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    Clinical Trial Results:
    Neurophysiology of Attention-Deficit/Hyperactivity Disorder (ADHD) and Comorbid Dyslexia: Functional Magnetic Resonance Imaging (fMRI) Measures of Brain Activation During Attention and Reading Tasks Pre- and Post-Atomoxetine Treatment

    Summary
    EudraCT number
    2019-000419-98
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    01 Jul 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    16 Aug 2024
    First version publication date
    16 Aug 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    B4Z-US-LYEI
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00716274
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial Number: 12212
    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,
    Scientific contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877‐285‐4559,
    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 Jul 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Jul 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    This study will evaluate the effects of atomoxetine on brain activation during attention and reading tasks via functional Magnetic Resonance Imaging (fMRI) in participants ages 10 to 16 years old with ADHD and comorbid dyslexia
    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 Sep 2008
    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
    United States: 110
    Worldwide total number of subjects
    110
    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)
    64
    Adolescents (12-17 years)
    46
    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
    No Text Available

    Pre-assignment
    Screening details
    Participants were randomized to either atomoxetine or placebo during study period II. Placebo participants were then assigned to atomoxetine in study period III. Atomoxetine participants were re-randomized to atomoxetine or placebo in study period III. Participants assigned to the healthy control group did not receive any study drug.

    Period 1
    Period 1 title
    Study Period II (16-Weeks)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Atomoxetine
    Arm description
    Atomoxetine (ATX) 1.0 to 1.4 milligram/kilogram/day (mg/kg/day) was administered orally once daily in the morning for 16 weeks, during study period II, (SP II). All eligible participants who received atomoxetine during study period II and completed that period were re-randomized to atomoxetine or placebo in study period III (SP III).
    Arm type
    Experimental

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Atomoxetine was administered at 1.0 to 1.4 mg/kg/day given orally once daily in the morning for 16 weeks

    Arm title
    Placebo
    Arm description
    Placebo (PLA) was packaged in the same way as active comparator to enforce double-blind study design. Placebo was given orally, daily for 16 weeks during SP II. All eligible participants who received placebo during SP II and completed that period were assigned atomoxetine in SP III.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    placebo was administered orally, daily, for 16 weeks

    Arm title
    Healthy Participants
    Arm description
    Healthy Participants: Participants were evaluated to confirm that they did not meet criteria for Attention Deficit Hyperactivity Disorder (ADHD) or dyslexia. They received no treatment during the study.
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 1
    Atomoxetine Placebo Healthy Participants
    Started
    45
    44
    21
    Completed
    36
    35
    19
    Not completed
    9
    9
    2
         Parent/Caregiver Decision
    3
    3
    -
         Consent withdrawn by subject
    1
    -
    -
         Physician decision
    3
    1
    1
         Lost to follow-up
    -
    2
    -
         Entry Criteria Not Met
    2
    -
    -
         Protocol deviation
    -
    3
    1
    Period 2
    Period 2 title
    Study Period III (16-Weeks)
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    ATX/ATX
    Arm description
    These participants were randomized to atomoxetine in SP II and were re-randomized to atomoxetine in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.
    Arm type
    Active comparator

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Atomoxetine was administered at 1.0 to 1.4 mg/kg/day given orally once daily in the morning for 16 weeks

    Arm title
    ATX/PLA
    Arm description
    These participants were randomized to atomoxetine in SP II and were re-randomized to placebo in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.
    Arm type
    Active comparator

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Atomoxetine was administered at 1.0 to 1.4 mg/kg/day given orally once daily in the morning for 16 weeks

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Placebo was administered orally, daily, for 16 weeks

    Arm title
    PLA/ATX
    Arm description
    These participants were randomized to placebo in SP II and were assigned to atomoxetine in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    placebo was administered orally, daily, for 16 weeks

    Investigational medicinal product name
    Atomoxetine
    Investigational medicinal product code
    Other name
    LY139603
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Atomoxetine was administered at 1.0 to 1.4 mg/kg/day given orally once daily in the morning for 16 weeks

    Arm title
    Healthy Participants
    Arm description
    Healthy Participants: Participants were evaluated to confirm that they did not meet criteria for Attention Deficit Hyperactivity Disorder (ADHD) or dyslexia. They received no treatment during the study.
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 2
    ATX/ATX ATX/PLA PLA/ATX Healthy Participants
    Started
    18
    18
    35
    19
    Completed
    16
    17
    32
    19
    Not completed
    2
    1
    3
    0
         Consent withdrawn by subject
    2
    -
    -
    -
         Physician decision
    -
    -
    1
    -
         Adverse event, non-fatal
    -
    -
    1
    -
         Parent Caregiver Decision
    -
    1
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Atomoxetine
    Reporting group description
    Atomoxetine (ATX) 1.0 to 1.4 milligram/kilogram/day (mg/kg/day) was administered orally once daily in the morning for 16 weeks, during study period II, (SP II). All eligible participants who received atomoxetine during study period II and completed that period were re-randomized to atomoxetine or placebo in study period III (SP III).

    Reporting group title
    Placebo
    Reporting group description
    Placebo (PLA) was packaged in the same way as active comparator to enforce double-blind study design. Placebo was given orally, daily for 16 weeks during SP II. All eligible participants who received placebo during SP II and completed that period were assigned atomoxetine in SP III.

    Reporting group title
    Healthy Participants
    Reporting group description
    Healthy Participants: Participants were evaluated to confirm that they did not meet criteria for Attention Deficit Hyperactivity Disorder (ADHD) or dyslexia. They received no treatment during the study.

    Reporting group values
    Atomoxetine Placebo Healthy Participants Total
    Number of subjects
    45 44 21 110
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    12.2 ( 1.89 ) 12.1 ( 1.90 ) 12.4 ( 2.05 ) -
    Gender categorical
    Units: Subjects
        Female
    18 17 13 48
        Male
    27 27 8 62
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    6 2 4 12
        Not Hispanic or Latino
    39 42 17 98
        Unknown or Not Reported
    0 0 0 0
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0 0
        Asian
    2 0 0 2
        Native Hawaiian or Other Pacific Islander
    0 0 0 0
        Black or African American
    4 13 5 22
        White
    33 29 12 74
        More than one race
    0 0 0 0
        Unknown or Not Reported
    6 2 4 12
    Region of Enrollment
    Units: Subjects
        United States
    45 44 21 110

    End points

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    End points reporting groups
    Reporting group title
    Atomoxetine
    Reporting group description
    Atomoxetine (ATX) 1.0 to 1.4 milligram/kilogram/day (mg/kg/day) was administered orally once daily in the morning for 16 weeks, during study period II, (SP II). All eligible participants who received atomoxetine during study period II and completed that period were re-randomized to atomoxetine or placebo in study period III (SP III).

    Reporting group title
    Placebo
    Reporting group description
    Placebo (PLA) was packaged in the same way as active comparator to enforce double-blind study design. Placebo was given orally, daily for 16 weeks during SP II. All eligible participants who received placebo during SP II and completed that period were assigned atomoxetine in SP III.

    Reporting group title
    Healthy Participants
    Reporting group description
    Healthy Participants: Participants were evaluated to confirm that they did not meet criteria for Attention Deficit Hyperactivity Disorder (ADHD) or dyslexia. They received no treatment during the study.
    Reporting group title
    ATX/ATX
    Reporting group description
    These participants were randomized to atomoxetine in SP II and were re-randomized to atomoxetine in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.

    Reporting group title
    ATX/PLA
    Reporting group description
    These participants were randomized to atomoxetine in SP II and were re-randomized to placebo in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.

    Reporting group title
    PLA/ATX
    Reporting group description
    These participants were randomized to placebo in SP II and were assigned to atomoxetine in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.

    Reporting group title
    Healthy Participants
    Reporting group description
    Healthy Participants: Participants were evaluated to confirm that they did not meet criteria for Attention Deficit Hyperactivity Disorder (ADHD) or dyslexia. They received no treatment during the study.

    Primary: Change From Baseline to Endpoint in Functional Magnetic Resonance Imaging (fMRI) Activation in Participants With Dyslexia Alone (Pseudoword Rhyming and Semantic-category)

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    End point title
    Change From Baseline to Endpoint in Functional Magnetic Resonance Imaging (fMRI) Activation in Participants With Dyslexia Alone (Pseudoword Rhyming and Semantic-category) [1] [2]
    End point description
    Change From Baseline to Endpoint in Functional Magnetic Resonance Imaging (fMRI) Activation in Participants With Dyslexia Alone (Pseudoword Rhyming and Semantic-category). Analysis Population Description (APD): All participants who received study drug, had Dyslexia Alone and had fMRI data.
    End point type
    Primary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No inferential statistical analyses was planned for this endpoint.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13 [3]
    10 [4]
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Semantic-category: Left Inferior Frontal Gyrus
    -0.056 ( 0.125 )
    -0.033 ( 0.118 )
        Semantic-category: Left Interior Temporal Gyrus
    -0.061 ( 0.120 )
    0.010 ( 0.075 )
        Semantic-category: Left Medial Temporal Gyrus
    -0.038 ( 0.153 )
    -0.006 ( 0.053 )
        Semantic-category: Left Temporo-parietal Region
    -0.073 ( 0.124 )
    -0.037 ( 0.100 )
        Semantic-category: Right Inferior Frontal Gyrus
    0.019 ( 0.156 )
    0.018 ( 0.147 )
        Semantic-category: Right Interior Temporal Gyrus
    0.002 ( 0.217 )
    0.058 ( 0.161 )
        Semantic-category: Right Medial Temporal Gyrus
    -0.014 ( 0.181 )
    0.071 ( 0.091 )
        Semantic-category: Right Temporo-parietal Region
    -0.015 ( 0.145 )
    0.076 ( 0.114 )
        Pseudoword Rhyming: Left Inferior Frontal Gyrus
    0.012 ( 0.200 )
    0.020 ( 0.147 )
        Pseudoword Rhyming: Left Interior Temporal Gyrus
    -0.062 ( 0.200 )
    -0.003 ( 0.109 )
        Pseudoword Rhyming: Left Medial Temporal Gyrus
    0.005 ( 0.253 )
    0.024 ( 0.133 )
        Pseudoword Rhyming: Left Temporo-parietal Region
    -0.026 ( 0.243 )
    -0.012 ( 0.115 )
        Pseudoword Rhyming: Right Inferior Frontal Gyrus
    -0.017 ( 0.304 )
    0.024 ( 0.187 )
        Pseudoword Rhyming: Right Interior Temporal Gyrus
    0.013 ( 0.266 )
    0.103 ( 0.174 )
        Pseudoword Rhyming: Right Medial Temporal Gyrus
    0.039 ( 0.250 )
    0.009 ( 0.098 )
        Pseudoword Rhyming: Temporo-parietal Region
    0.011 ( 0.296 )
    0.087 ( 0.170 )
    Notes
    [3] - Semantic-category, Pseudoword Rhyming: n = 13
    [4] - Semantic-category: n = 10 Pseudoword Rhyming: n = 09
    No statistical analyses for this end point

    Primary: Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Stroop Attention Tasks)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Stroop Attention Tasks) [5] [6]
    End point description
    Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Stroop Attention Tasks). APD: Stroop Tasks data were not collected.
    End point type
    Primary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No inferential statistical analyses was planned for this endpoint.
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    0 [7]
    0 [8]
    Units: scores on a scale
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [7] - Stroop Tasks data were not collected.
    [8] - Stroop Tasks data were not collected.
    No statistical analyses for this end point

    Primary: Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Pseudoword Rhyming and Semantic-category Tasks)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Pseudoword Rhyming and Semantic-category Tasks) [9] [10]
    End point description
    Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Pseudoword Rhyming and Semantic-category Tasks). APD: All participants who received study drug, had ADHD or ADHD + Dyslexia and had fMRI data.
    End point type
    Primary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No inferential statistical analyses was planned for this endpoint.
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    11 [11]
    12 [12]
    Units: scores on a scale
    arithmetic mean (standard deviation)
        ADHD+Dyslexia, SC: Left Inferior Frontal Gyrus
    0.077 ( 0.085 )
    -0.038 ( 0.141 )
        ADHD+Dyslexia, SC: Left Interior Temporal Gyrus
    0.079 ( 0.128 )
    -0.1 ( 0.252 )
        ADHD+Dyslexia, SC: Left Medial Temporal Gyrus
    0.038 ( 0.105 )
    -0.037 ( 0.208 )
        ADHD+Dyslexia, SC: Left Temporo-parietal Region
    0.079 ( 0.065 )
    -0.096 ( 0.187 )
        ADHD+Dyslexia, SC: Right Interior Frontal Gyrus
    0.065 ( 0.095 )
    -0.016 ( 0.152 )
        ADHD+Dyslexia, SC: Right Interior Temporal Gyrus
    0.008 ( 0.150 )
    0.015 ( 0.222 )
        ADHD+Dyslexia, SC: Right Medial Temporal Gyrus
    -0.046 ( 0.169 )
    -0.045 ( 0.168 )
        ADHD+Dyslexia, SC: Right Temporo-parietal Region
    0.053 ( 0.120 )
    -0.035 ( 0.153 )
        ADHD+Dyslexia, PR: Left Inferior Frontal Gyrus
    0.081 ( 0.245 )
    0.005 ( 0.151 )
        ADHD+Dyslexia, PR: Left Interior Temporal Gyrus
    0.142 ( 0.370 )
    0.047 ( 0.202 )
        ADHD+Dyslexia, PR: Left Medial Temporal Gyrus
    0.091 ( 0.387 )
    0.042 ( 0.184 )
        ADHD+Dyslexia, PR: Left Temporo-parietal Region
    0.096 ( 0.321 )
    0.012 ( 0.184 )
        ADHD+Dyslexia, PR: Right Inferior Frontal Gyrus
    0.069 ( 0.291 )
    -0.006 ( 0.111 )
        ADHD+Dyslexia, PR: Right Interior Temporal Gyrus
    0.114 ( 0.453 )
    0.047 ( 0.164 )
        ADHD+Dyslexia, PR: Right Medial Temporal Gyrus
    0.080 ( 0.470 )
    0.002 ( 0.203 )
        ADHD+Dyslexia, PR: Temporo-parietal Region
    0.078 ( 0.308 )
    -0.026 ( 0.147 )
        ADHD Only, SC: Left Inferior Frontal Gyrus
    0.013 ( 0.166 )
    -0.057 ( 0.120 )
        ADHD Only, SC: Left Interior Temporal Gyrus
    -0.024 ( 0.083 )
    -0.035 ( 0.105 )
        ADHD Only, SC: Left Medial Temporal Gyrus
    -0.002 ( 0.168 )
    -0.047 ( 0.166 )
        ADHD Only, SC: Left Temporo-parietal Region
    -0.013 ( 0.131 )
    -0.064 ( 0.124 )
        ADHD Only, SC: Right Inferior Frontal Gyrus
    -0.074 ( 0.141 )
    -0.030 ( 0.211 )
        ADHD Only, SC: Right Interior Temporal Gyrus
    0.052 ( 0.236 )
    -0.100 ( 0.141 )
        ADHD Only, SC: Right Medial Temporal Gyrus
    -0.039 ( 0.240 )
    0.019 ( 0.211 )
        ADHD Only, SC: Right Temporo-parietal Region
    0.034 ( 0.124 )
    -0.101 ( 0.129 )
        ADHD Only, PR: Left Inferior Frontal Gyrus
    -0.029 ( 0.153 )
    0.101 ( 0.203 )
        ADHD Only, PR: Left Interior Temporal Gyrus
    -0.012 ( 0.194 )
    0.063 ( 0.240 )
        ADHD Only, PR: Left Medial Temporal Gyrus
    -0.030 ( 0.137 )
    0.058 ( 0.260 )
        ADHD Only, PR: Left Temporo-parietal Region
    -0.013 ( 0.172 )
    0.029 ( 0.195 )
        ADHD Only, PR: Right Inferior Frontal Gyrus
    0.005 ( 0.139 )
    0.088 ( 0.289 )
        ADHD Only, PR: Right Interior Temporal Gyrus
    -0.003 ( 0.226 )
    0.043 ( 0.246 )
        ADHD Only, PR: Right Medial Temporal Gyrus
    0.007 ( 0.116 )
    -0.011 ( 0.402 )
        ADHD Only, PR: Temporo-parietal Region
    -0.016 ( 0.204 )
    0.046 ( 0.149 )
    Notes
    [11] - ADHD+Dyslexia, Semantic-category (SC): n=10, Pseudoword Rhyming (PR): n=9; ADHD Only, SC, PR: n=11
    [12] - ADHD+Dyslexia, Semantic-category (SC): n=12, Pseudoword Rhyming (PR): n=11; ADHD Only, SC, PR: n=8
    No statistical analyses for this end point

    Primary: Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Stroop Tasks)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Stroop Tasks) [13] [14]
    End point description
    Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Stroop Tasks). Stroop Tasks data were not collected.
    End point type
    Primary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No inferential statistical analyses was planned for this endpoint.
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    0 [15]
    0 [16]
    Units: scores on a scale
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [15] - Stroop Tasks data were not collected.
    [16] - Stroop Tasks data were not collected.
    No statistical analyses for this end point

    Primary: Change from Baseline to Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version (ADHDRS) Total Score in the ADHD or ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version (ADHDRS) Total Score in the ADHD or ADHD + Dyslexia [17] [18]
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS mean was calculated using a restricted maximum likelihood (REML)-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline ADHDRS-IV-Parent: Inv measurements.
    End point type
    Primary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [17] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No inferential statistical analyses was planned for this endpoint.
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    23
    23
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    -11.04 ( 2.518 )
    -7.53 ( 2.155 )
        ADHD Alone
    -13.85 ( 2.323 )
    -1.63 ( 2.588 )
    No statistical analyses for this end point

    Primary: Change from Baseline to Endpoint in Woodcock Johnson Tests of Achievement (WJ III) Word Attack Total Score in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Woodcock Johnson Tests of Achievement (WJ III) Word Attack Total Score in Participants with Dyslexia Alone [19] [20]
    End point description
    WJ III (Woodcock et al. 2001) has 2 parallel forms (A & B) alternating 2 batteries of tests—Standard &Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths & weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, & 20. Standard score scale is a mean (M) of 100 & a standard deviation (SD) of 15. WJ III ACH has extended standard scores which is a greater range of standard scores. Each individual test scores range from 0 to over 200 where 69 & below is very low & 131 and above is very superior. Higher scores indicate better reading skills. Least Square (LS) Mean was analyzed using last observation carried forward (LOCF), fixed-effects analysis of covariate (ANCOVA) models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline WJ III measurements.
    End point type
    Primary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [19] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No inferential statistical analyses was planned for this endpoint.
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    13
    Units: units on a scale
        least squares mean (standard error)
    -3.57 ( 4.84 )
    2.92 ( 4.75 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Basic Reading Skills Cluster WJ III in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Basic Reading Skills Cluster WJ III in Participants with Dyslexia Alone [21]
    End point description
    WJ III (Woodcock et al. 2001) has 2 parallel forms (A & B) alternating 2 batteries of tests—Standard & Extended. Standard score scale is a mean (M) of 100 & a standard deviation (SD) of 15. Basic Reading Skills is an aggregate measure of sight vocabulary, phonics, & structural analysis. It is a combination of Test 1, Letter-Word Identification, which measures the participant’s word identification skills. It is the average (arithmetic mean) of tests 1 & 13. Scores for each individual test range from 0 to over 200 where 69 & below is very low and 131 & above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least 1 dose of study drug & had evaluable baseline and post baseline WJ III measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    13
    Units: units on a scale
        least squares mean (standard error)
    -2.81 ( 3.87 )
    2.25 ( 3.85 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in BADD-A Total Score in Participants With ADHD or ADHD + Dyslexia

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    End point title
    Change From Baseline to Endpoint in BADD-A Total Score in Participants With ADHD or ADHD + Dyslexia [22]
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, and activating to work; 2) Focusing, sustaining and shifting attention to tasks; 3) Regulating alertness, sustaining effort, and processing speed; 4) Managing frustration and modulating emotions; 5) Utilizing working memory and accessing recall (Brown 2001). Scores range from 0-120. The higher the score the more severe the attention-deficit disorder (ADD). 0-39 equate to, “ADD possible but not likely”. 40-54 equate to, “ADD probable but not certain”. 55-120 equate to, “ADD highly probable”. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline BADD-A measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    23
    22
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    -6.91 ( 4.689 )
    -4.29 ( 4.128 )
        ADHD Alone
    -9.05 ( 5.515 )
    -1.85 ( 6.695 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Test Scores in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Test Scores in Participants With Dyslexia Alone [23]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A and B) alternating two batteries of tests—Standard and Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. The standard score scale is a mean (M) of 100 and a standard deviation (SD) of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 and below is very low and 131 and above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who had a WJ III baseline and post-baseline measurement.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    13
    Units: units on a scale
    least squares mean (standard error)
        Letter Word Identification
    0.88 ( 1.12 )
    2.77 ( 1.10 )
        Word Attack Score
    0.48 ( 1.71 )
    2.53 ( 1.68 )
        Reading Vocabulary Score
    1.04 ( 1.81 )
    -1.73 ( 1.75 )
        Reading Fluency Score
    0.13 ( 1.59 )
    -1.06 ( 1.53 )
        Reading Comprehension Score
    2.38 ( 1.81 )
    -1.03 ( 1.74 )
        Spelling Score
    0.89 ( 1.50 )
    -0.36 ( 1.48 )
        Spelling of Sounds Score
    3.11 ( 1.48 )
    3.59 ( 1.43 )
        Basic Reading Skills Score
    0.99 ( 1.15 )
    2.13 ( 1.15 )
        Passage Comprehension
    2.80 ( 2.03 )
    -0.20 ( 1.96 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Test Scores in Participants With ADHD + Dyslexia

