Trial Outcomes & Findings for Open-label, Single-dose Trial to Assess the Pharmacokinetics of Centanafadine Extended-release Capsules in Pediatric Participants With Attention-deficit Hyperactivity Disorder (ADHD) (NCT NCT04081363)

NCT ID: NCT04081363

Last Updated: 2023-01-13

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

1, 2, 3, 4, 6, 8, 10,12 hours post dose on Day 1 and 22-26 hours post dose on Day 2

Results posted on

2023-01-13

Participant Flow

Participants took part in the study at 2 investigative sites in the United States from 07 October 2019 to 21 December 2019.

A total of 20 participants were screened and 13 participants were enrolled in the study to receive centanafadine as capsules or sprinkled onto applesauce.

Participant milestones

Participant milestones
Measure
Swallowed Capsules Cohort
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
Overall Study
STARTED
7
6
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Swallowed Capsules Cohort
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Open-label, Single-dose Trial to Assess the Pharmacokinetics of Centanafadine Extended-release Capsules in Pediatric Participants With Attention-deficit Hyperactivity Disorder (ADHD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Swallowed Capsules Cohort
n=7 Participants
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
n=6 Participants
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
Total
n=13 Participants
Total of all reporting groups
Age, Continuous
10.6 years
STANDARD_DEVIATION 1.0 • n=99 Participants
10.5 years
STANDARD_DEVIATION 1.4 • n=107 Participants
10.5 years
STANDARD_DEVIATION 1.1 • n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
4 Participants
n=107 Participants
4 Participants
n=206 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
2 Participants
n=107 Participants
9 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=99 Participants
4 Participants
n=107 Participants
10 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
White
6 Participants
n=99 Participants
4 Participants
n=107 Participants
10 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 6, 8, 10,12 hours post dose on Day 1 and 22-26 hours post dose on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants who received the single dose of centanafadine and had at least 1 postdose evaluable plasma concentration.

Outcome measures

Outcome measures
Measure
Swallowed Capsules Cohort
n=6 Participants
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
n=6 Participants
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
Pharmacokinetic (PK) Parameter: Maximum Plasma Concentration (Cmax) of Centanafadine
153 nanograms per milliliter (ng/mL)
Standard Deviation 51.4
129 nanograms per milliliter (ng/mL)
Standard Deviation 52.8

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 6, 8, 10,12 hours post dose on Day 1 and 22-26 hours post dose on Day 2

Population: PK analysis set included all participants who received the single dose of centanafadine and had at least 1 postdose evaluable plasma concentration.

Outcome measures

Outcome measures
Measure
Swallowed Capsules Cohort
n=6 Participants
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
n=6 Participants
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
PK Parameter: Time to Maximum Plasma Concentration (Tmax) of Centanafadine
3.03 hours (h)
Interval 2.0 to 10.0
2.58 hours (h)
Interval 1.03 to 6.0

PRIMARY outcome

Timeframe: 0 to 12 hours post dose on Day 1

Population: PK analysis set included all participants who received the single dose of centanafadine and had at least 1 postdose evaluable plasma concentration.

Outcome measures

Outcome measures
Measure
Swallowed Capsules Cohort
n=6 Participants
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
n=6 Participants
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
PK Parameter: Area Under Concentration-time Curve From Time 0 to 12 Hours Postdose (AUC0-12h) of Centanafadine
962 h*ng/mL
Standard Deviation 320
828 h*ng/mL
Standard Deviation 346

Adverse Events

Swallowed Capsules Cohort

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Sprinkled Onto Applesauce Cohort

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Swallowed Capsules Cohort
n=7 participants at risk
Participants swallowed two capsules of centanafadine (one containing a 50-milligram \[mg\] dose as extended release beads and other containing a 5-mg dose as immediate-release \[IR\] beads), total dose of 55 mg, orally in the morning of Day 1 following a minimum 8-hour fast.
Sprinkled Onto Applesauce Cohort
n=6 participants at risk
Participants were administered centanafadine 55 mg, contents of 2 capsules (one containing a 50-mg dose as beads and other containing a 5-mg dose as IR beads) sprinkled on a tablespoon of applesauce, orally in the morning of Day 1 following a minimum 8-hour fast.
General disorders
Vessel Puncture Site Bruise
14.3%
1/7 • Screening up to last follow-up (approximately 30 days)
Safety analysis set included all participants who received the single dose of centanafadine.
0.00%
0/6 • Screening up to last follow-up (approximately 30 days)
Safety analysis set included all participants who received the single dose of centanafadine.

Additional Information

Global Clinical Development

Otsuka Pharmaceutical Development & Commercialization, Inc.

Phone: 1-609-524-6788

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place