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RecruitingNCT07086313Updated Dec 23, 2025

A Trial to Evaluate the Efficacy and Safety of EB-1020 in Pediatric Patients With ADHD

A Phase 2/3 interventional study of EB-1020 (Centanafadine) low dose and EB-1020 (Centanafadine) high dose in Attention-Deficit Hyperactivity Disorder(ADHD), sponsored by Otsuka Pharmaceutical Co., Ltd.. Recruiting at 1 site in Japan. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Otsuka Pharmaceutical Co., Ltd. · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
315
Allocation
Randomized
Ages
6 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and examine the safety of two doses of EB-1020 QD XR capsule administered once daily orally in pediatric ADHD patients.

02

Conditions studied

  • Attention-Deficit Hyperactivity Disorder(ADHD)
03

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants with a primary diagnosis of ADHD based on DSM-5 diagnostic criteria, differentiated from other mental disorders using the MINI-KID, excluding other specified ADHD or unspecified ADHD.
  • Participants with a symptom total raw score of>=28 (if not receiving any pharmacological treatment for ADHD) or>=22 (if receiving pharmacological treatment for ADHD) on the ADHD Rating Scale Version 5 (ADHD-RS-5) at screening.
  • Participants with a symptom total raw score of>=28 on the ADHD-RS-5 at baseline.
  • Participants with a score of 4 or higher on the Clinical Global Impression Severity - ADHD (CGI-S-ADHD) at baseline.

Exclusion criteria

Exclusion Criteria:

  • Participants who have a positive pregnancy test result at baseline.
  • Participants determined to have the following diseases based on an interview using the MINI-KID.

    • Tourette's disorder
    • Panic disorder
    • Conduct disorder
    • Psychotic disorder
    • Post-traumatic stress disorder
    • Bipolar disorder
  • Participants with a generalized anxiety disorder requiring pharmacotherapy, based on the DSM-5 diagnostic criteria.
  • Participants with an autism spectrum disorder based on the DSM-5 diagnostic criteria.
  • Participants with a personality disorder, oppositional defiant disorder, or obsessive-compulsive disorder that is the primary focus of treatment, based on the DSM-5 diagnostic criteria.
  • Participants with a diagnosis of major depressive disorder (MDD), based on the DSM-5 diagnostic criteria who currently have a major depressive episode, or who have required treatment for MDD within the past 3 months prior to screening.

Also, participants who, in the judgment of the investigator or subinvestigator, may have a worsening of MDD during the trial or may require treatment during the trial period.

  • Participants who have a diagnosis of intellectual disability with an intelligence quotient (IQ) score less than 70.
  • Participants who have a significant risk of committing suicide in the opinion of the investigator or subinvestigator, or based on the following evidence.

    • Active suicidal ideation as evidenced by an answer of "yes" on Questions 4 or 5 (over the last 6 months) on the section of suicidal ideation or a history of suicidal behavior (over the last 6 months) on the Baseline/Screening version of the Columbia-Suicide Severity Rating Scale (C-SSRS) at screening.
  • Participants with a diagnosis of substance use disorder.

    • Platelets \<= 130,000/mm3
    • Hemoglobin \<= 11.2 g/dL
    • Neutrophils, absolute \<= 1000/mm3
    • AST > 2 x ULN
    • ALT > 2 x ULN
    • eGFR \< 45 mL/min/1.73 m2, calculated by the CKiD U25 equation
    • CPK >= 2 x ULN (except for the cases that the medical monitor determined that participant's inclusion is possible based on the discussion about the participant's condition with the investigator or subinvestigator)
    • Abnormal values for both free T4 and TSH
  • Participants who cannot agree to discontinuation of prohibited concomitant medication, such as ADHD medication or antidepressants.
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
315 participants (estimated)

Study arms

  • Experimental
    EB-1020(QD XR capsules) low dose

    Drug: EB-1020 (Centanafadine) low dose

  • Experimental
    EB-1020(QD XR capsules) high dose

    Drug: EB-1020 (Centanafadine) high dose

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugEB-1020 (Centanafadine) low dose

    low dose, capsule, oral, once daily, for 6 weeks

  • DrugEB-1020 (Centanafadine) high dose

    high dose, capsule, oral, once daily, for 6 weeks

  • DrugPlacebo

    Placebo, capsule, oral, once daily, for 6 weeks

05

What researchers measure

Primary outcomes

  1. Change from baseline in ADHD-RS-5 symptom total raw score at Week 6.

    The ADHD-RS-5 is an 18-item clinician rating scale to evaluate individual ADHD symptoms on a scale of 0 (never to rarely/no problem) to 3 (very often/severe problem). The total sum ranges from 0 (no ADHD symptoms) to 54 (extremely severe ADHD symptoms). Negative change from Baseline indicates improvement. Mixed-effect model repeated measure (MMRM) was used for analysis.

    Time frame: Baseline, Weeks 6

06

Study locations

1 of 1 sites recruiting
  • Hokkaido University Hospital
    Sapporo, Japan
    Recruiting
07

References and documents

Individual participant data

Plan to share: Yes — Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07086313
Lead sponsor
Otsuka Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Jul 25, 2025
Start date
Sep 3, 2025
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Dec 23, 2025

Study contacts

Drug Information Center
Contact
+81-3-6361-7314
Nobuhito Sanada
study director · Otsuka Pharmaceutical Co., Ltd.

Oversight

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

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