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Test Scores in Participants With ADHD + Dyslexia [24]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A and B) alternating two batteries of tests—Standard and Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. The standard score scale is a mean (M) of 100 and a standard deviation (SD) of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 and below is very low and 131 and above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who had a baseline and post-baseline WJ III measurement.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    13
    Units: units on a scale
    least squares mean (standard error)
        Reading Fluency
    -3.41 ( 2.16 )
    2.61 ( 2.06 )
        Reading Comprehension
    2.02 ( 1.63 )
    0.80 ( 1.56 )
        Letter Word Identification
    1.71 ( 1.75 )
    -0.90 ( 1.69 )
        Word Attack Score
    2.65 ( 1.13 )
    0.71 ( 1.07 )
        Reading Vocabulary
    0.69 ( 1.89 )
    2.80 ( 1.77 )
        Spelling
    -1.36 ( 2.25 )
    -2.59 ( 2.19 )
        Spelling of Sounds
    8.42 ( 1.76 )
    5.02 ( 1.67 )
        Basic Reading Skills
    2.53 ( 1.05 )
    -0.21 ( 1.01 )
        Passage Comprehension Score
    2.65 ( 1.71 )
    -1.01 ( 1.65 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Test Scores in Participants With ADHD Alone

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Test Scores in Participants With ADHD Alone [25]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A and B) alternating two batteries of tests—Standard and Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. The standard score scale is a mean (M) of 100 and a standard deviation (SD) of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 and below is very low and 131 and above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. All randomized participants who had a baseline and post-baseline WJ III measurement.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    13
    Units: units on a scale
    least squares mean (standard error)
        Reading Fluency
    -2.70 ( 1.58 )
    -4.98 ( 1.81 )
        Reading Comprehension
    -2.92 ( 2.39 )
    -1.40 ( 2.77 )
        Letter Word Identification
    2.60 ( 1.77 )
    0.46 ( 2.08 )
        Word Attack Score
    -1.60 ( 1.56 )
    0.08 ( 1.78 )
        Reading Vocabulary
    -1.15 ( 2.65 )
    -1.48 ( 3.23 )
        Spelling
    4.30 ( 1.20 )
    3.62 ( 1.39 )
        Spelling of Sounds
    5.90 ( 3.51 )
    0.57 ( 4.04 )
        Basic Reading Skills
    0.86 ( 1.42 )
    0.48 ( 1.65 )
        Passage Comprehension Score
    -4.10 ( 2.36 )
    -1.80 ( 2.70 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Comprehensive Test of Phonological Processing (CTOPP) Composite Scores in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Comprehensive Test of Phonological Processing (CTOPP) Composite Scores in Participants with Dyslexia Alone [26]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline CTOPP measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    13
    Units: units on a scale
    arithmetic mean (standard deviation)
        Phonological Awareness
    4.01 ( 4.81 )
    2.69 ( 1.91 )
        Phonological Memory
    5.62 ( 1.82 )
    0.62 ( 1.75 )
        Rapid Naming Score
    0.19 ( 2.31 )
    -1.00 ( 2.23 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in CTOPP Composite Score in Participants with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in CTOPP Composite Score in Participants with ADHD + Dyslexia [27]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline CTOPP measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    12
    15
    Units: units on a scale
    arithmetic mean (standard deviation)
        Phonological Awareness
    4.60 ( 1.74 )
    1.35 ( 1.66 )
        Phonological Memory
    2.33 ( 2.49 )
    3.43 ( 2.39 )
        Rapid Naming Score
    -0.71 ( 2.46 )
    0.21 ( 2.29 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in CTOPP Composite Score in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint in CTOPP Composite Score in Participants with ADHD Alone [28]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline CTOPP measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    12
    9
    Units: units on a scale
    arithmetic mean (standard deviation)
        Phonological Awareness
    3.66 ( 2.10 )
    7.00 ( 2.57 )
        Phonological Memory
    3.70 ( 2.61 )
    3.48 ( 2.98 )
        Rapid Naming Score
    2.36 ( 3.01 )
    1.63 ( 3.47 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Gray Oral Reading Tests-4 (GORT-4) in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Gray Oral Reading Tests-4 (GORT-4) in Participants with Dyslexia Alone [29]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models of with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline GORT-4 measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    12
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.24 ( 0.27 )
    -0.44 ( 0.27 )
        Accuracy
    -0.10 ( 0.46 )
    -0.72 ( 0.47 )
        Fluency
    -0.17 ( 0.42 )
    -0.65 ( 0.42 )
        Reading Comprehension
    0.89 ( 0.77 )
    -0.29 ( 0.77 )
        Oral Reading Quotient
    2.30 ( 2.69 )
    -2.66 ( 2.72 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with ADHD + Dyslexia [30]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms of treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline GORT-4 measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    12
    15
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    -0.59 ( 0.40 )
    -0.45 ( 0.37 )
        Accuracy
    -1.77 ( 0.53 )
    -1.02 ( 0.47 )
        Fluency
    -1.66 ( 0.34 )
    -0.81 ( 0.31 )
        Reading Comprehension
    -2.46 ( 0.67 )
    -1.55 ( 0.62 )
        Oral Reading Quotient
    -14.01 ( 4.10 )
    -12.23 ( 3.40 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with ADHD Alone [31]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms of treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline GORT-4 measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    12
    9
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.80 ( 0.42 )
    0.97 ( 0.48 )
        Accuracy
    0.46 ( 0.35 )
    -0.17 ( 0.40 )
        Fluency
    0.72 ( 0.35 )
    0.94 ( 0.40 )
        Reading Comprehension
    -0.96 ( 0.59 )
    0.79 ( 0.70 )
        Oral Reading Quotient
    -0.74 ( 2.12 )
    5.63 ( 2.46 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint Test of Word Reading Efficiency (TOWRE) Total Score in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint Test of Word Reading Efficiency (TOWRE) Total Score in Participants with Dyslexia Alone [32]
    End point description
    The TOWRE is a measure of an individual's ability to pronounce printed words accurately and fluently and is appropriate for individuals aged 6 to 24 years old. The TOWRE contains two subtests: Sight Word Efficiency (SWE) which assesses the number of real printed words that can be accurately identified within 45 seconds and Phonemic Decoding Efficiency (PDE) which measures the number of pronounceable printed non-words that can be accurately decoded within 45 seconds. The total standard score ranges from 35-165. Higher scores indicate higher reading proficiency and lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline TOWRE measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    14
    12
    Units: units on a scale
        least squares mean (standard error)
    2.21 ( 1.345 )
    -0.17 ( 1.471 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in TOWRE Total Score in Participants with ADHD or ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in TOWRE Total Score in Participants with ADHD or ADHD + Dyslexia [33]
    End point description
    The TOWRE is a measure of an individual's ability to pronounce printed words accurately and fluently and is appropriate for individuals aged 6 to 24 years old. The TOWRE contains two subtests: Sight Word Efficiency (SWE) which assesses the number of real printed words that can be accurately identified within 45 seconds and Phonemic Decoding Efficiency (PDE) which measures the number of pronounceable printed non-words that can be accurately decoded within 45 seconds. The total standard score ranges from 35-165. Higher scores indicate higher reading proficiency and lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline TOWRE measurements
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    26
    28
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    0.59 ( 1.435 )
    1.18 ( 1.231 )
        ADHD Alone
    4.98 ( 1.611 )
    4.69 ( 1.844 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Working Memory Test Battery for Children (WMTB-C) in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Working Memory Test Battery for Children (WMTB-C) in Participants with Dyslexia Alone [34]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline WMTB-C measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    14
    13
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    0.74 ( 1.25 )
    0.94 ( 1.26 )
        Word List Matching Score
    0.34 ( 2.15 )
    0.97 ( 2.12 )
        Word List Recall Score
    0.61 ( 0.81 )
    0.50 ( 0.83 )
        Nonword List Recall Score
    -0.10 ( 0.68 )
    0.17 ( 0.69 )
        Block Recall Score
    0.59 ( 1.23 )
    0.82 ( 1.25 )
        Mazes Memory Score
    -1.05 ( 1.87 )
    -2.96 ( 1.91 )
        Listening Recall Score
    1.41 ( 0.82 )
    -0.52 ( 0.84 )
        Counting Recall Score
    1.83 ( 0.85 )
    0.18 ( 0.88 )
        Backward Digit Recall Score
    -0.28 ( 1.52 )
    0.65 ( 1.55 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint WMTB-C in Participants with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint WMTB-C in Participants with ADHD + Dyslexia [35]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline WMTB-C measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [35] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    12
    16
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall
    -0.64 ( 1.04 )
    1.03 ( 0.93 )
        Word List Matching
    -0.02 ( 1.90 )
    -0.78 ( 1.72 )
        Word List Recall
    -0.78 ( 0.77 )
    0.80 ( 0.70 )
        NonWord
    0.12 ( 0.32 )
    1.12 ( 0.29 )
        Block Recall
    -1.71 ( 0.83 )
    0.75 ( 0.77 )
        Mazes Memory Score
    3.08 ( 1.34 )
    -1.01 ( 1.22 )
        Listening Recall
    -0.48 ( 0.75 )
    2.16 ( 0.68 )
        Counting Recall
    -2.26 ( 1.36 )
    -1.61 ( 1.21 )
        Backward Digit Recall
    -0.31 ( 0.82 )
    1.76 ( 0.74 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint WMTB-C in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint WMTB-C in Participants with ADHD Alone [36]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline WMTB-C measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    10
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall
    2.70 ( 1.76 )
    0.94 ( 1.93 )
        Word List Matching
    -0.79 ( 1.61 )
    2.03 ( 1.84 )
        Word List Recall
    1.50 ( 1.06 )
    1.17 ( 1.18 )
        NonWord
    1.41 ( 0.82 )
    -0.13 ( 0.90 )
        Block Recall
    1.03 ( 1.36 )
    0.44 ( 1.67 )
        Mazes Memory Score
    2.70 ( 1.61 )
    0.16 ( 1.73 )
        Listening Recall
    1.53 ( 1.06 )
    1.57 ( 1.18 )
        Counting Recall
    0.31 ( 1.02 )
    -1.02 ( 1.14 )
        Backward Digit Recall
    1.82 ( 1.23 )
    2.15 ( 1.32 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in BADD-A Total Score in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in BADD-A Total Score in Participants With Dyslexia Alone [37]
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, and activating to work; 2) Focusing, sustaining and shifting attention to tasks; 3) Regulating alertness, sustaining effort, and processing speed; 4) Managing frustration and modulating emotions; 5) Utilizing working memory and accessing recall (Brown 2001). Scores range from 0-120. The higher the score the more severe the ADD. Scores of 0-39 equate to "ADD possible but not likely". Scores of 40-54 equate to "ADD probable but not certain". Scores of 55-120 equate to "ADD highly probable". LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline BADD-A measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [37] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    14
    13
    Units: units on a scale
        least squares mean (standard error)
    -7.22 ( 4.756 )
    -2.82 ( 5.022 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in ADHDRS-IV Total Score in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in ADHDRS-IV Total Score in Participants with Dyslexia Alone [38]
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had evaluable baseline and post baseline ADHDRS-IV-Parent: Inv measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    13
    12
    Units: units on a scale
        least squares mean (standard error)
    -1.88 ( 1.441 )
    -2.51 ( 1.492 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Participants With Dyslexia Alone [39]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A and B) alternating two batteries of tests—Standard and Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. The standard score scale is a mean (M) of 100 and a standard deviation (SD) of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 and below is very low and 131 and above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for gender, baseline score, and age. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline WJ III measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [39] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Reading Fluency
    8.96 ( 3.63 )
        Reading Comprehension
    0.24 ( 1.56 )
        Letter Word Identification
    2.12 ( 1.67 )
        Spelling
    -1.81 ( 2.87 )
        Spelling of Sounds
    4.67 ( 4.82 )
        Basic Reading Skills
    3.41 ( 1.72 )
        Passage Comprehension Score
    2.17 ( 5.68 )
        Word Attack Score
    5.37 ( 4.71 )
        Reading Vocabulary Score
    -2.28 ( 2.18 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD + Dyslexia

