E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Adult patients with childhood-onset Attention Deficit Hyperactivity Disorder |
|
E.1.1.1 | Medical condition in easily understood language |
attention-deficit/hyperactivity disorder |
|
E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Behavioral Disciplines and Activities [F04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10003735 |
E.1.2 | Term | Attention deficit-hyperactivity disorder |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10003737 |
E.1.2 | Term | Attention deficit/hyperactivity disorder NOS |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003736 |
E.1.2 | Term | Attention deficit/hyperactivity disorder |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
•To evaluate the long-term safety of Ritalin LA administered once daily for six months during open-label treatment in adults with ADHD. |
|
E.2.2 | Secondary objectives of the trial |
•To characterize the long-term benefit of Ritalin LA administered once daily for six months during open-label treatment in adults with ADHD, as measured by the change from baseline (Core study Visit 20, Week 40 or early discontinuation visit) to the end of the extension study (Visit 30, Week 66) in DSM-IV Attention-Deficit/Hyperactivity Disorder Rating Scale (DSM-IV ADHD RS) total score
•To evaluate improvement in functional impairment as measured by change from baseline in total score on the Sheehan Disability Scale (SDS). |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
•Patients who have completed the 40-week core study CRIT124D2302 and Week 40 (End of Study) assessments,
or
patients who met the predefined criteria for treatment failure (≥30% worsening on DSM IV ADHD RS during Period 3 of the core study), were withdrawn from the core study, and have completed core-study Week 40 assessments (Premature Discontinuation Visit).
•Patients must give written informed consent before any study related activity of this extension protocol is performed.
•Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, must use an effective method of contraception during dosing of study treatment. |
|
E.4 | Principal exclusion criteria |
•Patients who during the core study developed any psychiatric condition, including anxiety, tension, agitation, aggressive behavior, psychotic symptoms, suicidal tendency, that requires treatment with medication or that, in the judgment of the investigator, may interfere with study participation and /or study assessments.
•Patients who during the core study developed cardiovascular disorders including severe hypertension, angina, arterial occlusive disease, heart failure, hemodynamically significant congenital heart disease, cardiomyopathies, myocardial infarction, potentially life-threatening arrhythmias and channelopathies (disorders caused by the dysfunction of ion channels).
•Patients who during the core study developed cerebrovascular disorders such as cerebral aneurysm, vascular abnormalities including vasculitis or stroke.
•Evidence upon physical examination during the core study of any clinically significant respiratory, hepatic, gastrointestinal, renal, hematological, or neoplastic disorder requiring current medical intervention/therapy or likely to have a significant impact on the outcome of this study
•Patients with a positive urine drug test at the End of Study (Week 40)/Premature discontinuation visit.
•Patients with an abnormal ECG at the End of Study (Week 40)/Premature discontinuation visit.
•Patients who developed any seizure condition during the core study.
•Diagnosis of glaucoma, hyperthyroidism, pheochromocytoma.
•Diagnosis or family history of Tourette’s syndrome. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
To evaluate the long-term safety of Ritalin LA administered once daily for six months during open-label treatment in adults with ADHD. The evaluation of safety is considered primary in this open-label extension. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Weeks 41, 42, 43, 44, 46, 50, 54, 58, 62, and 66 from baseline in the core study. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 15 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 58 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Colombia |
Singapore |
South Africa |
United States |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |