ClinicalTrials.gg
RecruitingNCT06967857DEXADUpdated Sep 25, 2026

Clinical Trial to Investigate the Safety and Efficacy of Two Dexamfetamine Sulfate Formulations in Adults With ADHD and Moderate to Severe Depression

A Phase 2 interventional study of DEX IR tablets and DEX XL in Attention-Deficit/Hyperactivity Disorder (ADHD) and Depression - Major Depressive Disorder, sponsored by Prof. Dr. Frank Behrens. Recruiting at 5 sites in Germany. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Prof. Dr. Frank Behrens · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 5 months later.
Updated Sep 25, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany — 2 open to participants now, 2 under way, none of them phase 3. Attention Deficit Disorder with Hyperactivity · Germany.

Planned enrollment
36th of 55
105 · median 150
Started
2025
with 1 other
Phase 2
3 of 63
1 open now
Registered
61st of 63
by date

Among the 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany, this one is the 36th largest by planned enrollment of the 55 interventional ones, is one of 2 that started in 2025, is one of 3 in phase 2, and was the 61st registered.

By phase

63 studies; the count open now beside each. This study's row is marked.

Phase 323 · 0 open
No phase18 · 1 open
Observational8 · 0 open
Phase 48 · 0 open
Phase 2this study3 · 1 open
Phase 1/22 · 0 open
Phase 11 · 0 open

By the year they started

First in 2000; this study’s year is marked. 2 started in 2025.

Size and results

Median enrollment 150 across the 55 interventional studies, 434 across the 8 observational. Of the 52 that completed or were terminated, 20 (38%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany, or all of them as a file.
02

Study summary

The indication of attention-deficit/hyperactivity disorder (ADHD) to be examined often occurs with other psychiatric disorders, and the majority of adults with ADHD have at least one psychiatric comorbidity in their lives. Depression is one of the most common comorbidities in patients with ADHD. The prevalence of comorbid depression in adults with ADHD is estimated to be as high as 50%.

There is evidence that stimulants such as dexamfetamine and methylphenidate lead to an improvement in sustained focused attention, working memory, and a variety of cognitive processes in the prefrontal cortex (PFC). In combination with the pharmacological effects of stimulants, such as the inhibition of monoamine oxidase, the increase in the concentration of noradrenaline in the PFC and dopamine in the striatum, dexamfetamine and methylphenidate could improve the treatment of depression in patients with major depressive disorder and comorbid ADHD.

This clinical trial will evaluate the safety and efficacy of DEX in two different formulations compared to placebo in adults with ADHD and moderate to severe depression. To ensure double blinding of the treatment, placebo will be administered in the form of tablets and capsules.

03

Conditions studied

  • Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Depression - Major Depressive Disorder

Keywords

  • ADHD
  • Depression
  • Adults
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Diagnosis of attention deficit / hyperactivity disorder (ADHD) (according to (fifth version of Diagnostic and Statistical Manual of Mental Disorders) or ICD (International Statistical Classification Of Diseases And Related Health Problems) guidelines) which started in childhood (at the age of \<12 years)
  2. Patient has a minimum ADHS-Diagnostische Checkliste-Q (ADHS-DC) total score of 32 at baseline (Visit (V) 0)
  3. Moderate to severe depression according to ICD-10 (depressive episode: Code F32; recurrent depressive disorder: Code F33) and with a Montgomery-Åsberg Depression Rating Scale (MADRS) score of >20 at baseline (V0)
  4. CGI-S ≥ 4 at baseline (V0)
  5. Patients receiving selective serotonin reuptake inhibitors (SSRIs) or Serotonin-norepinephrine reuptake inhibitors (SNRIs) (stable doses within the last 2 weeks before inclusion) (≤40 mg (es)citalopram, 50-200 mg sertraline, 75 - 300 mg venlafaxine extended release)
  6. Male or female patients ≥ 18 years and ≤ 65 at time of enrolment
  7. Patients with within normal ranges (≤470 ms in males and ≤480 ms in females)
  8. Patient is either free of stimulant medication or who, after discussion with his / her treating physician, is able and willing to discontinue the current psychotropic medication(s) for treatment of ADHD symptoms (specifically, methylphenidate, lisdexamfetamine, guanfacine or atomoxetine or any other medication approved for the treatment of ADHD) ) for the duration of the study, as well as is able and willing to discontinue all relevant co-medication according to exclusion criterion no. 20a-s for comorbid conditions during the clinical trial, if applicable
  9. Written and data protection declaration obtained prior to the initiation of any protocol required procedures
  10. Willing and able to comply to study procedures and study protocol