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD + Dyslexia [40]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A & B) alternating 2 batteries of tests—Standard & Extended. Standard tests (1 -12) have broad set of scores. Extended tests (13 -22) have more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, & 20. Standard score scale is a mean (M) of 100 & a SD of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range 0 to over 200 where 69 & below is very low & 131 and above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline score, age, & baseline score by treatment interaction. APD: All randomized participants who received atomoxetine in both phases & had evaluable baseline, post baseline WJ III measurements. No participants by design were on placebo for both II & III period
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [40] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    5
    Units: units on a scale
    least squares mean (standard error)
        Letter Word Identification
    2.40 ( 3.30 )
        Word Attack Score
    -0.78 ( 0.21 )
        Reading Vocabulary
    0.71 ( 1.16 )
        Reading Fluency
    2.24 ( 0.27 )
        Reading Comprehension
    2.61 ( 1.31 )
        Spelling
    1.29 ( 3.68 )
        Spelling of Sounds
    -1.79 ( 1.03 )
        Basic Reading Skills
    0.70 ( 0.04 )
        Passage Comprehension Score
    3.58 ( 2.01 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD Alone

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD Alone [41]
    End point description
    WJ III (Woodcock et al. 2001) has 2 parallel forms (A & B) alternating 2 batteries of tests—Standard & Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. Standard score scale is mean (M) of 100 & SD of 15. WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 & below is very low & 131 and above is very superior. Higher scores indicate better reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline score, age, baseline score by treatment interaction. APD: All randomized participants who received atomoxetine in both phases & evaluable baseline, post baseline CTOPP measurements. No participants by design were on placebo for study periods II & III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [41] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Letter Word Identification
    -1.89 ( 0.39 )
        Word Attack Score
    -1.87 ( 1.73 )
        Reading Vocabulary
    5.88 ( 3.40 )
        Reading Fluency
    2.93 ( 3.82 )
        Reading Comprehension
    4.77 ( 2.39 )
        Spelling
    4.04 ( 2.79 )
        Spelling of Sounds
    6.80 ( 2.79 )
        Basic Reading Skills
    -2.44 ( 0.77 )
        Passage Comprehension Score
    -3.16 ( 1.09 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in CTOPP Composite Scores in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in CTOPP Composite Scores in Participants With Dyslexia Alone [42]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline CTOPP measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [42] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Phonological Awareness
    -0.41 ( 0.67 )
        Phonological Memory
    -4.63 ( 2.41 )
        Rapid Naming Score
    3.99 ( 4.49 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in CTOPP Composite Scores in Participants With ADHD + Dyslexia

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    End point title
    Change From Baseline to Endpoint in CTOPP Composite Scores in Participants With ADHD + Dyslexia [43]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline CTOPP measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [43] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    5
    Units: units on a scale
    least squares mean (standard error)
        Phonological Awareness
    12.69 ( 1.89 )
        Phonological Memory
    3.40 ( 2.27 )
        Rapid Naming Score
    4.72 ( 3.47 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in CTOPP Composite Scores in Participants With ADHD Alone

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    End point title
    Change From Baseline to Endpoint in CTOPP Composite Scores in Participants With ADHD Alone [44]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline CTOPP measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [44] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Phonological Awareness
    5.90 ( 6.17 )
        Phonological Memory
    5.61 ( 2.30 )
        Rapid Naming Score
    2.67 ( 0.32 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with Dyslexia Alone [45]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline GORT-4 measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [45] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.63 ( 0.79 )
        Accuracy
    -1.93 ( 0.47 )
        Fluency
    -0.66 ( 0.45 )
        Reading Comprehension
    -0.23 ( 2.86 )
        Oral Reading Quotient
    -9.53 ( 14.45 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with ADHD + Dyslexia [46]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline GORT-4 measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    5
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.22 ( 0.25 )
        Accuracy
    0.17 ( 0.02 )
        Fluency
    -0.28 ( 0.34 )
        Reading Comprehension
    -0.61 ( 0.31 )
        Oral Reading Quotient
    -2.23 ( 1.89 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with ADHD Alone [47]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline GORT-4 measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [47] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.05 ( 0.63 )
        Accuracy
    -1.44 ( 0.45 )
        Fluency
    -0.20 ( 0.22 )
        Reading Comprehension
    -0.02 ( 1.07 )
        Oral Reading Quotient
    -1.37 ( 4.86 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Participants in TOWRE Total Score with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Participants in TOWRE Total Score with Dyslexia Alone [48]
    End point description
    The TOWRE is a measure of an individual's ability to pronounce printed words accurately and fluently and is appropriate for individuals aged 6 to 24 years old. The TOWRE contains two subtests: Sight Word Efficiency (SWE) which assesses the number of real printed words that can be accurately identified within 45 seconds and Phonemic Decoding Efficiency (PDE) which measures the number of pronounceable printed non-words that can be accurately decoded within 45 seconds. The total standard score ranges from 35-165. Higher scores indicate higher reading proficiency and lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline TOWRE measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [48] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    15
    Units: units on a scale
        least squares mean (standard error)
    3.20 ( 3.04 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Participants in TOWRE Total Score with ADHD or ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in Participants in TOWRE Total Score with ADHD or ADHD + Dyslexia [49]
    End point description
    The TOWRE is a measure of an individual's ability to pronounce printed words accurately and fluently and is appropriate for individuals aged 6 to 24 years old. The TOWRE contains two subtests: Sight Word Efficiency (SWE) which assesses the number of real printed words that can be accurately identified within 45 seconds and Phonemic Decoding Efficiency (PDE) which measures the number of pronounceable printed non-words that can be accurately decoded within 45 seconds. The total standard score ranges from 35-165. Higher scores indicate higher reading proficiency and lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline TOWRE measurements. No participants by design were on placebo for both study periods II & III
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [49] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    10
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    2.77 ( 1.99 )
        ADHD Alone
    6.75 ( 0.04 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Participants in WMTB-C with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in Participants in WMTB-C with Dyslexia Alone [50]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline WMTB-C measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [50] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    0.47 ( 1.00 )
        Word List Matching Score
    1.29 ( 2.62 )
        Word List Recall Score
    0.75 ( 1.65 )
        Nonword List Recall Score
    -0.96 ( 2.45 )
        Block Recall Score
    1.25 ( 2.51 )
        Mazes Memory Score
    1.91 ( 3.74 )
        Listening Recall Score
    4.15 ( 2.14 )
        Counting Recall Score
    -0.88 ( 1.39 )
        Backwards Digit Recall Score
    -0.64 ( 2.95 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Participants in WMTB-C with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in Participants in WMTB-C with ADHD + Dyslexia [51]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who had received atomoxetine in both phases and had evaluable baseline and post baseline WTMB-C measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [51] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    5
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    0.06 ( 0.07 )
        Word List Matching Score
    -4.12 ( 1.25 )
        Word List Recall Score
    3.05 ( 1.51 )
        Nonword List Recall Score
    1.78 ( 0.42 )
        Block Recall Score
    0.56 ( 1.13 )
        Mazes Memory Score
    -0.22 ( 2.73 )
        Listening Recall Score
    0.73 ( 3.37 )
        Counting Recall Score
    -0.55 ( 2.47 )
        Backward Digit Recall Score
    0.05 ( 2.95 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in Participants in WMTB-C with ADHD Alone

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    End point title
    Change from Baseline to Endpoint in Participants in WMTB-C with ADHD Alone [52]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who had received atomoxetine in both phases and had evaluable baseline and post baseline WTMB-C measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [52] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    5
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    3.75 ( 0.93 )
        Word List Matching Score
    -3.37 ( 0.37 )
        Word List Recall Score
    1.25 ( 0.49 )
        Nonword List Recall Score
    1.12 ( 0.60 )
        Block Recall Score
    3.65 ( 3.48 )
        Mazes Memory Score
    -1.09 ( 1.43 )
        Listening Recall Score
    4.24 ( 1.96 )
        Counting Recall Score
    -3.05 ( 1.67 )
        Backward Digit Recall Score
    -0.45 ( 0.00 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in BADD-A Total Score in Participants With Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in BADD-A Total Score in Participants With Dyslexia Alone [53]
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, and activating to work; 2) Focusing, sustaining and shifting attention to tasks; 3) Regulating alertness, sustaining effort, and processing speed; 4) Managing frustration and modulating emotions; 5) Utilizing working memory and accessing recall (Brown 2001). Scores range from 0-120. The higher the score the more severe the ADD. Scores of 0-39 equate to "ADD possible but not likely". Scores of 40-54 equate to "ADD probable but not certain". Scores of 55-120 equate to "ADD highly probable". LS Mean was calculated using ANCOVA model with terms for gender, baseline score, and age. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline BADD-A measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [53] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
        least squares mean (standard error)
    -10.07 ( 6.70 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in BADD-A Total Score in Participants With ADHD or ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in BADD-A Total Score in Participants With ADHD or ADHD + Dyslexia [54]
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, and activating to work; 2) Focusing, sustaining and shifting attention to tasks; 3) Regulating alertness, sustaining effort, and processing speed; 4) Managing frustration and modulating emotions; 5) Utilizing working memory and accessing recall (Brown 2001). Scores range from 0-120. The higher the score the more severe the ADD. Scores of 0-39 equate to "ADD possible but not likely". Scores of 40-54 equate to "ADD probable but not certain". Scores of 55-120 equate to "ADD highly probable". LS Mean was calculated using ANCOVA model with terms for gender, baseline score, and age. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline BADD-A measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [54] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    11
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    -9.44 ( 7.43 )
        ADHD Alone
    -9.33 ( 5.04 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Participants With Dyslexia Alone [55]
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS Mean was calculated using ANCOVA model with terms for gender, baseline score, and age. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline ADHDRS-IV-Parent: Inv measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [55] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    6
    Units: units on a scale
        least squares mean (standard error)
    12.60 ( 8.17 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Participants With ADHD or ADHD +Dyslexia

