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    Clinical Trial Results:
    A Phase 3b, Randomized, Open-Label Assessment of Response to Various Doses of Atomoxetine Hydrochloride in Korean Pediatric Outpatients With Attention-Deficit/Hyperactivity Disorder

    Summary
    EudraCT number
    2017-000685-29
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    01 Nov 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    22 Dec 2021
    First version publication date
    22 Dec 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    B4Z-KL-LYEC
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00568685
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial ID: 11710
    Sponsors
    Sponsor organisation name
    Eli Lilly and Company
    Sponsor organisation address
    Lilly Corporate Center, Indianapolis, IN, United States, 46285
    Public contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877-CTLilly, EU_Lilly_Clinical_Trials@lilly.com
    Scientific contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877‐285‐4559, EU_Lilly_Clinical_Trials@lilly.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    01 Nov 2008
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Nov 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess graphically dose-response with atomoxetine, as measured by change from baseline to endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) total score
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Nov 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Korea, Republic of: 153
    Worldwide total number of subjects
    153
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    126
    Adolescents (12-17 years)
    27
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Not Applicable

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Atomoxetine 0.2 mg/kg/Day
    Arm description
    Participants receive 0.2 milligrams Per Kilogram, Per Day (mg/kg/day) atomoxetine administered orally in two divided doses for the duration of the 6-week acute treatment period.
    Arm type
    Experimental

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603; Strattera
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants receive 0.2 mg/kg/day atomoxetine administered orally.

    Arm title
    Atomoxetine 0.5 mg/kg/Day
    Arm description
    Participants receive 0.5 mg/kg/day atomoxetine administered orally in two divided doses for the duration of the 6-week acute treatment period.
    Arm type
    Experimental

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603; Strattera
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants receive 0.5 mg/kg/day atomoxetine administered orally.

    Arm title
    Atomoxetine 1.2 mg/kg/Day
    Arm description
    Participants initially receive atomoxetine 0.5 mg/kg/day administered orally in two divided doses for approximately 7 days. Participants will then receive atomoxetine 0.8 mg/kg/day administered orally in two divided doses for approximately 7 days. Patients will receive atomoxetine 1.2 mg/kg/day administered orally in two divided doses for the remainder of the study, lasting approximately 28 days.
    Arm type
    Experimental

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603; Strattera
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants receive 1.2 mg/kg/day atomoxetine administered orally.

    Number of subjects in period 1
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Started
    51
    51
    51
    Completed
    41
    46
    46
    Not completed
    10
    5
    5
         Consent withdrawn by subject
    7
    2
    2
         Adverse event, non-fatal
    2
    3
    3
         Protocol deviation
    1
    -
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Atomoxetine 0.2 mg/kg/Day
    Reporting group description
    Participants receive 0.2 milligrams Per Kilogram, Per Day (mg/kg/day) atomoxetine administered orally in two divided doses for the duration of the 6-week acute treatment period.

    Reporting group title
    Atomoxetine 0.5 mg/kg/Day
    Reporting group description
    Participants receive 0.5 mg/kg/day atomoxetine administered orally in two divided doses for the duration of the 6-week acute treatment period.

    Reporting group title
    Atomoxetine 1.2 mg/kg/Day
    Reporting group description
    Participants initially receive atomoxetine 0.5 mg/kg/day administered orally in two divided doses for approximately 7 days. Participants will then receive atomoxetine 0.8 mg/kg/day administered orally in two divided doses for approximately 7 days. Patients will receive atomoxetine 1.2 mg/kg/day administered orally in two divided doses for the remainder of the study, lasting approximately 28 days.