Exclusion criteria

Exclusion Criteria:

  1. Current or a history of severe co-morbid symptoms such as psychotic symptoms, schizophrenia, bipolar disorders or manic episodes
  2. Current or recent history of substance abuse disorder within the last 6 months of clinical trial entry
  3. Patients with (BMI) \< 18.5 kg/m² or >35 kg/m²
  4. History of serotonin syndrome events
  5. History of seizures or use of anticonvulsant medication
  6. Any other uncontrolled psychiatric condition that requires medication or may interfere with trial participation
  7. Known symptomatic cardiovascular disease including structural abnormalities, moderate and severe hypertension (systolic blood pressure ≥160 mmHg, diastolic blood pressure ≥100 mmHg), heart failure, myocardial infarction, arterial occlusive disease, angina, haemodynamically significant congenital heart disease, cardiomyopathies, potentially life-threatening arrhythmias and channelopathies (diseases caused by ion channel dysfunction)
  8. Significant, in the discretion of the investigator, hepatic, gastrointestinal, renal, haematological or oncologic disorder
  9. Diagnosis of glaucoma, hyperthyroidism, pheochromocytoma or porphyria
  10. Diagnosis or family history of Tourette's syndrome or dystonia
  11. Pre-existing cerebrovascular disorders such as cerebral aneurysm, vascular abnormalities including vasculitis or stroke
  12. Immunodeficiency disorders (e.g. organ transplantation, (HIV) infection)
  13. Known to any of the ingredients of the trial medication, e.g. patients with known rare hereditary problems of fructose intolerance
  14. Males or females of not willing to use effective (defined as PEARL index \<1 - e.g. contraceptive pill, intrauterine device (IUD)) during the study period (Screening to Follow-up)
  15. Pregnancy and lactation
  16. Participation in another interventional clinical trial during the trial and within the previous 30 days prior to trial start
  17. Patients who are institutionalised by court order or regulatory action
  18. Patients, who are members of the staff of the trial centre, staff of the sponsor or involved Clinical Research Organisation (CRO), the investigator him- / herself or close relatives of the investigator
  19. Legal incapacity and/ or other circumstances rendering the patient unable to understand the nature, scope and possible impact of the clinical trial
  20. Current use of and use within the last 2 weeks before inclusion due to possible interactions with stimulants or SSRIs/SNRIs and possible resulting or expected side effects:

    1. Antipsychotics (such as chlorpromazine, haloperidol, thioridazine; except for quetiapine up to 100mg/day)
    2. SSRIs and SNRIs daily doses of >40 mg (es)citalopram, >200 mg sertraline, >300 mg venlafaxine extended release
    3. Monoamine oxidase inhibitors (MAO) inhibitors
    4. tricyclic antidepressants
    5. benzodiazepines (including Z-drugs)
    6. atypical antidepressants (with an exception for daily doses of 100-300 mg trazodone)
    7. Dopamine reuptake inhibitors (special restriction for bupropion)
    8. antiarrhythmics (Class IA and III)
    9. antibiotics (in particular macrolides and fluoroquinolones, linezolid)
    10. opioids
    11. hydroxychloroquine, chloroquine
    12. ketoconazole
    13. acetylsalicylic acid (dose up to 300 mg allowed)
    14. diphenhydramine
    15. apixaban
    16. metoprolol
    17. pregabalin
    18. budesonide / formoterol
    19. albuterol / salbutamol
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
105 participants (estimated)