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    End point title
    Change From Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Participants With ADHD or ADHD +Dyslexia [56]
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS Mean was calculated using ANCOVA model with terms for gender, baseline score, and age. APD: All randomized participants who received atomoxetine in both phases and had evaluable baseline and post baseline ADHDRS-IV-Parent: Inv measurements. No participants by design were on placebo for both study periods II and III.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [56] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine
    Number of subjects analysed
    11
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    -12.96 ( 2.44 )
        ADHD Alone
    -18.76 ( 5.89 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Pseudoword Rhyming, Semantic-category)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Pseudoword Rhyming, Semantic-category)
    End point description
    For this trial, Lilly contracted an academic institution to process the fMRI data. However, there are contractual delays limiting the timing, and Lilly does not have access to the processed fMRI data at this time. APD: For this outcome measure, there were no data collected beyond 16 weeks.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    0 [57]
    0 [58]
    Units: participants
        Semantic Category Tasks
        Pseudoword Rhyming Tasks
    Notes
    [57] - No data collected beyond 16 weeks
    [58] - No data collected beyond 16 weeks
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Stroop Tasks)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With Dyslexia Alone (Stroop Tasks)
    End point description
    For this trial, Lilly contracted an academic institution to process the fMRI data. However, there are contractual delays limiting the timing, and Lilly does not have access to the processed fMRI data at this time. APD: Stroop Tasks data were not collected.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to 32 Weeks
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    0 [59]
    0 [60]
    Units: participants
    Notes
    [59] - Stroop Tasks data were not collected.
    [60] - Stroop Tasks data were not collected.
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Pseudoword Rhyming and Semantic-category Tasks)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Pseudoword Rhyming and Semantic-category Tasks)
    End point description
    APD: For this outcome measure, there were no data collected beyond 16 weeks
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    0 [61]
    0 [62]
    Units: participants
        Semantic Category Tasks
        Pseudoword Rhyming Tasks
    Notes
    [61] - No data collected beyond 16 weeks
    [62] - No data collected beyond 16 weeks
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Stroop Tasks)

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    End point title
    Change From Baseline to Endpoint in fMRI Activation in Participants With ADHD or ADHD + Dyslexia (Stroop Tasks)
    End point description
    For this trial, Lilly contracted an academic institution to process the fMRI data. However, there are contractual delays limiting the timing, and Lilly does not have access to the processed fMRI data at this time. APD: Stroop Tasks data were not collected.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    0 [63]
    0 [64]
    Units: participants
    Notes
    [63] - Stroop Tasks data were not collected.
    [64] - Stroop Tasks data were not collected.
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Participants With Dyslexia Alone
    End point description
    WJ III (Woodcock et al. 2001) has 2 parallel forms (A & B) alternating 2 batteries of tests—Standard & Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have in-depth diagnostic assessment of academic strength & weakness. Tests administered were 1, 2, 7, 9, 13, 17, & 20. Standard score scale is mean (M) of 100 & standard deviation (SD) of 15. WJ III ACH has standard scores, which is greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 & below is very low & 131 & above is very superior. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baselinescore, age, & baselinescore by treatment interaction. APD: All participants who received atleast 1 dose of study drug & had evaluable baseline, post baseline WJIII measurements. Objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to 32 Weeks
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
    least squares mean (standard error)
        Word Attack Score
    2.79 ( 2.68 )
    -1.01 ( 2.10 )
        Letter Word Identification
    2.92 ( 2.45 )
    -4.08 ( 2.02 )
        Reading Fluency
    11.03 ( 3.14 )
    -1.53 ( 2.61 )
        Reading Comprehension
    4.52 ( 2.60 )
    -6.86 ( 2.16 )
        Spelling
    -2.90 ( 3.73 )
    -1.72 ( 3.00 )
        Spelling of Sounds
    3.33 ( 3.11 )
    0.30 ( 2.59 )
        Basic Reading Skills
    2.87 ( 1.44 )
    -3.80 ( 1.19 )
        Passage Comprehension Score
    4.51 ( 3.30 )
    -6.92 ( 2.74 )
        Reading Vocabulary Score
    3.02 ( 2.04 )
    -4.84 ( 1.78 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD + Dyslexia

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD + Dyslexia
    End point description
    WJ III (Woodcock et al. 2001) has 2 parallel forms (A & B) alternating 2 batteries of tests—Standard & Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have in-depth diagnostic assessment of academic strength & weakness. Tests administered were 1, 2, 7, 9, 13, 17, & 20. Standard score scale is mean (M) of 100 & standard deviation (SD) of 15. WJ III ACH has standard scores, which is greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 & below is very low & 131 & above is very superior. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baselinescore, age, & baselinescore by treatment interaction. APD: All participants who received atleast 1 dose of study drug & had evaluable baseline, post baseline WJIII measurements. Objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    5
    6
    Units: units on a scale
    least squares mean (standard error)
        Word Attack Score
    -2.65 ( 1.81 )
    -2.62 ( 1.63 )
        Letter Word Identification
    0.50 ( 3.19 )
    -1.07 ( 3.00 )
        Reading Vocabulary Score
    0.64 ( 2.17 )
    -4.08 ( 2.08 )
        Reading Fluency
    5.46 ( 2.77 )
    6.21 ( 2.84 )
        Reading Comprehension
    0.86 ( 2.25 )
    -2.49 ( 2.07 )
        Spelling
    0.45 ( 2.46 )
    0.86 ( 2.32 )
        Spelling of Sounds
    -10.17 ( 3.40 )
    -3.52 ( 3.23 )
        Basic Reading Skills
    -1.29 ( 1.06 )
    -2.17 ( 1.00 )
        Passage Comprehension Score
    0.15 ( 2.06 )
    0.52 ( 1.85 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD Alone

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Participants With ADHD Alone
    End point description
    WJ III (Woodcock et al. 2001) has 2 parallel forms (A & B) alternating 2 batteries of tests—Standard & Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have in-depth diagnostic assessment of academic strength & weakness. Tests administered were 1, 2, 7, 9, 13, 17, & 20. Standard score scale is mean (M) of 100 & standard deviation (SD) of 15. WJ III ACH has standard scores, which is greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 & below is very low & 131 & above is very superior. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baselinescore, age, & baselinescore by treatment interaction. APD: All participants who received atleast 1 dose of study drug & had evaluable baseline, post baseline WJIII measurements. Objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    5
    6
    Units: units on a scale
    least squares mean (standard error)
        Word Attack Score
    -1.56 ( 2.06 )
    -0.58 ( 1.85 )
        Letter Word Identification
    -3.89 ( 4.46 )
    -1.61 ( 4.01 )
        Reading Vocabulary Score
    5.15 ( 5.51 )
    -3.62 ( 4.26 )
        Reading Fluency
    13.05 ( 2.32 )
    4.88 ( 1.11 )
        Reading Comprehension
    3.86 ( 2.94 )
    3.26 ( 2.67 )
        Spelling
    2.07 ( 4.66 )
    1.15 ( 3.81 )
        Spelling of Sounds
    -2.65 ( 3.02 )
    2.65 ( 2.90 )
        Basic Reading Skills
    -2.70 ( 3.56 )
    -1.97 ( 3.17 )
        Passage Comprehension Score
    6.86 ( 3.42 )
    2.31 ( 3.00 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in CTOPP Composite Scores in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in CTOPP Composite Scores in Participants with Dyslexia Alone
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. Test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All participants who received at least one dose of study drug and had evaluable baseline and post baseline CTOPP measurements. The objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks and therefore no data for PLA/ATX
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
    least squares mean (standard error)
        Phonological Awareness
    -1.19 ( 4.03 )
    2.06 ( 2.82 )
        Phonological Memory
    -6.96 ( 3.71 )
    -1.76 ( 3.23 )
        Rapid Naming Score
    7.24 ( 5.91 )
    -2.42 ( 4.82 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in CTOPP Composite Scores in Participants with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in CTOPP Composite Scores in Participants with ADHD + Dyslexia
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. Test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All participants who received at least one dose of study drug and had evaluable baseline and post baseline CTOPP measurements. The objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks and therefore no data for PLA/ATX
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    5
    6
    Units: units on a scale
    least squares mean (standard error)
        Phonological Awareness
    3.54 ( 1.51 )
    5.29 ( 1.42 )
        Phonological Memory
    -2.65 ( 3.34 )
    0.12 ( 2.88 )
        Rapid Naming Score
    2.65 ( 2.02 )
    1.21 ( 1.64 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in CTOPP Composite Scores in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint in CTOPP Composite Scores in Participants with ADHD Alone
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. Composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All participants who received at least one dose of study drug and had evaluable baseline and post baseline CTOPP measurements. The objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks and therefore no data for PLA/ATX
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    5
    Units: units on a scale
    least squares mean (standard error)
        Phonological Awareness
    -0.33 ( 2.89 )
    9.67 ( 2.61 )
        Phonological Memory
    3.59 ( 3.37 )
    0.84 ( 3.58 )
        Rapid Naming Score
    1.53 ( 2.36 )
    3.51 ( 2.05 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint TOWRE Total Score in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint TOWRE Total Score in Participants with Dyslexia Alone
    End point description
    TOWRE is a measure of an individual's ability to pronounce printed words accurately & fluently, is appropriate for individuals aged 6 to 24 years old. The TOWRE contains 2 subtests: Sight Word Efficiency (SWE) which assesses no. of real printed words that can be accurately identified within 45 seconds & Phonemic Decoding Efficiency (PDE) which measures the no. of pronounceable printed non-words that can be accurately decoded within 45 seconds. Total standard score ranges from 35-165. Higher scores indicate higher & lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, baseline-by-visit interaction. APD: All participants who received at least 1 dose of study drug & had evaluable baseline, post baseline TOWRE measurements. Objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
        least squares mean (standard error)
    -0.17 ( 1.808 )
    4.17 ( 1.808 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in TOWRE Total Score in Participants with ADHD or ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in TOWRE Total Score in Participants with ADHD or ADHD + Dyslexia
    End point description
    TOWRE is a measure of an individual's ability to pronounce printed words accurately & fluently, is appropriate for individuals aged 6 to 24 years old. The TOWRE contains 2 subtests: Sight Word Efficiency (SWE) which assesses no. of real printed words that can be accurately identified within 45 seconds & Phonemic Decoding Efficiency (PDE) which measures the no. of pronounceable printed non-words that can be accurately decoded within 45 seconds. Total standard score ranges from 35-165. Higher scores indicate higher & lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, baseline-by-visit interaction. APD: All participants who received at least 1 dose of study drug & had evaluable baseline, post baseline TOWRE measurements. Objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    10
    11
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    3.74 ( 1.261 )
    1.38 ( 1.151 )
        ADHD Alone
    2.03 ( 4.179 )
    1.37 ( 4.179 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with Dyslexia Alone
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. Test has 2 parallel forms, Form A & B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories & 5 multiple-choice comprehension questions for each story. GORT-4 yields scores: rate, accuracy, fluency, comprehension, & overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All participants who received at least 1 dose of study drug and had evaluable baseline and post baseline GORT-4 measurements. The objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.27 ( 0.43 )
    -0.64 ( 0.36 )
        Accuracy
    0.40 ( 0.62 )
    -0.69 ( 0.48 )
        Fluency
    0.52 ( 0.67 )
    -0.64 ( 0.49 )
        Reading Comprehension
    0.06 ( 1.40 )
    -0.76 ( 1.20 )
        Oral Reading Quotient
    -3.04 ( 10.51 )
    -4.91 ( 8.62 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with ADHD+ Dyslexia