    Reporting group values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day Total
    Number of subjects
    51 51 51 153
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        geometric mean (inter-quartile range (Q1-Q3))
    8.87 (7.63 to 12.09) 10.06 (8.11 to 11.17) 9.29 (8.02 to 11.06) -
    Gender categorical
    Units: Subjects
        Female
    4 41 40 85
        Male
    47 10 11 68
    Race/Ethnicity
    Units: Subjects
        Korean
    51 51 51 153
    ADHD Rating Scale-IV-Parent:Investigator Rated Hyperactivity Subscale Score
    Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version:Investigator-Administered and Scored (ADHDRS-IV-Parent:Inv) is an 18-item scale with one item for each of 18 symptoms contained in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) diagnosis for ADHD. Hyperactive/Impulsive Subscale consists of 9 items. Each item is scored on a 4 point scale (0=never or rarely; 1=sometimes; 2=often; 3=very often) for total score range of 0 (no symptoms) to 27 (highly symptomatic).
    Units: Units on a Scale
        arithmetic mean (standard deviation)
    17.51 ( 5.825 ) 16.61 ( 5.107 ) 15.96 ( 5.553 ) -

    End points

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    End points reporting groups
    Reporting group title
    Atomoxetine 0.2 mg/kg/Day
    Reporting group description
    Participants receive 0.2 milligrams Per Kilogram, Per Day (mg/kg/day) atomoxetine administered orally in two divided doses for the duration of the 6-week acute treatment period.

    Reporting group title
    Atomoxetine 0.5 mg/kg/Day
    Reporting group description
    Participants receive 0.5 mg/kg/day atomoxetine administered orally in two divided doses for the duration of the 6-week acute treatment period.

    Reporting group title
    Atomoxetine 1.2 mg/kg/Day
    Reporting group description
    Participants initially receive atomoxetine 0.5 mg/kg/day administered orally in two divided doses for approximately 7 days. Participants will then receive atomoxetine 0.8 mg/kg/day administered orally in two divided doses for approximately 7 days. Patients will receive atomoxetine 1.2 mg/kg/day administered orally in two divided doses for the remainder of the study, lasting approximately 28 days.

    Subject analysis set title
    0-0.35 mg/kg/Day
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received atomoxetine 0-0.35 mg/kg/day

    Subject analysis set title
    0.36-0.85 mg/kg/Day
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received atomoxetine 0.36-0.85 mg/kg/day

    Subject analysis set title
    >0.85 mg/kg/Day
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received atomoxetine >0.85 mg/kg/day

    Primary: Change From Baseline to Day 42 Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) Total Score

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    End point title
    Change From Baseline to Day 42 Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS-IV-Parent:Inv) Total Score
    End point description
    Measures the 18 symptoms contained in the DSM-IV diagnosis of Attention-Deficit/Hyperactivity Disorder. Individual item scores range from 0 none/never or rarely) to 3 (severe/very often). Total scores range from 0 (no symptoms) to 54 (highly symptomatic). Analysis Population Description (APD): Analysis included all randomized participants (intent-to-treat population)
    End point type
    Primary
    End point timeframe
    Baseline, Day 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: units on a scale
        least squares mean (confidence interval 95%)
    -9.55 (-12.03 to -7.07)
    -12.31 (-14.76 to -9.85)
    -14.51 (-16.99 to -12.04)
    Statistical analysis title
    ADHDRS-IV-Parent:Inv
    Comparison groups
    Atomoxetine 0.2 mg/kg/Day v Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.024
    Method
    ANCOVA
    Confidence interval

    Secondary: Change From Baseline in Clinical Global Impression-Attention Deficit Hyperactivity Disorder-Severity Scale (CGI-ADHD-S) Score at Days 7, 14, 42, and Last Observation Carried Forward Endpoint