Study arms

  • Experimental
    DEX IR

    tablets twice daily

    Drug: DEX IR tablets

  • Experimental
    DEX XL

    capsule once daily

    Drug: DEX XL

  • Placebo comparator
    PLC

    tablet or capsule as comparator to verum

    Drug: Placebo

Interventions

  • tablet twice daily

  • DrugDEX XL

    capsule once daily

  • DrugPlacebo

    Placebo to either capsule or tablet

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events (AE) in the active treatment groups compared to the placebo until V6

    Incidence of adverse events (AE) in the active treatment groups (DEX XL and DEX IR) compared to the placebo until V6

    Time frame: from enrollment to the end of study at week 17

Secondary outcomes

  1. Incidence of adverse events (AE) until V5

    Dokumentation of AE

    Time frame: Start with enrollment until end of treatment at Week 16

  2. Proportion of patients with at least one AE until V5

    Proportion of patients with at least one AE until V5

    Time frame: through study treatment (up to 16 weeks)

  3. Proportion of patients with at least one AE until end of study

    Proportion of patients with at least one AE until end of study

    Time frame: from baseline until end of study at week 17

  4. Number of AE until V5

    Number of AE

    Time frame: through study treatment (up to 16 weeks)

  5. Number of AE until V5 and until end of study

    Number of AE

    Time frame: from baseline until end of study at week 17

  6. Number of AE/SAE during the study period

    Number of AE/SAE

    Time frame: through study treatment (up to 16 weeks)

  7. number of patients with AE/SAE by type during study period

    Number and type of AE/SAE

    Time frame: through study treatment (up to 16 weeks)

  8. proportion of patients with AE/SAE by type during study period

    Proportion of patient with AE/SAE by type

    Time frame: through study treatment (up to 16 weeks)

  9. number of patients with AE/SAE by severity (mild, moderate, severe) during study period

    number of patients with AE/SAE by severity (mild, moderate, severe)

    Time frame: through study treatment (up to 16 weeks)

  10. proportion of patients with AE/SAE by severity (mild, moderate, severe) during study period

    proportion of patients with AE/SAE by severity (mild, moderate, severe)

    Time frame: through study treatment (up to 16 weeks)

  11. number of patients with AE/SAE by relatedness to treatment during study period

    number of patients with AE/SAE by relatedness to treament

    Time frame: through study treatment (up to 16 weeks)

  12. proportion of patients with AE/SAE by relatedness to treatment during study period

    proportion of patients with AE/SAE by relatedness to treatment

    Time frame: from enrollment to the end of study at week 17

  13. Score of clinical global impression (CGI) Efficacy index by investigator at Visit 5

    Clinical global impression (CGI) rating scales are measures of symptom severity, treatment response and the efficacy of treatments in patients with mental disorders. It is a brief 3-item observer-rated scale. 4×4 rating scale that assesses the therapeutic effect of treatment with psychiatric medication and associated side effects. Treatment is evaluated from "marked improvement" to "none/worsening". Side effects is evaluated from "none" to "outweigh therapeutic effect"

    Time frame: 16 weeks after treatment start

  14. MADRS suicidal ideation score for all available visits (screening to Visit 5)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to the end of treatment (up to week 16)

  15. MADRS suicidal ideation score for all available visits

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to end of titration at week 4 (V1)

  16. MADRS suicidal ideation score for all available visits

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to week 7 (V2)

  17. MADRS suicidal ideation score change to BL/V0 (on V1)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from baseline to end of treatment titration phase at 4 weeks

  18. MADRS suicidal ideation score change to BL/V0 (on V5)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from treatment start to end of treatment at 16 weeks