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with ADHD+ Dyslexia
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. Test has 2 parallel forms, Form A & B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories & 5 multiple-choice comprehension questions for each story. GORT-4 yields scores: rate, accuracy, fluency, comprehension, & overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All participants who received at least 1 dose of study drug and had evaluable baseline and post baseline GORT-4 measurements. The objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.37 ( 0.73 )
    0.31 ( 0.66 )
        Accuracy
    0.07 ( 0.84 )
    0.45 ( 0.68 )
        Fluency
    0.33 ( 1.15 )
    0.52 ( 1.08 )
        Reading Comprehension
    1.75 ( 1.42 )
    3.64 ( 1.29 )
        Oral Reading Quotient
    7.16 ( 4.57 )
    12.92 ( 4.32 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Participants with ADHD Alone
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has 2 parallel forms, Form A & B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All participants who received at least 1 dose of study drug & had evaluable baseline, post baseline GORT-4 measurements. Objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
    least squares mean (standard error)
        Oral Reading Rate
    0.36 ( 0.99 )
    -0.35 ( 0.70 )
        Accuracy
    -1.29 ( 1.00 )
    0.15 ( 0.82 )
        Fluency
    -0.54 ( 0.76 )
    -0.38 ( 0.57 )
        Reading Comprehension
    3.46 ( 1.05 )
    -0.04 ( 0.75 )
        Oral Reading Quotient
    8.27 ( 8.94 )
    -3.13 ( 5.38 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in WMTB-C in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in WMTB-C in Participants with Dyslexia Alone
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal info for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); & visuo-spatial sketchpad (VSSP) which holds info in visual & spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least 1 dose of study drug & had baseline & post baseline WMTB-C measurements. Objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX are given.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    -1.77 ( 1.78 )
    0.45 ( 1.48 )
        Word List Matching Score
    3.98 ( 4.14 )
    1.84 ( 2.99 )
        Word List Recall Score
    -0.68 ( 2.56 )
    -1.90 ( 2.27 )
        Nonword List Recall Score
    2.25 ( 0.71 )
    -0.40 ( 0.55 )
        Block Recall Score
    1.57 ( 1.55 )
    -1.73 ( 1.07 )
        Mazes Memory Score
    6.90 ( 3.29 )
    1.27 ( 2.76 )
        Listening Recall Score
    3.44 ( 1.11 )
    -1.23 ( 0.95 )
        Counting Recall Score
    -2.05 ( 2.23 )
    -2.21 ( 1.87 )
        Backward Digit Recall Score
    2.74 ( 4.47 )
    2.49 ( 2.21 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint WMTB-C in Participants with ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint WMTB-C in Participants with ADHD + Dyslexia
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal info for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds info in visual and spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received at least 1 dose of study drug & had baseline, post baseline WMTB-C measurements. Objectives forthis portion of trial centered around participants already exposed to ATX for 16 weeks & therefore no data for PLA/ATX are given
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    5
    6
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    -1.25 ( 0.63 )
    1.83 ( 0.59 )
        Word List Matching Score
    -4.48 ( 1.74 )
    -4.40 ( 1.60 )
        Word List Recall Score
    2.34 ( 0.66 )
    2.28 ( 0.61 )
        NonWord List Recall
    2.17 ( 1.00 )
    0.64 ( 1.57 )
        Block Recall Score
    -1.71 ( 2.57 )
    3.81 ( 1.89 )
        Mazes Memory Score
    -2.82 ( 2.69 )
    1.28 ( 2.55 )
        Listening Recall Score
    1.93 ( 1.80 )
    0.49 ( 1.45 )
        Counting Recall Score
    1.34 ( 2.52 )
    -0.89 ( 2.46 )
        Backward Recall Score
    0.76 ( 2.03 )
    -0.14 ( 1.94 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint WMTB-C in Participants with ADHD Alone

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    End point title
    Change from Baseline to Endpoint WMTB-C in Participants with ADHD Alone
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); & visuo-spatial sketchpad (VSSP) which holds info in visual & spatial form (Block Recall, Mazes Memory). LS mean was analyzed using LOCF, fixed-effects ANCOVA models with terms for treatment, gender, baseline, age, treatment*baseline. APD: All randomized participants who received atleast 1 dose of study drug & had baseline, post baseline WMTB-C measurements. Objectives for this portion of trial centered around participants already exposed to ATX for 16weeks & thereforeno data for PLA/ATX are given
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    5
    5
    Units: units on a scale
    least squares mean (standard error)
        Digit Recall Score
    2.56 ( 2.92 )
    -0.97 ( 2.19 )
        Word List Matching Score
    -1.22 ( 3.84 )
    -1.71 ( 3.48 )
        Word List Recall Score
    -1.23 ( 1.41 )
    1.71 ( 1.22 )
        NonWord List Recall
    -1.29 ( 1.02 )
    -1.12 ( 0.87 )
        Block Recall Score
    -1.14 ( 1.96 )
    0.59 ( 1.72 )
        Mazes Memory Score
    1.11 ( 2.35 )
    -2.51 ( 2.00 )
        Listening Recall Score
    -1.12 ( 3.23 )
    -0.09 ( 2.94 )
        Counting Recall Score
    -0.03 ( 4.53 )
    -2.90 ( 3.75 )
        Backward Recall Score
    -0.68 ( 2.03 )
    -0.46 ( 1.83 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in BADD-A Total Score in Participants With Dyslexia Alone

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    End point title
    Change From Baseline to Endpoint in BADD-A Total Score in Participants With Dyslexia Alone
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, & activating to work 2) Focusing, sustaining and shifting attention to tasks 3) Regulating alertness, sustaining effort, & processing speed; 4) Managing frustration & modulating emotions; 5) Utilizing working memory & accessing recall (Brown 2001). Scores range from 0-120. Higher score, more severe ADD. Scores of 0-39 = "ADD possible but not likely". Scores of 40-54 = "ADD probable but not certain". Scores of 55-120 = "ADD highly probable". LS mean calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, & baseline-by-visit interaction. APD: All randomized participants who received atleast 1 dose of study drug and had baseline and post baseline BADD-A measurements. The objectives for this portion of trial centered around participants already exposed to ATX for 16 weeks, so no data for PLA/ATX ae given
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    6
    Units: units on a scale
        least squares mean (standard error)
    -6.96 ( 5.240 )
    7.13 ( 5.240 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in BADD-A Total Score in Participants With ADHD or ADHD + Dyslexia

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    End point title
    Change From Baseline to Endpoint in BADD-A Total Score in Participants With ADHD or ADHD + Dyslexia
    End point description
    BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, & activating to work; 2) Focusing, sustaining & shifting attention to tasks; 3) Regulating alertness, sustaining effort, & processing speed; 4) Managing frustration & modulating emotions; 5) Utilizing working memory & accessing recall (Brown 2001). Scores range from 0-120. The higher score, more severe ADD. Scores of 0-39 equate to "ADD possible but not likely". Scores of 40-54 equate to "ADD probable but not certain". Scores of 55-120 equate to "ADD highly probable". LS mean was calculated using REML-based, MMRM analysis which includes treatment, baseline, visit, treatmentbyvisit interaction, & baselinebyvisit interaction. APD: All randomized participants who received atleast 1dose ofdrug & had baseline, postbaseline BADD-A measurements. Objectives for this portion of trial centered around participants already exposed to ATX for16weeks & no data for PLA/ATX are given
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    10 [65]
    11 [66]
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    -0.90 ( 8.646 )
    14.59 ( 7.892 )
        ADHD Alone
    1.01 ( 4.416 )
    3.69 ( 4.461 )
    Notes
    [65] - ADHD + Dyslexia, ADHD Alone: n = 5
    [66] - ADHD + Dyslexia: n = 6 ADHD Alone: n = 5
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in ADHDRS-IV Total Score in Participants with Dyslexia Alone

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    End point title
    Change from Baseline to Endpoint in ADHDRS-IV Total Score in Participants with Dyslexia Alone
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had baseline and post baseline ADHDRS-IV measurements. The objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks and therefore no data for PLA/ATX are given.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX ATX/PLA
    Number of subjects analysed
    6
    18
    Units: units on a scale
        least squares mean (standard error)
    3.02 ( 2.537 )
    0.27 ( 1.457 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Participants with ADHD or ADHD + Dyslexia

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    End point title
    Change from Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Participants with ADHD or ADHD + Dyslexia
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS mean was calculated using a REML-based, MMRM analysis which includes treatment, baseline, visit, treatment-by-visit interaction, and baseline-by-visit interaction. APD: All randomized participants who received at least one dose of study drug and had baseline and post baseline ADHDRS-IV measurements. The objectives for this portion of the trial centered around participants already exposed to ATX for 16 weeks and therefore no data for PLA/ATX are given.
    End point type
    Secondary
    End point timeframe
    From Week 16, Up to Week 32
    End point values
    ATX/ATX PLA/ATX
    Number of subjects analysed
    10 [67]
    32 [68]
    Units: units on a scale
    least squares mean (standard error)
        ADHD + Dyslexia
    -0.32 ( 3.991 )
    -6.38 ( 1.946 )
        ADHD alone
    -6.29 ( 2.546 )
    -8.83 ( 1.561 )
    Notes
    [67] - ADHD + Dyslexia, ADHD alone: n = 5
    [68] - ADHD + Dyslexia: n = 19 ADHD alone: n = 13
    No statistical analyses for this end point

    Secondary: The Number of Participants with Treatment Emergent Adverse Events (TEAE) in Participants with Dyslexia

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    End point title
    The Number of Participants with Treatment Emergent Adverse Events (TEAE) in Participants with Dyslexia [69]
    End point description
    The number of participants who experienced one or more treatment emergent adverse events (TEAEs) and who had Dyslexia A summary of other non-serious adverse events and all serious adverse events, regardless of causality, is located in the Reported Adverse Events Section. APD: All randomized participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    16 Weeks
    Notes
    [69] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    16
    15
    Units: participants
    13
    11
    No statistical analyses for this end point

    Secondary: The Number of Participants with TEAE in Participants with ADHD or ADHD+Dyslexia.