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    End point title
    Change From Baseline in Clinical Global Impression-Attention Deficit Hyperactivity Disorder-Severity Scale (CGI-ADHD-S) Score at Days 7, 14, 42, and Last Observation Carried Forward Endpoint
    End point description
    Measures severity of the participant's overall severity of ADHD symptoms (1=normal, not at all ill; 7=among the most extremely ill patients). APD: ITT population; last observation carried forward (LOCF)
    End point type
    Secondary
    End point timeframe
    Baseline, Days 7, 14, 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: units on a scale
    geometric mean (standard deviation)
        Day 7
    -0.24 ( 0.480 )
    -0.53 ( 0.612 )
    -0.30 ( 0.036 )
        Day 14
    -0.73 ( 0.736 )
    -0.90 ( 0.918 )
    -0.92 ( 0.786 )
        Day 42
    -1.04 ( 0.729 )
    -1.30 ( 1.121 )
    -1.56 ( 1.090 )
        LOCF Endpoint
    -0.98 ( 0.750 )
    -1.22 ( 1.119 )
    -1.54 ( 1.073 )
    Statistical analysis title
    CGI-ADHD-S
    Comparison groups
    Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day v Atomoxetine 0.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0048
    Method
    Mixed models analysis
    Confidence interval

    Secondary: Change From Baseline in Clinical Global Impression-Attention Deficit Hyperactivity Disorder-Improvement Scale (CGI-ADHD-I) Score at Days 7, 14, 42, and Last Observation Carried Forward Endpoint

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    End point title
    Change From Baseline in Clinical Global Impression-Attention Deficit Hyperactivity Disorder-Improvement Scale (CGI-ADHD-I) Score at Days 7, 14, 42, and Last Observation Carried Forward Endpoint
    End point description
    Measures total improvement (or worsening) of a patient's ADHD symptoms from the beginning of treatment. (1=very much improved, 7=very much worsened)
    End point type
    Secondary
    End point timeframe
    Baseline, Days 7, 14, 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: units on a scale
    geometric mean (standard deviation)
        Day 7
    3.57 ( 0.645 )
    3.22 ( 0.642 )
    3.54 ( 0.813 )
        Day 14
    3.25 ( 0.729 )
    3.20 ( 0.957 )
    2.98 ( 0.721 )
        Day 42
    3.24 ( 0.970 )
    3.09 ( 0.952 )
    2.77 ( 0.973 )
        LOCF Endpoint
    3.29 ( 0.957 )
    3.16 ( 0.946 )
    2.80 ( 0.969 )
    Statistical analysis title
    CGI-ADHD-I
    Comparison groups
    Atomoxetine 0.2 mg/kg/Day v Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0153
    Method
    Mixed models analysis
    Confidence interval

    Secondary: Adverse Events Leading to Discontinuation

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    End point title
    Adverse Events Leading to Discontinuation
    End point description
    Adverse Events (Preferred Term) leading to discontinuation by decreasing frequency APD: As-treated population
    End point type
    Secondary
    End point timeframe
    Baseline to Day 42
    End point values
    0-0.35 mg/kg/Day 0.36-0.85 mg/kg/Day >0.85 mg/kg/Day
    Number of subjects analysed
    51
    54
    48
    Units: events
    number (not applicable)
        Anorexia
    0
    1
    0
        Appendicitis
    0
    1
    0
        Dizziness
    0
    1
    0
        Dysphemia
    0
    0
    1
        Irritability
    1
    0
    0
        Sedation
    0
    0
    1
        Decreased appetite
    0
    1
    0
    Statistical analysis title
    Adverse Events Leading to Discontinuation
    Comparison groups
    0-0.35 mg/kg/Day v 0.36-0.85 mg/kg/Day v >0.85 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.45
    Method
    Fisher exact
    Confidence interval

    Secondary: Incidence of Completion of the Columbia Suicide-Severity Rating Scale, Suicide and Self-Harm Summary