  19. MADRS suicidal ideation score for all available visits

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to 10 weeks (V3)

  20. MADRS suicidal ideation score for all available visits

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to 13 weeks (V4)

  21. MADRS suicidal ideation score for all available visits (screening to visit 5)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to 16 weeks (V5)

  22. Rate of patients with score 1-3 in CGI-I at V5

    The clinical global impression - improvement scale (CGI-I) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Clinicians ask: "Compared to the patient's condition at baseline, this patient's \[average\] condition has...?" and rated as: Very much improved Much improved Minimally improved No change Minimally worse Much worse Very much worse

    Time frame: from baseline to 16 weeks (V5)

  23. Absolute scores categories of CGI-I at all available visits

    The clinical global impression - improvement scale (CGI-I) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Clinicians ask: "Compared to the patient's condition at baseline, this patient's \[average\] condition has...?" and rated as: Very much improved Much improved Minimally improved No change Minimally worse Much worse Very much worse

    Time frame: from end of treatment titration phase at 4 weeks (V1) to week 7 (V2)

  24. Absolute scores categories of CGI-I at all available visits (V1 to V2)

    The clinical global impression - improvement scale (CGI-I) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Clinicians ask: "Compared to the patient's condition at baseline, this patient's \[average\] condition has...?" and rated as: Very much improved Much improved Minimally improved No change Minimally worse Much worse Very much worse

    Time frame: from end of titration phase (week 4) to 7 weeks (V2)

  25. Absolute scores categories of CGI-I at all available visits (V1 to V3)

    The clinical global impression - improvement scale (CGI-I) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Clinicians ask: "Compared to the patient's condition at baseline, this patient's \[average\] condition has...?" and rated as: Very much improved Much improved Minimally improved No change Minimally worse Much worse Very much worse

    Time frame: from end of titration phase (week 4) to 10 weeks (V3)

  26. Absolute scores categories of CGI-I at all available visits (V1 to V4)

    The clinical global impression - improvement scale (CGI-I) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Clinicians ask: "Compared to the patient's condition at baseline, this patient's \[average\] condition has...?" and rated as: Very much improved Much improved Minimally improved No change Minimally worse Much worse Very much worse

    Time frame: from end of titration phase (week 4) to 13 weeks (V4)

  27. Absolute scores categories of CGI-I at all available visits (V1 to V5)

    The clinical global impression - improvement scale (CGI-I) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Clinicians ask: "Compared to the patient's condition at baseline, this patient's \[average\] condition has...?" and rated as: Very much improved Much improved Minimally improved No change Minimally worse Much worse Very much worse

    Time frame: from end of titration phase (week 4) to end of treatment at 16 weeks (V5)

  28. Numbers and percentages of patients with (1) decreased, (2) maintained and (3) increased CGI-S at V5 compared to BL/V0

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to end of treatment at 16 weeks (V5)

  29. Shift table of CGI-S score categories at BL/V0

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: at baseline

  30. Shift table of CGI-S score categories at V1

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to end of treatment titration phase at 4 weeks (V1)

  31. Shift table of CGI-S score categories at V5

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to end of treatment at 16 weeks (V5)

  32. Absolute score categories of CGI-S at V0

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: at baseline (V0)

  33. Absolute score categories of CGI-S at V0 to V2

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to 7 weeks (V2)

  34. Absolute score categories of CGI-S at V0 to V1

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to end of treatment titration phase at 4 weeks (V1)

  35. Absolute score categories of CGI-S at V0 to V3

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to 10 weeks (V3)

  36. Absolute score categories of CGI-S at V0 to V4

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to 13 weeks (V4)

  37. Absolute score categories of CGI-S at V0 to V5

    The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Clinicians ask: "Considering your total clinical experience with this particular population, how ill is the patient at this time?" Possible ratings are: Normal, not at all ill Borderline mentally ill Mildly ill Moderately ill Markedly ill Severely ill Among the most extremely ill patients

