The purpose of this study is to evaluate the efficacy and safety/tolerability of 3 different dosages of JNJ-31001074 compared with placebo in adult patients with attention-deficit/hyperactivity disorder (ADHD).
This will be a randomized (study drug assigned by chance), double-blind (neither the investigator nor the patient know the name of the assigned study drug), placebo- and active-controlled, parallel-group, multicenter study in patients with adult ADHD. The study population will include approximately 426 male and female patients, 18 to 55 years of age (inclusive) with a DSM-IV diagnosis of ADHD, who will be randomly assigned (like flipping a coin) in a 1:1:1:1:1:1 ratio to 1 of 6 treatment groups (1 milligrams per day \[mg/d\] JNJ-31001074, 3 mg/d JNJ-31001074, 10 mg/d JNJ 31001074, 80 mg/d atomoxetine HCl, 54 mg/d controlled-release \[OROS\] methylphenidate HCl, or placebo). Study centers will make every attempt to include approximately 4 women for every 10 men randomized. The study will consist of 3 phases: a screening phase of up to 7 days; a 42-day double-blind treatment phase; and a 7-day post-treatment phase, in which the investigator staff will call patients 7 days after the last dose of study drug, to ask about any adverse events. The total duration of patient participation will be approximately 8 weeks. During the screening and double-blind treatment phases, patients will have periodic assessments at visits (screening, Day 1, Day 4, Day 7, Day 14, Day 28, and Day 42) of the following: severity of ADHD symptoms, including inattention and impulsivity; daily function; sleep experience; and cigarette consumption and cigarette craving. In addition, patients will be asked to include an adult household member to complete the observer version of the Conners Adult ADHD Rating Scale (CAARS-O:SV) at the beginning and end of the study. Patients will take one oral capsules each day in the morning upon awakening, either JNJ-31001074 (1, 3, or 10 mg), matching atomoxetine HCL (40 or 80 mg), matching OROS methylphenidate HCl (36 or 54 mg), or matching placebo. For atomoxetine HCl, patients will receive 40 mg/d for the first 3 days, and 80 mg/d for the remainder of the study. For OROS methylphenidate HCl, patients will receive 36 mg/d for the first 3 days, and 54 mg/d for the remainder of the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
430
40-mg capsule for 3 days, followed by 80-mg capsule once daily for 39 days
Placebo capsule once daily for 42 days
36-mg capsule for 3 days, followed by 54-mg capsule once daily for 39 days
Unnamed facility
Little Rock, Arkansas, United States
Change from baseline in the ADHD rating scale total score
Time frame: Through Day 42
Secondary endpoints will include Clinical Global Impression of Change (CGI-C).
Time frame: At the end of the double-blind treatment phase (Day 42)
Other secondary endpoints will include the change from baseline in the Conners Adult ADHD Rating Scale (CAARS-S:SV) and the Clinical Global Impression - Severity (CGI-S).
Time frame: Through the end of the double-blind treatment phase (Day 42)
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3-mg capsule once daily for 42 days
1-mg capsule once daily for 42 days
10-mg capsule once daily for 42 days
Unnamed facility
Lafayette, California, United States
Unnamed facility
Los Alamitos, California, United States
Unnamed facility
Santa Ana, California, United States
Unnamed facility
Wildomar, California, United States
Unnamed facility
Bradenton, Florida, United States
Unnamed facility
Jacksonville, Florida, United States
Unnamed facility
North Miami, Florida, United States
Unnamed facility
Orlando, Florida, United States
Unnamed facility
South Miami, Florida, United States
...and 25 more locations