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    End point title
    Incidence of Completion of the Columbia Suicide-Severity Rating Scale, Suicide and Self-Harm Summary
    End point description
    Columbia Suicide-Severity Rating Scale (C-SSRS) captures occurrence, severity & frequency of suicide-related thoughts & behaviors, via questions designed to solicit information to determine if a suicide-related thought or behavior occurred. The C-SSRS is not scored; recorded incidents are counted. C-SSRS was only required if an adverse event was reported that the investigator suspected to represent a suicidal thought or behavior. If the C-SSR was completed at a visit, the Self-Harm Supplement was also required. If a self-harm event was reported, the Self-Harm Follow-Up form was also required.
    End point type
    Secondary
    End point timeframe
    Baseline to Day 42
    End point values
    0-0.35 mg/kg/Day 0.36-0.85 mg/kg/Day >0.85 mg/kg/Day
    Number of subjects analysed
    51
    54
    48
    Units: participants
        number (not applicable)
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Heart Rate Change From Baseline to Day 42 Endpoint

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    End point title
    Heart Rate Change From Baseline to Day 42 Endpoint
    End point description
    APD: ITT population
    End point type
    Secondary
    End point timeframe
    Baseline, Day 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: beats per minute (bpm)
    geometric mean (standard deviation)
        Baseline
    87.86 ( 12.324 )
    85.78 ( 10.769 )
    90.10 ( 12.852 )
        Day 42
    90.43 ( 10.278 )
    90.35 ( 11.028 )
    93.89 ( 13.287 )
        Change at endpoint
    2.59 ( 13.041 )
    5.24 ( 13.621 )
    4.98 ( 14.649 )
    Statistical analysis title
    Heart Rate Change
    Comparison groups
    Atomoxetine 0.2 mg/kg/Day v Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8005
    Method
    ANOVA
    Confidence interval

    Secondary: Temperature Change From Baseline to Day 42 Endpoint

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    End point title
    Temperature Change From Baseline to Day 42 Endpoint
    End point description
    APD: ITT population
    End point type
    Secondary
    End point timeframe
    Baseline, Day 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: degrees Celsius
    geometric mean (standard deviation)
        Baseline
    36.63 ( 0.260 )
    36.56 ( 0.397 )
    36.50 ( 0.400 )
        Day 42
    36.58 ( 0.331 )
    36.55 ( 0.332 )
    36.59 ( 0.270 )
        Change at endpoint
    -0.05 ( 0.343 )
    -0.02 ( 0.339 )
    0.07 ( 0.327 )
    Statistical analysis title
    Temperature Change
    Comparison groups
    Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day v Atomoxetine 0.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.4128
    Method
    ANOVA
    Confidence interval

    Secondary: Blood Pressure Change From Baseline to Day 42 Endpoint

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    End point title
    Blood Pressure Change From Baseline to Day 42 Endpoint
    End point description
    APD: ITT population
    End point type
    Secondary
    End point timeframe
    Baseline, Day 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: mmHg
    geometric mean (standard deviation)
        Systolic Baseline
    105.98 ( 12.888 )
    102.49 ( 11.279 )
    106.12 ( 13.749 )
        Systolic Day 42
    107.82 ( 14.440 )
    104.98 ( 10.988 )
    108.48 ( 11.067 )
        Systolic Change at Endpoint
    0.98 ( 16.535 )
    2.35 ( 12.122 )
    1.72 ( 13.391 )
        Diastolic Baseline
    66.53 ( 10.567 )
    65.39 ( 11.742 )
    66.78 ( 11.524 )
        Diastolic Day 42
    67.45 ( 10.199 )
    68.78 ( 11.677 )
    70.02 ( 8.734 )
        Diastolic Change at Endpoint
    0.16 ( 13.201 )
    3.65 ( 12.058 )
    2.17 ( 13.200 )
    Statistical analysis title
    Systolic Change
    Comparison groups
    Atomoxetine 0.2 mg/kg/Day v Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.9761
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Diastolic Change
    Comparison groups
    Atomoxetine 0.2 mg/kg/Day v Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.6419
    Method
    ANOVA
    Confidence interval