    Time frame: from baseline to end of treatment at 16 weeks (V5)

  38. MADRS total score (range 0-60) for all available visits (SCR to V5)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: Screening until end of treatment at week 16 (V5)

  39. MADRS total score (range 0-60) MADRS total score (range 0-60) change to BL/V0 (at V5)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: baseline until end of treatment at week 16 (V5)

  40. MADRS total score categorization by Müller et al. at BL/ V0

    MADRS total score categorization by Müller et al.: 0-6 absence of symptoms; 7-19 mild depression, 20-34 moderate depression, 35-60 indicate a severe depression.

    Time frame: at baseline

  41. ADHS-DC-Q total score (range 0-66) for all available visits (SCR to V5)

    The ADHS-DC-Q consists of 18 items with a four-level response (not existing, slightly existing, moderately existing, strongly existing). The items ask about the current symptoms. The three scales are: lack of inattentiveness, hyperactivity and impulsiveness.

    Time frame: Screening to end of treatment at week 16

  42. ADHS-DC-Q total score (range 0-66) change to BL/V0 (V1)

    The ADHS-DC-Q consists of 18 items with a four-level response (not existing, slightly existing, moderately existing, strongly existing). The items ask about the current symptoms. The three scales are: lack of inattentiveness, hyperactivity and impulsiveness.

    Time frame: from baseline to end of titration at week 4 (V1)

  43. QIDS-SR-16 total score (range 0-27) for all available visits (V0 to V5)

    QIDS-SR-16 is a self-report measure of depression consisting of 16 items. Questions in the QIDS - SR-16 correlate with the nine DSM-IV symptom criterion domains, Including: Sleep disturbance (initial, middle, and late insomnia or hypersomnia), Sad mood, Decrease/increase in appetite/weight , Concentration , Self-criticism, Suicidal ideation, Interest, Energy/fatigue, Psychomotor agitation/retardation. Scoring is given from 0 to 3 whereas 0 indicates less impact, 3 highest impact in depression.

    Time frame: baseline to end of treatment at 16 weeks

  44. QIDS-SR-16 total score (range 0-27) change to BL/V0 (V5)

    QIDS-SR-16 is a self-report measure of depression consisting of 16 items. Questions in the QIDS - SR-16 correlate with the nine DSM-IV symptom criterion domains, Including: Sleep disturbance (initial, middle, and late insomnia or hypersomnia), Sad mood, Decrease/increase in appetite/weight , Concentration , Self-criticism, Suicidal ideation, Interest, Energy/fatigue, Psychomotor agitation/retardation. Scoring is given from 0 to 3 whereas 0 indicates less impact, 3 highest impact in depression.

    Time frame: from baseline to end of treatment at week 16 (V5)

  45. Mean dose intake from V1 to V5 per treatment group

    Mean dose intake from V1 to V5 per treatment group

    Time frame: from end of titration (week 4, V1) until end of treatment at week 16

  46. Mean dose intake compared to planned dose after titration phase (for study period V1 to V5) per treatment group

    Mean dose intake compared to planned dose after titration phase per treatment group

    Time frame: end of titration phase (visit 1) 4 weeks after baseline until end of treatment at week 16 (12 weeks after titration phase)

  47. Proportion of patients with less than 80% of planned dose intake (for study period V1 to V5) per treatment group

    Proportion of patients with less than 80% of planned dose intake per treatment group

    Time frame: visit 1 (4 weeks after baseline) until end of treatment at week 16

  48. Number of patients by dosage group at V1 and V2

    Number of patients by dosage group (DEX IR: 10 mg, 15 mg, 20 mg, 30 mg; DEX XL: 10 mg, 15 mg, 20 mg, 30 mg; Placebo: 10 mg, 15 mg, 20 mg, 30 mg))

    Time frame: at visit 1 (4 weeks after baseline) and at visit 2 (3 weeks after visit 1)

