This study is a Phase 3, multicenter, dose-optimized, double-blind, randomized, placebo-controlled study designed to evaluate the efficacy, safety, and tolerability of oral AK0901 capsules in children 6 to 12 years old with Attention Deficit Hyperactivity Disorder(ADHD).
The study consists of an approximately 28-day screening period, a 28-day double-blind treatment period, and a follow-up period for 5±2 days. During the screening period, all subjects must sign an informed consent form and complete all assessment items at the screening visit prior to the screening. Study drug is started within 28 days of signing the informed consent form. During the double-blind treatment period, all eligible subjects are randomized 1:1 to receive AK0901 or placebo once daily for 4 weeks. During the first week, all subjects are given a starting dose of 39.2 mg/7.8 mg AK0901 or matching placebo; from the second week, the dose drug can be increased or decreased, or maintained at the original dose level at weekly follow-up depending on tolerability and optimal individual dose response at the investigator's discretion. After the last dose in the double-blind treatment period, subjects will enter a 5 ± 2 day follow-up period for safety assessments. The primary analysis will be performed after all subjects have completed the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
50
Active Substance: AK0901, Pharmaceutical Form: Capsule, Route of Administration: Oral
Active Substance: Placebo, Pharmaceutical Form: Capsule, Route of Administration: Oral
Beijing anding hospital capital medical university
Beijing, Beijing Municipality, China
Peking university sixth hospital
Beijing, Beijing Municipality, China
To evaluate the efficacy of AK0901 compared to placebo in children 6 to 12 years old with ADHD.
Change from baseline in ADHD-RS-5\* total score at Week 3. Attention-Deficit Hyperactivity Disorder Rating Scale 5 is a scale containing 18 symptomatic entries with each entry scored on a 4-point scale. Each entry is scored using a frequency assessment from 0 (symptom never or rarely) to 3 (symptom very frequent), with a total score ranging from 0 to 54. A decreasing value of the total score represents a clinical improvement. Unless otherwise noted, the last non-missing measurement/assessment before the first dose of the investigational product is defined as the Baseline measurement. If a measurement/evaluation is performed on the same day of the first dose of the investigational product, these measurements will be considered as Baselines.
Time frame: From Baseline (Pre-dose on Day 1) to week 3
Change from baseline in ADHD-RS-5 total score at Week 4.
Attention-Deficit Hyperactivity Disorder Rating Scale 5 is a scale containing 18 symptomatic entries with each entry scored on a 4-point scale. Each entry is scored using a frequency assessment from 0 (symptom never or rarely) to 3 (symptom very frequent), with a total score ranging from 0 to 54. A decreasing value of the total score represents a clinical improvement. Unless otherwise noted, the last non-missing measurement/assessment before the first dose of the investigational product is defined as the Baseline measurement. If a measurement/evaluation is performed on the same day of the first dose of the investigational product, these measurements will be considered as Baselines.
Time frame: From Baseline (Pre-dose on Day 1) to week 4
Changes in ADHD-RS-5 inattention subscale score from baseline to each visit in the Double-Blind Treatment Period
Attention-Deficit Hyperactivity Disorder Rating Scale 5 is a scale containing 18 symptomatic entries with each entry scored on a 4-point scale. Each entry is scored using a frequency assessment from 0 (symptom never or rarely) to 3 (symptom very frequent), with a total score ranging from 0 to 54.The 18 entries in the ADHD-RS-5 can be divided into two 9-item subscales, one to assess impulsivity-hyperactivity and the other to assess attention deficits.A decreasing value of the total score represents a clinical improvement.
Jiayi Mai
CONTACT
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: From Baseline (Pre-dose on Day 1) to week 4
Changes in ADHD-RS-5 hyperactivity/impulsivity subscale score from baseline to each visit in the Double-Blind Treatment Period.
