS-Inv assessment, the subject will not be randomized. For subjects not needing washout, if there is a ≥25% change in the CAARS-Inv results between the Screening Visit assessment and the Baseline assessment, or if the subject does not return for the Baseline CAARS-Inv assessment, the subject will not be randomized. Following the Washout Period for those requiring a washout, or following the Screening Visit for those subjects who do not require a washout, eligible subjects will undergo baseline assessments and be randomized on Day 0 to MG01CI 1400 mg or to matching placebo and begin the Double-blind Treatment Period. The Double-blind Treatment Period will be 6 weeks in duration. There will be a 2-week Follow-up Period after the last dose of study treatment or early termination.

02

Conditions studied

  • ADHD
  • Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type
03

In context

Hyperkinesis

729 studies on the registry are indexed under Hyperkinesis; 25 are open to participants now.

This study's enrollment of 300 is above the median of 80 across 583 interventional studies indexed under Hyperkinesis.

Browse Hyperkinesis studies →

Lead sponsor

Alcobra Ltd. is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject is a man or a non-pregnant, non-lactating woman 18 to 55 years of age, inclusive, at the Screening Visit.
  • Subject has a diagnosis of ADHD based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and DSM5.
  • Subject has ADHD with at least moderate clinical severity (Clinical Global Impression-Severity [CGI-S]) score of 4 or greater).
  • Subject has a score on the total ADHD symptom score with adult prompts of the CAARS-Inv of at least 22.
  • Female subjects of childbearing potential must agree to use an effective contraceptive throughout the study
  • Subject is able to attend the clinic regularly and reliably.
  • Subject is able to swallow tablets and capsules.
  • Subject is able to understand, read, write, and speak English fluently to complete the study-related materials (or Hebrew for Israeli subjects).
  • Subject is able to understand and sign an informed consent form to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Subject did not respond in the past to 2 adequate trials of stimulant treatments or 1 adequate trial of atomoxetine treatment (in the investigator's judgment).
  • Subject has any psychiatric condition clinically significant or unstable medical or surgical condition that may preclude safe and complete study participation as determined by the investigator .
  • Subject has a known or suspected human immune deficiency virus-positive status or has diseases such as acquired immunodeficiency disorder, hepatitis C, hepatitis B, or tuberculosis.
  • Subject has a history of an allergy or sensitivity to B-complex vitamins.
  • Subject has a history of intellectual disability or a history or suspicion of autism spectrum disorder.
  • Subject has a current Axis I diagnosis (other than ADHD) according to the Structured Clinical Interview for DSM IV Axis I Disorders (SCID) or has a lifetime history of bipolar disorder or psychosis.
  • Subject has used mega-dose vitamin B6/pyridoxine during the 28 days before the Screening Visit.
  • Subject has used high-dose supplements of omega-3 fatty acids ≥ 500 mg on at least 1 day or folic acid supplements during the 2 weeks before the Screening Visit.
  • Subject has used an investigational medication/treatment in the 30 days before the Screening Visit
  • Subject has used any medication or food supplement that the investigator or the medical monitor considers unacceptable during the 14-day period before randomization.
  • Subject has a current drug or alcohol dependence or substance abuse disorder according to DSM-IV. Subject should also agree to keep their caffeine intake consistent and refrain from consuming ≥300 mg per day of caffeine (no more than three 8-ounce servings of coffee) during the study.
  • Subject has suicidality, defined as active ideation, an intent or plan, or any significant lifetime suicidal behavior. Subjects exhibiting history (within previous 12 months) of non-suicidal self-injurious behavior will be excluded.
  • Subject has taken any prescription or non-prescription ADHD medications during the 14 days (for all psychotropic medications other than fluoxetine) or 28 days (for fluoxetine) before the randomization visit.
  • Subject is significantly visually impaired to an extent that is not able to be corrected by prescription glasses or contact lenses
  • Subject is related to the sponsor, investigator, or study staff.
  • Subject has any condition that, in the principal investigator's opinion, would place the subject at risk or influence the conduct of the study or interpretation of results,
  • Subject cannot fully comprehend the implications of the protocol, cannot comply with its requirements, or is incapable of following the study schedule for any reason.
  • Subject is pregnant, lactating, or using an inadequate contraceptive method.
  • If there is a ≥25% change in the CAARS-Inv results between the Interim visit (off drug) assessment and the Baseline assessment, or if the subject does not return for the Baseline CAARS-Inv assessment, the subject will not be randomized. For subjects not needing washout, if there is a ≥25% change in the CAARS-Inv results between the Screening Visit assessment and the Baseline assessment, or if the subject does not return for the Baseline CAARS-Inv assessment, the subject will not be randomized.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
300 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo tablet identical in appearance to study investigational product Route, frequency: Administered orally once daily