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    End point title
    The Number of Participants with TEAE in Participants with ADHD or ADHD+Dyslexia. [70]
    End point description
    The number of participants who experienced one or more TEAEs and who had ADHD and ADHD+Dyslexia. A summary of other non-serious adverse events and all serious adverse events, regardless of causality, is located in the Reported Adverse Events Section. APD: All randomized participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    16 Weeks
    Notes
    [70] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo
    Number of subjects analysed
    28
    29
    Units: participants
        ADHD + Dyslexia
    12
    14
        ADHD alone
    12
    8
    No statistical analyses for this end point

    Secondary: The Number of Participants with TEAE in Participants with Dyslexia

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    End point title
    The Number of Participants with TEAE in Participants with Dyslexia
    End point description
    The number of participants with at least one TEAE and had Dyslexia. A summary of other non-serious adverse events and all serious adverse events, regardless of causality, is located in the Reported Adverse Events Section. APD: All randomized participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    From 16 Weeks Up to Week 32
    End point values
    ATX/ATX ATX/PLA PLA/ATX
    Number of subjects analysed
    7
    6
    12
    Units: participants
    3
    2
    8
    No statistical analyses for this end point

    Secondary: The Number of Participants With TEAE in Participants With ADHD or ADHD+Dyslexia.

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    End point title
    The Number of Participants With TEAE in Participants With ADHD or ADHD+Dyslexia.
    End point description
    The number of participants who experienced one or more TEAEs with ADHD and ADHD + Dyslexia. A summary of other non-serious adverse events and all serious adverse events, regardless of causality, is located in the Reported Adverse Events Section. APD: All randomized participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    From Week 16 Up to Week 32
    End point values
    ATX/ATX ATX/PLA PLA/ATX
    Number of subjects analysed
    12
    12
    18
    Units: participants
        ADHD + Dyslexia
    2
    2
    10
        ADHD Alone
    3
    4
    8
    No statistical analyses for this end point

    Secondary: Number of Participants with Adverse Events

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    End point title
    Number of Participants with Adverse Events [71]
    End point description
    Number of participants who had at least one adverse event. A summary of other non-serious adverse events and all serious adverse events, regardless of causality, is located in the Reported Adverse Events Section. APD: All randomized participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    32 Weeks
    Notes
    [71] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Atomoxetine Placebo ATX/ATX ATX/PLA PLA/ATX
    Number of subjects analysed
    45
    44
    18
    18
    35
    Units: participants
    35
    31
    8
    8
    25
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Healthy Participants

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Healthy Participants [72]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A and B) alternating two batteries of tests—Standard and Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. The standard score scale is a mean (M) of 100 and a standard deviation (SD) of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 and below is very low and 131 and above is very superior. Higher scores indicate better reading skills. APD: All healthy participants who had evaluable baseline and post baseline WJ III measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [72] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Letter Word Identification
    -3.42 ( 5.18 )
        Word Attack Score
    -2.74 ( 6.54 )
        Reading Vocabulary
    -0.63 ( 7.87 )
        Reading Fluency
    5.37 ( 10.45 )
        Reading Comprehension
    -1.84 ( 6.98 )
        Spelling
    2.21 ( 5.70 )
        Spelling of Sounds
    -2.16 ( 18.35 )
        Basic Reading Skills
    -3.58 ( 5.10 )
        Passage Comprehension
    -2.11 ( 7.89 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in CTOPP Composite Scores in Healthy Participants

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    End point title
    Change From Baseline to Endpoint in CTOPP Composite Scores in Healthy Participants [73]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. APD: All healthy participants who had evaluable baseline and post baseline CTOPP measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [73] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Phonological Awareness
    3.63 ( 11.12 )
        Phonological Memory
    2.05 ( 3.88 )
        Rapid Naming Score
    0.63 ( 10.75 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Healthy Participants [74]
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. APD: All healthy participants who had evaluable baseline and post baseline GORT-4 measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 weeks
    Notes
    [74] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Oral Reading Rate
    0.74 ( 1.52 )
        Accuracy
    0.68 ( 2.60 )
        Fluency
    0.74 ( 1.97 )
        Reading Comprehension
    -0.16 ( 2.95 )
        Oral Reading Quotient
    -3.42 ( 24.58 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint TOWRE Total Score in Healthy Participants

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    End point title
    Change from Baseline to Endpoint TOWRE Total Score in Healthy Participants [75]
    End point description
    The TOWRE is a measure of an individual's ability to pronounce printed words accurately and fluently and is appropriate for individuals aged 6 to 24 years old. The TOWRE contains two subtests: Sight Word Efficiency (SWE) which assesses the number of real printed words that can be accurately identified within 45 seconds and Phonemic Decoding Efficiency (PDE) which measures the number of pronounceable printed non-words that can be accurately decoded within 45 seconds. The total standard score ranges from 35-165. Higher scores indicate higher reading proficiency and lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analyses which includes diagnostic group, visit, and diagnostic group-by-visit interaction. APD: All healthy participants who had evaluable baseline and post baseline TOWRE measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [75] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
        least squares mean (standard error)
    0.20 ( 1.487 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in WMTB-C in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in WMTB-C in Healthy Participants [76]
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). APD: All healthy participants who had evaluable baseline and post baseline WMTB-C measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [76] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Digit Recall Score
    2.47 ( 4.50 )
        Word List Matching Score
    -0.95 ( 5.38 )
        Word List Recall Score
    1.79 ( 2.53 )
        Nonword List Recall Score
    0.58 ( 4.31 )
        Block Recall Score
    1.63 ( 4.83 )
        Mazes Memory Score
    1.11 ( 7.72 )
        Listening Recall Score
    -0.58 ( 3.61 )
        Counting Recall Score
    0.37 ( 3.44 )
        Backward Digit Recall Score
    2.95 ( 4.17 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in BADD-A Total Score in Healthy Participants

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    End point title
    Change From Baseline to Endpoint in BADD-A Total Score in Healthy Participants [77]
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, and activating to work; 2) Focusing, sustaining and shifting attention to tasks; 3) Regulating alertness, sustaining effort, and processing speed; 4) Managing frustration and modulating emotions; 5) Utilizing working memory and accessing recall (Brown 2001). Scores range from 0-120. The higher the score the more severe the ADD. Scores of 0-39 equate to "ADD possible but not likely". Scores of 40-54 equate to "ADD probable but not certain". Scores of 55-120 equate to "ADD highly probable". LS mean was calculated using a REML-based, MMRM analysis which includes the effects of diagnostic group, visit, and diagnostic group-by-visit interaction. APD: All participants who had evaluable baseline and post baseline BADD-A measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [77] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
        least squares mean (standard error)
    1.42 ( 3.572 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in ADHDRS-IV Total Score in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in ADHDRS-IV Total Score in Healthy Participants [78]
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS mean was calculated using a REML-based, MMRM analysis which includes diagnostic group, visit, and diagnostic group-by-visit interaction. APD: All healthy participants who had evaluable baseline and post baseline ADHDRS-IV measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 16 Weeks
    Notes
    [78] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
        least squares mean (standard error)
    0.15 ( 1.055 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in WJ III Individual Scores in Healthy Participants

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    End point title
    Change From Baseline to Endpoint in WJ III Individual Scores in Healthy Participants [79]
    End point description
    WJ III (Woodcock et al. 2001) has two parallel forms (A and B) alternating two batteries of tests—Standard and Extended. Standard tests (1 -12) have a broad set of scores. Extended tests (13 -22) have a more in-depth diagnostic assessment of academic strengths and weaknesses. Tests administered were 1, 2, 7, 9, 13, 17, and 20. The standard score scale is a mean (M) of 100 and a standard deviation (SD) of 15. The WJ III ACH has extended standard scores, which is a greater range of standard scores. Scores for each individual test range from 0 to over 200 where 69 and below is very low and 131 and above is very superior. Higher scores indicate better reading skills. APD: All healthy participants who had baseline and post-baseline WJ III measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    Notes
    [79] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Letter Word Identification
    -0.37 ( 5.45 )
        Word Attack Score
    -3.58 ( 7.23 )
        Reading Vocabulary
    0.79 ( 7.79 )
        Reading Comprehension
    0.47 ( 7.99 )
        Reading Fluency
    7.84 ( 11.69 )
        Spelling
    1.95 ( 4.49 )
        Spelling of Sounds
    3.63 ( 18.94 )
        Basic Reading Skills Score
    -2.00 ( 5.35 )
        Passage Comprehension
    0.05 ( 9.34 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in CTOPP Composite Scores in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in CTOPP Composite Scores in Healthy Participants [80]
    End point description
    The CTOPP assesses phonological awareness, phonological memory, and rapid naming and is appropriate for ages 7 to 24. The test contains six core subtests. The composite scores are 1) Phonological Awareness, comprised of the standard scores of the Elision and Blending Words; 2) Phonological Memory, comprised of standard scores for Memory for Digits and Non-word Repetition; and 3) Rapid Naming, comprised of standard scores for Rapid Digit Naming and Rapid Letter Naming. Standard scores range from 1-20, and composite scores range from 35-165. Higher scores are better and lower scores are poor. APD: All healthy participants who had evaluable baseline and post baseline CTOPP measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 weeks
    Notes
    [80] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint is planned only for these reporting arms in the baseline period.
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Phonological Awareness
    3.63 ( 11.12 )
        Phonological Memory
    2.05 ( 3.88 )
        Rapid Naming Score
    0.63 ( 10.75 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in GORT-4 in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in GORT-4 in Healthy Participants
    End point description
    The GORT-4 is a norm-referenced test of oral reading rate, accuracy, fluency, and comprehension valid for individuals aged 6 to 18 years old. The test has two parallel forms, Form A and Form B, that are administered in an alternating fashion (e.g. Week 0-Form A, Week 16-Form B, Week 32-Form A.) with each containing 14 separate stories and 5 multiple-choice comprehension questions for each story. GORT-4 yields the following scores: rate, accuracy, fluency, comprehension, and overall reading ability. Standard scores range from 1-20. Higher scores indicate better reading skills. Lower scores indicate poor reading skills. APD: All healthy participants who had evaluable baseline and post baseline GORT-4 measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Oral Reading Rate
    0.74 ( 1.52 )
        Accuracy
    0.68 ( 2.60 )
        Fluency
    0.74 ( 1.97 )
        Comprehension
    -0.16 ( 2.95 )
        Oral Reading Quotient
    -3.42 ( 24.58 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in TOWRE Total Score in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in TOWRE Total Score in Healthy Participants
    End point description
    The TOWRE is a measure of an individual's ability to pronounce printed words accurately and fluently and is appropriate for individuals aged 6 to 24 years old. The TOWRE contains two subtests: Sight Word Efficiency (SWE) which assesses the number of real printed words that can be accurately identified within 45 seconds and Phonemic Decoding Efficiency (PDE) which measures the number of pronounceable printed non-words that can be accurately decoded within 45 seconds. The total standard score ranges from 35-165. Higher scores indicate higher reading proficiency and lower scores indicate lower reading proficiency. LS mean was calculated using a REML-based, MMRM analysis which includes diagnostic group, visit, and diagnostic group-by-visit interaction. APD: All healthy participants who had evaluable baseline and post baseline TOWRE measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
        least squares mean (standard error)
    4.05 ( 1.578 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in WMTB-C in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in WMTB-C in Healthy Participants
    End point description
    WMTB-C is assessment of working memory capacities, consisting of 9 subtests (Trials Correct Scores [Range from 55-145], Higher scores are better, Lower scores are poor) reflecting 3 main components of working memory: central executive (CE) control/regulation of working memory (Backward Digit Recall, Listening Recall, Counting Recall); phonological loop (PL) responsible for holding verbal information for short periods (Digit Recall, Word List Matching, Word List Recall, Non-word List Recall); and visuo-spatial sketchpad (VSSP) which holds information in visual and spatial form (Block Recall, Mazes Memory). APD: All healthy participants who had evaluable baseline and post baseline WMTB-C measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
    arithmetic mean (standard deviation)
        Digit Recall Score
    2.47 ( 4.50 )
        Word List Matching Score
    -0.95 ( 5.38 )
        Word List Recall Score
    1.79 ( 2.53 )
        Nonword List Recall Score
    0.58 ( 4.31 )
        Block Recall Score
    1.63 ( 4.83 )
        Mazes Memory Score
    1.11 ( 7.72 )
        Listening Recall Score
    -0.58 ( 3.61 )
        Counting Recall Score
    0.37 ( 3.44 )
        Backwards Digit Recall Score
    2.95 ( 4.17 )
    No statistical analyses for this end point