    Secondary: Weight Change From Baseline to Day 42 Endpoint

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    End point title
    Weight Change From Baseline to Day 42 Endpoint
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline, Day 42
    End point values
    Atomoxetine 0.2 mg/kg/Day Atomoxetine 0.5 mg/kg/Day Atomoxetine 1.2 mg/kg/Day
    Number of subjects analysed
    51
    51
    51
    Units: kilograms (kg)
    geometric mean (standard deviation)
        Baseline
    35.67 ( 12.348 )
    35.54 ( 10.647 )
    35.48 ( 11.536 )
        Day 42
    36.10 ( 12.524 )
    35.72 ( 11.305 )
    36.39 ( 11.708 )
        Change at Endpoint
    0.37 ( 1.500 )
    -0.08 ( 1.155 )
    -0.15 ( 1.093 )
    Statistical analysis title
    Weight Change
    Comparison groups
    Atomoxetine 0.2 mg/kg/Day v Atomoxetine 0.5 mg/kg/Day v Atomoxetine 1.2 mg/kg/Day
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2213
    Method
    ANOVA
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline, End of the study
    Adverse event reporting additional description
    The participant flow module encompasses the 'intention-to-treat' population. All safety data is reported with 'as-treated' population.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    11.0
    Reporting groups
    Reporting group title
    Atomoxetine 0.00-0.35 mg/kg/Day
    Reporting group description
    Patients who received the actual dose range listed.

    Reporting group title
    Atomoxetine 0.36-0.85 mg/kg/Day
    Reporting group description
    Patients who received the actual dose range listed.

    Reporting group title
    Atomoxetine >0.85 mg/kg/Day
    Reporting group description
    Patients who received the actual dose range listed.

    Serious adverse events
    Atomoxetine 0.00-0.35 mg/kg/Day Atomoxetine 0.36-0.85 mg/kg/Day Atomoxetine >0.85 mg/kg/Day
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 54 (1.85%)
    1 / 48 (2.08%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Injury, poisoning and procedural complications
    Road traffic accident
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 54 (0.00%)
    1 / 48 (2.08%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 54 (1.85%)
    0 / 48 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Atomoxetine 0.00-0.35 mg/kg/Day Atomoxetine 0.36-0.85 mg/kg/Day Atomoxetine >0.85 mg/kg/Day
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    15 / 51 (29.41%)
    22 / 54 (40.74%)
    27 / 48 (56.25%)
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 51 (1.96%)
    3 / 54 (5.56%)
    0 / 48 (0.00%)
         occurrences all number
    1
    3
    0
    Somnolence
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 54 (1.85%)
    4 / 48 (8.33%)
         occurrences all number
    0
    1
    4
    General disorders and administration site conditions
    Irritability
         subjects affected / exposed
    2 / 51 (3.92%)
    2 / 54 (3.70%)
    4 / 48 (8.33%)
         occurrences all number
    2
    2
    5
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    0 / 51 (0.00%)
    5 / 54 (9.26%)
    4 / 48 (8.33%)
         occurrences all number
    0
    5
    5
    Nausea
         subjects affected / exposed
    2 / 51 (3.92%)
    3 / 54 (5.56%)
    2 / 48 (4.17%)
         occurrences all number
    2
    3
    2
    Psychiatric disorders
    Sleep disorder
         subjects affected / exposed
    4 / 51 (7.84%)
    0 / 54 (0.00%)
    1 / 48 (2.08%)
         occurrences all number
    4
    0
    1
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    3 / 51 (5.88%)
    4 / 54 (7.41%)
    2 / 48 (4.17%)
         occurrences all number
    3
    4
    2
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    2 / 51 (3.92%)
    2 / 54 (3.70%)
    6 / 48 (12.50%)
         occurrences all number
    2
    2
    6
    Decreased appetite
         subjects affected / exposed
    1 / 51 (1.96%)
    4 / 54 (7.41%)
    6 / 48 (12.50%)
         occurrences all number
    1
    4
    8

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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