    Drug: placebo

  • Experimental
    MG01CI (1400 mg)

    MG01CI (Metadoxine Immediate-release/Slow-release, Bilayer Caplet) Dose, route, and frequency: 1400 mg administered orally once daily

    Drug: MG01CI (1400 mg)

Interventions

  • DrugMG01CI (1400 mg)

    MG01CI (Metadoxine Immediate-release/Slow-release, Bilayer Caplet) 1400 mg administered orally once daily

    Also known as: Metadoxine Immediate-release/Slow-release, Bilayer Caplet

  • Drugplacebo

    Placebo 1400 mg administered orally once daily

    Also known as: Inactive Drug

06

What researchers measure

Primary outcomes

  1. Change in Total ADHD Symptom Score With Adult Prompts of the Conners Adult ADHD Rating Scale:O-SV in ADHD Adults From Baseline to 6 Weeks

    Primary efficacy endpoint: change from Baseline in the total ADHD symptom score with adult prompts of the CAARS-Inv. The CAARS is a scale to assess the presence and severity of ADHD symptoms and behaviors in adults. During an interview with the investigator, subject rates items pertaining to their behavior using a 4-point Likert-style format ranging from 0 ('Not at all') to 3 ('Very much). The scale measures ADHD symptoms across clinically significant domains using a 30 item questionnaire, while examining the manifestations of those symptoms. The scale includes an assessment of 9 inattentive symptoms (Subset A) and 9 hyperactive \& impulsive symptoms (Subset B). The total ADHD symptom score, Subset C (the sum of the inattentive symptom scores from Subset A and the hyperactive \& impulsive symptoms from Subset B) is the primary outcome measure. Scores of the scale for Subset C, comprised of scores from 18 questions,range from 0 (no ADHD symptoms) to 54, highest rating of ADHD symptoms.

    Time frame: baseline, 6 weeks

Secondary outcomes

  1. Safety Evaluation of Treatment on the Basis of Percentage of Participants With Treatment Emergent Adverse Events

    Safety assessments will be based on changes from Baseline of clinical AEs reported by the subject or observed by the Investigator and concomitant medication use, treatment adherence (eg, dropouts due to AEs)

    Time frame: 6 weeks

07

Results

Posted Mar 28, 2017

Participant flow

Participant flow — Overall Study
MilestonePlaceboMG01CI (1400 mg)
Started148152
Completed121128
Not completed2724

Outcome measures

PrimaryChange in Total ADHD Symptom Score With Adult Prompts of the Conners Adult ADHD Rating Scale:O-SV in ADHD Adults From Baseline to 6 Weeks

Primary efficacy endpoint: change from Baseline in the total ADHD symptom score with adult prompts of the CAARS-Inv. The CAARS is a scale to assess the presence and severity of ADHD symptoms and behaviors in adults. During an interview with the investigator, subject rates items pertaining to their behavior using a 4-point Likert-style format ranging from 0 ('Not at all') to 3 ('Very much). The scale measures ADHD symptoms across clinically significant domains using a 30 item questionnaire, while examining the manifestations of those symptoms. The scale includes an assessment of 9 inattentive symptoms (Subset A) and 9 hyperactive \& impulsive symptoms (Subset B). The total ADHD symptom score, Subset C (the sum of the inattentive symptom scores from Subset A and the hyperactive \& impulsive symptoms from Subset B) is the primary outcome measure. Scores of the scale for Subset C, comprised of scores from 18 questions,range from 0 (no ADHD symptoms) to 54, highest rating of ADHD symptoms.

Time frame:
baseline, 6 weeks
Reported as:
Least squares mean · Change in Score from Baseline
Change in Total ADHD Symptom Score With Adult Prompts of the Conners Adult ADHD Rating Scale:O-SV in ADHD Adults From Baseline to 6 Weeks
Change in Score from BaselinePlaceboMG01CI (1400 mg)
Change in Total ADHD Symptom Score With Adult Prompts of the Conners Adult ADHD Rating Scale:O-SV in ADHD Adults From Baseline to 6 Weeks-9.9 (-11.89 to -7.92)-12.0 (-13.95 to -10.06)
Statistical analysis
  • Placebo vs MG01CI (1400 mg) · Mixed Models Analysis · p = 0.1358 · Least square mean difference: -2.10 · 95% CI -4.87 to 0.66MMRM: Model of Repeated Measures
SecondarySafety Evaluation of Treatment on the Basis of Percentage of Participants With Treatment Emergent Adverse Events