  49. Proportion of patients by dosage group at V1 and V2

    Proportion of patients by dosage group (DEX IR: 10 mg, 15 mg, 20 mg, 30 mg; DEX XL: 10 mg, 15 mg, 20 mg, 30 mg; Placebo: 10 mg, 15 mg, 20 mg, 30 mg))

    Time frame: at visit 1 (4 weeks after baseline) and at visit 2 (3 weeks after visit 1)

  50. Number of patients per treatment group that needed dose optimization of IMP in the optimal stable dose phase and type of optimization (e.g., downtitration)

    Number of patients per treatment group that needed dose optimization of IMP in the optimal stable dose phase and type of optimization (e.g., downtitration)

    Time frame: end of titration phase (visit 1) 4 weeks after baseline until end of treatment at week 16 (12 weeks after titration phase)

  51. Proportion of patients per treatment group that needed dose optimization of IMP in the optimal stable dose phase and type of optimization (e.g., downtitration)

    Proportion of patients per treatment group that needed dose optimization of IMP in the optimal stable dose phase and type of optimization (e.g., downtitration)

    Time frame: end of titration phase (visit 1) 4 weeks after baseline until end of treatment at week 16 (12 weeks after titration phase)

  52. Number of patients with early withdrawal from therapy due to adverse events

    Number of patients with early withdrawal from therapy due to adverse events in total

    Time frame: baseline until end of treatment at week 16 (12 weeks after end of titration phase)

  53. Number of patients with early withdrawal from therapy due to adverse events per treatment group

    Number of patients with early withdrawal from therapy due to adverse events per treatment group

    Time frame: baseline until end of treatment at week 16 (12 weeks after end of titration phase)

  54. percentage of patients with early withdrawal from therapy due to adverse events in total

    Percentage of patients with early withdrawal from therapy due to adverse events - in total

    Time frame: baseline until end of treatment at week 16 (12 weeks after end of titration phase)

  55. Percentage of patients with early withdrawal from therapy due to adverse events per treatment group

    Percentage of patients with early withdrawal from therapy due to adverse events per treatment group

    Time frame: baseline until end of treatment at week 16 (12 weeks after end of titration phase)

  56. MADRS total score categorization by Müller et al. at BL/ V0, V1 and V5

    MADRS total score categorization by Müller et al.: 0-6 absence of symptoms; 7-19 mild depression, 20-34 moderate depression, 35-60 indicate a severe depression.

    Time frame: at baseline, at end of titration phase (week 4) and at end of treatment (week 16, V5)

  57. MADRS total score (range 0-60) MADRS total score (range 0-60) change to BL/V0 (at V1)

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: baseline until end of titration phase at week 4 (V1)

  58. ADHS-DC-Q total score (range 0-66) change to BL/V0 (V1)

    The ADHS-DC-Q consists of 18 items with a four-level response (not existing, slightly existing, moderately existing, strongly existing). The items ask about the current symptoms. The three scales are: lack of inattentiveness, hyperactivity and impulsiveness.

    Time frame: baseline until end of titration phase at week 4 (V1)

  59. ADHS-DC-Q total score (range 0-66) change to BL/V0 (to V5)

    The ADHS-DC-Q consists of 18 items with a four-level response (not existing, slightly existing, moderately existing, strongly existing). The items ask about the current symptoms. The three scales are: lack of inattentiveness, hyperactivity and impulsiveness.

    Time frame: baseline until end of treatment at week 16 (V5)

  60. QIDS-SR-16 total score (range 0-27) change to BL/V0 (V1)

    QIDS-SR-16 is a self-report measure of depression consisting of 16 items. Questions in the QIDS - SR-16 correlate with the nine DSM-IV symptom criterion domains, Including: Sleep disturbance (initial, middle, and late insomnia or hypersomnia), Sad mood, Decrease/increase in appetite/weight , Concentration , Self-criticism, Suicidal ideation, Interest, Energy/fatigue, Psychomotor agitation/retardation. Scoring is given from 0 to 3 whereas 0 indicates less impact, 3 highest impact in depression.