    Secondary: Change from Baseline to Endpoint in BADD-A Total Score in Healthy Participants

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    End point title
    Change from Baseline to Endpoint in BADD-A Total Score in Healthy Participants
    End point description
    The BADD-A is used to assess impairment in executive functions related to ADHD. These include 1) Organizing, prioritizing, and activating to work; 2) Focusing, sustaining and shifting attention to tasks; 3) Regulating alertness, sustaining effort, and processing speed; 4) Managing frustration and modulating emotions; 5) Utilizing working memory and accessing recall (Brown 2001). Scores range from 0-120. The higher the score the more severe the ADD. Scores of 0-39 equate to "ADD possible but not likely". Scores of 40-54 equate to "ADD probable but not certain". Scores of 55-120 equate to "ADD highly probable". LS mean was calculated using a REML-based, MMRM which includes the effects of diagnostic group, visit, diagnostic group-by-visit interaction. APD: All healthy participants who had evaluable baseline and post baseline BADD-A measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
        least squares mean (standard error)
    5.74 ( 3.991 )
    No statistical analyses for this end point

    Secondary: Change From Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Healthy Participants

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    End point title
    Change From Baseline to Endpoint in ADHDRS-IV-Parent: Inv Total Score in Healthy Participants
    End point description
    The ADHDRS-IV-Parent is an 18-item scale with 1 item for each of the 18 symptoms contained in the DSM-IV diagnosis of ADHD. Each item is scored on a 0 to 3 scale: 0=none (never or rarely); 1=mild (sometimes); 2=moderate (often); 3=severe (very often). Total scores range from 0-54. Higher scores indicate higher impairment and lower scores indicate no impairment. LS mean was calculated using a REML-based, MMRM analysis which includes the effects of diagnostic group, visit, diagnostic group-by-visit interaction. APD: All healthy participants who had evaluable baseline and post baseline ADHDRS-IV measurements.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 Weeks
    End point values
    Healthy Participants
    Number of subjects analysed
    19
    Units: units on a scale
        least squares mean (standard error)
    1.17 ( 1.046 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline Up To 34 Weeks
    Adverse event reporting additional description
    The safety population includes all randomized participants who received one dose of study drug. Healthy participants did not receive any drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    Atomoxetine - Acute Phase (SPII)
    Reporting group description
    Atomoxetine 1.0 to 1.4 mg/kg was administered orally once daily in the morning for 16 weeks, during SP II. All eligible participants who received atomoxetine during SP II and completed that period were re-randomized to atomoxetine or placebo in SP III.

    Reporting group title
    Placebo - Acute Phase (SPII)
    Reporting group description
    Placebo was packaged in the same way as active comparator to enforce double-blind study design. Placebo was given orally, daily for 16 weeks during SP II. All eligible participants who received placebo during SP II and completed that period were assigned atomoxetine in SP III.

    Reporting group title
    Placebo/Atomoxetine - Rerandomization Phase (SPIII)
    Reporting group description
    These participants were randomized to placebo in SP II and were assigned to atomoxetine in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.

    Reporting group title
    Atomoxetine/Placebo - Rerandomization Phase (SPIII)
    Reporting group description
    These participants were randomized to atomoxetine in SP II and were re-randomized to placebo in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.

    Reporting group title
    Atomoxetine/Atomoxetine - Rerandomization Phase (SPIII)
    Reporting group description
    These participants were randomized to atomoxetine in SP II and were re-randomized to atomoxetine in SP III. Atomoxetine was dosed orally once-daily in the morning 0.5 mg/kg/day for 3 days and then titrated up to a dose between 1.2 and 1.4 mg/kg/day.

    Serious adverse events
    Atomoxetine - Acute Phase (SPII) Placebo - Acute Phase (SPII) Placebo/Atomoxetine - Rerandomization Phase (SPIII) Atomoxetine/Placebo - Rerandomization Phase (SPIII) Atomoxetine/Atomoxetine - Rerandomization Phase (SPIII)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Atomoxetine - Acute Phase (SPII) Placebo - Acute Phase (SPII) Placebo/Atomoxetine - Rerandomization Phase (SPIII) Atomoxetine/Placebo - Rerandomization Phase (SPIII) Atomoxetine/Atomoxetine - Rerandomization Phase (SPIII)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    35 / 45 (77.78%)
    31 / 44 (70.45%)
    25 / 35 (71.43%)
    8 / 18 (44.44%)
    8 / 18 (44.44%)
    General disorders and administration site conditions
    fatigue
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    15 / 45 (33.33%)
    5 / 44 (11.36%)
    3 / 35 (8.57%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    15
    5
    3
    1
    0
    therapeutic response unexpected
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    13 / 45 (28.89%)
    10 / 44 (22.73%)
    5 / 35 (14.29%)
    3 / 18 (16.67%)
    2 / 18 (11.11%)
         occurrences all number
    20
    12
    6
    5
    2
    Social circumstances
    educational problem
    Additional description: The safety population includes all randomized participants who received one dose of study drug. Healthy participants did not receive any drug.
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    1 / 45 (2.22%)
    1 / 44 (2.27%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    1
    1
    0
    1
    0
    Reproductive system and breast disorders
    dysmenorrhoea
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed [1]
    0 / 18 (0.00%)
    0 / 17 (0.00%)
    1 / 12 (8.33%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    cough
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    3 / 45 (6.67%)
    4 / 44 (9.09%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    3
    4
    0
    0
    0
    oropharyngeal pain
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    1 / 35 (2.86%)
    1 / 18 (5.56%)
    2 / 18 (11.11%)
         occurrences all number
    0
    0
    1
    1
    2
    nasal congestion
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    3 / 45 (6.67%)
    2 / 44 (4.55%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    3
    2
    0
    0
    0
    Psychiatric disorders
    abnormal behaviour
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    2 / 44 (4.55%)
    2 / 35 (5.71%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    0
    2
    2
    0
    0
    attention deficit/hyperactivity disorder
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    emotional disorder
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    3 / 45 (6.67%)
    1 / 44 (2.27%)
    4 / 35 (11.43%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    3
    1
    4
    0
    0
    initial insomnia
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    1 / 44 (2.27%)
    2 / 35 (5.71%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    1
    2
    1
    0
    irritability
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    3 / 45 (6.67%)
    1 / 44 (2.27%)
    5 / 35 (14.29%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    3
    1
    5
    0
    0
    personality change
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    nightmare
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    3 / 44 (6.82%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    0
    3
    0
    0
    0
    mood swings
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    1 / 45 (2.22%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    1
    0
    0
    1
    0
    Investigations
    neutrophil count decreased
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    0
    1
    monocyte count decreased
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    0
    1
    weight decreased
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    8 / 45 (17.78%)
    2 / 44 (4.55%)
    9 / 35 (25.71%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    8
    2
    9
    0
    0
    white blood cell count decreased
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    0
    1
    Injury, poisoning and procedural complications
    animal bite
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    0
    1
    contusion
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    1 / 45 (2.22%)
    3 / 44 (6.82%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    1
    4
    0
    0
    0
    joint dislocation
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Nervous system disorders
    disturbance in attention
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    1 / 35 (2.86%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    0
    1
    1
    0
    dizziness
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    4 / 45 (8.89%)
    0 / 44 (0.00%)
    1 / 35 (2.86%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    4
    0
    1
    0
    0
    headache
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    12 / 45 (26.67%)
    6 / 44 (13.64%)
    3 / 35 (8.57%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    12
    6
    3
    0
    0
    somnolence
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    1
    1
    psychomotor hyperactivity
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    Gastrointestinal disorders
    abdominal discomfort
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    4 / 44 (9.09%)
    2 / 35 (5.71%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    0
    4
    2
    0
    0
    abdominal pain upper
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    10 / 45 (22.22%)
    12 / 44 (27.27%)
    4 / 35 (11.43%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    10
    12
    4
    0
    0
    constipation
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    1 / 44 (2.27%)
    0 / 35 (0.00%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    0
    1
    0
    1
    0
    nausea
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    7 / 45 (15.56%)
    5 / 44 (11.36%)
    1 / 35 (2.86%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    7
    5
    1
    0
    0
    vomiting
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    2 / 45 (4.44%)
    0 / 44 (0.00%)
    2 / 35 (5.71%)
    1 / 18 (5.56%)
    0 / 18 (0.00%)
         occurrences all number
    2
    0
    2
    1
    0
    Skin and subcutaneous tissue disorders
    skin hyperpigmentation
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    0
    1
    Musculoskeletal and connective tissue disorders
    tendonitis
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    0 / 45 (0.00%)
    0 / 44 (0.00%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    0
    0
    0
    0
    1
    Infections and infestations
    influenza
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    3 / 45 (6.67%)
    2 / 44 (4.55%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
         occurrences all number
    3
    2
    0
    0
    1
    upper respiratory tract infection
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    1 / 45 (2.22%)
    2 / 44 (4.55%)
    2 / 35 (5.71%)
    1 / 18 (5.56%)
    1 / 18 (5.56%)
         occurrences all number
    1
    2
    2
    1
    1
    rhinitis
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    4 / 45 (8.89%)
    4 / 44 (9.09%)
    1 / 35 (2.86%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    4
    4
    1
    0
    0
    Metabolism and nutrition disorders
    decreased appetite
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    8 / 45 (17.78%)
    2 / 44 (4.55%)
    8 / 35 (22.86%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    8
    2
    8
    0
    0
    increased appetite
    alternative dictionary used: MedDRA 19.0
         subjects affected / exposed
    1 / 45 (2.22%)
    3 / 44 (6.82%)
    0 / 35 (0.00%)
    0 / 18 (0.00%)
    0 / 18 (0.00%)
         occurrences all number
    1
    3
    0
    0
    0
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    12 Oct 2012
    - Addition of Synopsis - Update of safety reporting - Objectives were updated to organize all objectives based on patient diagnostic criteria - Exclusion Criteria was updated to exclude subjects weighing 25 kg or less - Treatments Administered required a change as a result of the unavailability of the 2.5 mg and 5 mg capsules and a 10 mg clinical trial package which are needed for the 18 to 25 kg weight range.

    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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