Safety assessments will be based on changes from Baseline of clinical AEs reported by the subject or observed by the Investigator and concomitant medication use, treatment adherence (eg, dropouts due to AEs)

Time frame:
6 weeks
Reported as:
Number · Percentage of participants with TEAEs
Safety Evaluation of Treatment on the Basis of Percentage of Participants With Treatment Emergent Adverse Events
Percentage of participants with TEAEsPlaceboMG01CI (1400 mg)
Safety Evaluation of Treatment on the Basis of Percentage of Participants With Treatment Emergent Adverse Events66.456.8

Adverse events

Collected over 7 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—1/146 (0.7%)41/146 (28.1%)
MG01CI (1400 mg)—0/152 (0%)55/152 (36.2%)
Most frequent serious events
Most frequent serious events
EventPlaceboMG01CI (1400 mg)
APPENDICITISInfections and infestations1/1460/152
Most frequent other events
Most frequent other events
EventPlaceboMG01CI (1400 mg)
HEADACHENervous system disorders18/14623/152
NAUSEAGastrointestinal disorders9/14613/152
FATIGUEGeneral disorders12/14611/152
DECREASED APPETITEMetabolism and nutrition disorders2/1468/152

Baseline characteristics

All subjects who received at least one dose of study medication

Age, Categorical
Age, Categorical(Participants)PlaceboMG01CI (1400 mg)Total
<=18 years000
Between 18 and 65 years146152298
>=65 years000
Age, Continuous
Age, Continuous(years)PlaceboMG01CI (1400 mg)Total
Mean35.6 ± 10.4235.1 ± 9.9335.4 ± 10.16
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboMG01CI (1400 mg)Total
Female7979158
Male6773140
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboMG01CI (1400 mg)Total
Hispanic or Latino151025
Not Hispanic or Latino131141272
Unknown or Not Reported011
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboMG01CI (1400 mg)Total
American Indian or Alaska Native000
Asian044
Native Hawaiian or Other Pacific Islander000
Black or African American141731
White130128258
More than one race101
Unknown or Not Reported134
Region of Enrollment
Region of Enrollment(participants)PlaceboMG01CI (1400 mg)Total
United States105108213
Israel414485
BMI
BMI("kg/m^2")PlaceboMG01CI (1400 mg)Total
Mean28.243 ± 6.392328.345 ± 27.23028.295 ± 6.3393
08

Study locations

20 sites
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • Miami Research
    South Miami, Florida 33173, United States
  • Capstone Clinical Research
    Libertyville, Illinois 60048, United States
  • Psychiatric Associates
    Overland Park, Kansas 66211, United States
  • University Kentucky Psychiatry
    Lexington, Kentucky 40509, United States
  • Pediatric Psychopharmacology & Adult ADHD Program, Massachusetts General Hospital
    Boston, Massachusetts 21144, United States
  • Rochester Center For Behavioral Medicine
    Rochester Hills, Michigan 48307, United States
  • Behavioral Medicine Center
    Troy, Michigan 48083, United States
  • St. Charles Psychiatric Associates
    St. Charles, Missouri 63301, United States
  • Center for Psychiatry and Behavioral Medicine
    Las Vegas, Nevada 89128, United States
  • Bioscience Research
    Mount Kisco, New York 10549, United States
  • Duke University
    Durham, North Carolina 27705, United States
  • Richard H Weisler, MD, PA
    Raleigh, North Carolina 27609, United States
  • Sequoia Behavioral Healthcare
    Media, Pennsylvania 19063, United States
  • FutureResearch Trials
    Austin, Texas 78731, United States
  • FutureResearch Trials Dallas, LP
    Dallas, Texas 75231, United States
  • Bayou City Research
    Houston, Texas 77007, United States
  • NeuroScience, Inc. (NSI)
    Herndon, Virginia 20170, United States
  • Neurocognitive unit Rambam MC
    Haifa, Israel
  • ADHD unit Geha MC
    Petach Tikva, Israel
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02059642
Lead sponsor
Alcobra Ltd.
Responsible party
Sponsor
First posted
Feb 11, 2014
Start date
Mar 2014
Primary completion
Sep 2014
Completion
Sep 2014
Results posted
Mar 28, 2017
Last update
Mar 28, 2017

Study contacts

Richard Weisler, MD
principal investigator · University of North Carolina, Duke University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2014. You cannot join it, but the record below documents what was studied.

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