    Time frame: from baseline to end of titration (week 4, V1)

  61. MADRS suicidal ideation score for all available visits

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. The questionnaire includes questions on ten symptoms related to depression. Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. Higher MADRS score indicates more severe depression.

    Time frame: from enrollment to baseline (start of treatment, V0)

07

Study locations

5 of 5 sites recruiting
  • Charité - Universitätsmedizin Berlin Klinik für Psychiatrie und Psychotherapie, Campus Benjamin Franklin
    Berlin, 12203, Germany
    Recruiting
  • Universitätsklinikum Bonn AöR, Klinik und Poliklinik für Psychiatrie und Psychotherapie
    Bonn, 53127, Germany
    Recruiting
  • Department of Psychiatry, Psychosomatics and Psychotherapy University Hospital Frankfurt am Main - Goethe University
    Frankfurt, 60590, Germany
    Recruiting
    • Andreas Reif, Prof. Dr. med. · Contactreif@med.uni-frankfurt.de · +49 69 6301 5222
    • Andreas Reif, Prof. Dr. med · Principal investigator
  • University Leipzig, Department of Psychiatry and Psychotherapy
    Leipzig, 04103, Germany
    Recruiting
  • LMU Klinikum München Klinik für Psychiatrie und Psychotherapie
    München, 80336, Germany
    Recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2025 (actual). Primary completion is estimated for Mar 2028, 34 months after the start.

Of 40 phase 2 interventional studies under Attention Deficit Disorder with Hyperactivity, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 34. This study's planned 34 months is above that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Sep 25, 2026: primary completion Dec 2026 → Mar 2028 and completion Dec 2026 → Dec 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Apr 22, 2025
First posted
May 13, 2025
StartActual
May 15, 2025
Primary completionEst.
Mar 2028was Dec 2026
CompletionEst.
Dec 2028was Dec 2026
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
3 sites added
Show 3 added (3 Germany)
  • Charité - Universitätsmedizin Berlin Klinik für Psychiatrie und Psychotherapie, Campus Benjamin Franklin · Berlin, Germany
  • Universitätsklinikum Bonn AöR, Klinik und Poliklinik für Psychiatrie und Psychotherapie · Bonn, Germany
  • LMU Klinikum München Klinik für Psychiatrie und Psychotherapie · München, Germany
Sep 25, 2026
Primary completion
Dec 2026→Mar 2028
Sep 25, 2026
Study completion
Dec 2026→Dec 2028
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    3 sites added
    Show 3 added (3 Germany)
    • Charité - Universitätsmedizin Berlin Klinik für Psychiatrie und Psychotherapie, Campus Benjamin Franklin · Berlin, Germany
    • Universitätsklinikum Bonn AöR, Klinik und Poliklinik für Psychiatrie und Psychotherapie · Bonn, Germany
    • LMU Klinikum München Klinik für Psychiatrie und Psychotherapie · München, Germany
    Primary completion Dec 2026→Mar 2028
    Study completion Dec 2026→Dec 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06967857
Lead sponsor
Prof. Dr. Frank Behrens
Responsible party
Prof. Dr. Frank Behrens (Deputy Head of Institute, Clinical Professor, Head of Department of Clinical Research at ITMP, Fraunhofer Institute for Translational Medicine and Pharmacology ITMP) — Sponsor-investigator
First posted
May 13, 2025
Start date
May 15, 2025
Primary completion
Mar 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

Christin Jonetzko
Contact
christin.jonetzko@itmp.fraunhofer.de
+49 69 630180210
Andreas Reif, Prof. Dr. med.
study chair · Department of Psychiatry, Psychosomatics and Psychotherapy University Hospital Frankfurt am Main - Goethe University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Dextromethorphan

Start the discussion