Attention-Deficit Hyperactivity Disorder Rating Scale 5 is a scale containing 18 symptomatic entries with each entry scored on a 4-point scale. Each entry is scored using a frequency assessment from 0 (symptom never or rarely) to 3 (symptom very frequent), with a total score ranging from 0 to 54.The 18 entries in the ADHD-RS-5 can be divided into two 9-item subscales, one to assess impulsivity-hyperactivity and the other to assess attention deficits.A decreasing value of the total score represents a clinical improvement.
Time frame: From Baseline (Pre-dose on Day 1) to week 4
Change in CGI-S score from baseline to each visit in the Double-Blind Treatment Period
Clinical Global Impressions - Severity is a clinical rating scale used to assess the severity of psychopathology (ADHD symptoms in this study) on a scale from 1 to 7.A decreasing value of the score represents a clinical improvement.
Time frame: From Baseline (Pre-dose on Day 1) to week 4
CGI-I scores from V3 at each visit in the Double-Blind Treatment Period
Clinical Global Impressions - Improvement is a clinical rating scale used to assess the degree of improvement in psychopathology (ADHD symptoms in this study) on a scale from 1 to 7. A decreasing value of the score represents a clinical improvement.
Time frame: From V3 (week 1) to week 4
Change in WREMB-R score from baseline to each visit in the Double-Blind Treatment
Weekly Rating of Evening and Morning Behavior - Revised is an 11-entry questionnaire to assess behavioral severity in the morning (3 entries) and evening (8 entries). Scores for each entry range from 0 to 3. A decreasing value of the total score represents a clinical improvement.
Time frame: From Baseline to week 4
Proportion of subjects with adverse events (AEs) occurring during the study
To evaluate the safety and tolerability of AK0901.
Time frame: From Baseline to Day 33
Proportion of subjects with serious adverse events (SAEs) occurring during the study
To evaluate the safety and tolerability of AK0901.
Time frame: From Baseline to Day 33
Changes in respiratory rate during the study
To explore the difference in respiratory rate (bpm) with clinical significance between subjects on AK0901 and those on placebo.
Time frame: From Baseline to Day 33
Changes in heart rate during the study
To explore the difference in heart rate/pulse (bpm) with clinical significance between subjects on AK0901 and those on placebo.
Time frame: From Baseline to Day 33
Changes in body temperature during the study
To explore the difference in body temperature (Celsius) with clinical significance between subjects on AK0901 and those on placebo.
Time frame: From Baseline to Day 33
Changes in systolic blood pressure during the study
To explore the difference in systolic blood pressure (mmHg) with clinical significance between subjects on AK0901 and those on placebo.
Time frame: From Baseline to Day 33
Changes in diastolic blood pressure during the study
To explore the difference in diastolic blood pressure (mmHg) with clinical significance between subjects on AK0901 and those on placebo.
Time frame: From Baseline to Day 33
Change from baseline in QT intervals from resting EKGs
EKGs will be performed after the subject has been supine for at least 3 minutes
Time frame: Screen/day -1/day1/day14/day28/day33
Change from baseline in QTcF intervals from resting EKGs
EKGs will be performed after the subject has been supine for at least 3 minutes
Time frame: Screen/day -1/day1/day14/day28/day33
Change from baseline in heart rate resting EKGs
EKGs will be performed after the subject has been supine for at least 3 minutes
Time frame: Screen/day -1/day1/day14/day28/day33
Change from baseline in QRS intervals from resting EKGs
EKGs will be performed after the subject has been supine for at least 3 minutes
Time frame: Screen/day -1/day1/day14/day28/day33
Change from baseline in PR intervals from resting EKGs
EKGs will be performed after the subject has been supine for at least 3 minutes
Time frame: Screen/day -1/day1/day14/day28/day33
Change in CSHQ score from baseline to each visit in the Double-Blind Treatment Period
Children's Sleep Habits Questionnaire is a retrospective questionnaire containing 33 entries to examine sleep behavior in children. Entries in the key sleep domain are scored on a 3-point scale.A decreasing value of the total score represents a clinical improvement.
Time frame: From Baseline to Day 33