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This study was designed to assess the pharmacokinetic effects of a single dose of HLD200 (methylphenidate hydrochloride) in children and adolescents with ADHD.
This study utilized a single-center, open-label, single-treatment, fasted design to examine the rate and extent of absorption of evening-administered HLD200 in children (6-12 years) and adolescents (13-17 years) with ADHD.
Following a screening period that included five days washout to allow for clearance of any prior ADHD medications, subjects were domiciled in-clinic and administered HLD200 (B-formulation; 54 mg; oral capsule) at 9 pm under fasted conditions. Subjects were then observed for safety and tolerability and a total of 18 blood samples collected during a 48 hour period (at t=0, 4, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24, 36 and 48 hours post-dosing). These samples were then assayed for methylphenidate plasma concentrations and this data used for calculation of pharmacokinetic parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HLD200 (methylphenidate hydrochloride) in Adolescents | Experimental | HLD200 (B formulation, 54 mg, oral capsules) administered as a single treatment in the evening to children aged 13-17 years. |
|
| HLD200 (methylphenidate hydrochloride) in Children | Experimental | HLD200 (B formulation, 54 mg, oral capsules) administered as a single treatment in the evening to children aged 6-12 years. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HLD200 (methylphenidate hydrochloride) | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| PK Parameters for Rate and Extent of Absorption of MPH: Lag Time | The absorption lag time for methylphenidate in plasma expressed in hours is the difference in time between the drug administration and the last time point where the drug concentration was below the limit of assay quantitation. | 48hrs |
| PK Parameters for Rate and Extent of Absorption of MPH: Cmax | The maximum drug concentration of methylphenidate in plasma. | 48hrs |
| PK Parameters for Rate and Extent of Absorption of MPH: Tmax | The time to reach maximum concentration of methylphenidate in plasma. | 48hrs |
| PK Parameters for Rate and Extent of Absorption of MPH: AUC0-tz | Area under the methylphenidate plasma concentration-time curve to time point tz (AUC0-tz), where tz was the last time point over the time interval with a measurable drug concentration | 48hrs |
| PK Parameters for Rate and Extent of Absorption of MPH: AUC0-inf | The area under the methylphenidate plasma concentration-time curve to infinite time | 48hrs |
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| Measure | Description | Time Frame |
|---|---|---|
| PK Parameters for Rate and Extent of Absorption of MPH in Plasma: Plasma Concentration-time Curve | To determine the rate and extent of absorption of methylphenidate following a single treatment of HLD200 (B formulation; 54 mg) in children and adolescents with ADHD, plasma samples were collected at t=0, 4, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24, 36 and 48 hours post-HLD200 treatment and methylphenidate concentrations were determined. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ann Childress, M.D. | Centre for Psychiatry & Behavioral Medicine, Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Psychiatry & Behavioral Medicine, Inc. | Las Vegas | Nevada | 89128 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29039979 | Derived | Childress A, Mehrotra S, Gobburu J, McLean A, DeSousa NJ, Incledon B. Single-Dose Pharmacokinetics of HLD200, a Delayed-Release and Extended-Release Methylphenidate Formulation, in Healthy Adults and in Adolescents and Children with Attention-Deficit/Hyperactivity Disorder. J Child Adolesc Psychopharmacol. 2018 Feb;28(1):10-18. doi: 10.1089/cap.2017.0044. Epub 2017 Oct 17. |
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A total of 29 subjects were enrolled (18 adolescents and 11 children in sequential cohorts). Following consent/assent and screening procedures, subjects were required to wash-out of all ADHD medications for 5 days prior clinic admission for testing.
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| ID | Title | Description |
|---|---|---|
| FG000 | Adolescents (13-17yrs) | Drug: B-HLD200 54mg capsules (Methylphenidate Modified Release B Formulation) or Drug: C-HLD200 54mg capsules (Methylphenidate Modified Release C Formulation) B-HLD200 54mg capsules C-HLD200 54mg capsules |
| FG001 | Children (6-12 Yrs) | Drug: B-HLD200 54mg capsules (Methylphenidate Modified Release B Formulation) or Drug: C-HLD200 54mg capsules (Methylphenidate Modified Release C Formulation) B-HLD200 54mg capsules C-HLD200 54mg capsules |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | HLD200 (Methylphenidate Hydrochloride) in Adolescents | HLD200 (B formulation, 54 mg, oral capsules) administered as a single treatment in the evening to adolescents aged 13-17 years. |
| BG001 | HLD200 (Methylphenidate Hydrochloride) in Children |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | PK Parameters for Rate and Extent of Absorption of MPH: Lag Time | The absorption lag time for methylphenidate in plasma expressed in hours is the difference in time between the drug administration and the last time point where the drug concentration was below the limit of assay quantitation. | All enrolled subjects included in analysis population. | Posted | Mean | Standard Deviation | hours | 48hrs |
|
Baseline to 48 hours after the HLD200 dose
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Adolescents (13-17yrs) | Drug: B-HLD200 54mg capsules (Methylphenidate Modified Release B Formulation) or Drug: C-HLD200 54mg capsules (Methylphenidate Modified Release C Formulation) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cerumen Impaction | Ear and labyrinth disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Scientific Officer | Ironshore Pharmaceuticals and Development, Inc. | 13457498174 | bev@ironshorepharma.com |
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| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D008774 | Methylphenidate |
| ID | Term |
|---|---|
| D010648 | Phenylacetates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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Open-label, single-treatment
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| 48hrs |
HLD200 (B formulation, 54 mg, oral capsules) administered as a single treatment in the evening to children aged 6-12 years. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Height (cm) | Mean | Standard Deviation | cm |
|
| Weight (kg) | Mean | Standard Deviation | kg |
|
|
|
| Primary | PK Parameters for Rate and Extent of Absorption of MPH: Cmax | The maximum drug concentration of methylphenidate in plasma. | All enrolled subjects included in analysis population. | Posted | Mean | Standard Deviation | ng/mL | 48hrs |
|
|
|
| Primary | PK Parameters for Rate and Extent of Absorption of MPH: Tmax | The time to reach maximum concentration of methylphenidate in plasma. | All enrolled subjects included in analysis population. | Posted | Mean | Standard Deviation | hours | 48hrs |
|
|
|
| Primary | PK Parameters for Rate and Extent of Absorption of MPH: AUC0-tz | Area under the methylphenidate plasma concentration-time curve to time point tz (AUC0-tz), where tz was the last time point over the time interval with a measurable drug concentration | All enrolled subjects included in analysis population. | Posted | Mean | Standard Deviation | ng.hr/mL | 48hrs |
|
|
|
| Primary | PK Parameters for Rate and Extent of Absorption of MPH: AUC0-inf | The area under the methylphenidate plasma concentration-time curve to infinite time | All enrolled subjects included in analysis population. | Posted | Mean | Standard Deviation | ng.hr/mL | 48hrs |
|
|
|
| Other Pre-specified | PK Parameters for Rate and Extent of Absorption of MPH in Plasma: Plasma Concentration-time Curve | To determine the rate and extent of absorption of methylphenidate following a single treatment of HLD200 (B formulation; 54 mg) in children and adolescents with ADHD, plasma samples were collected at t=0, 4, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24, 36 and 48 hours post-HLD200 treatment and methylphenidate concentrations were determined. | All enrolled subjects included in analysis population. | Posted | Mean | Standard Deviation | (ng/mL) | 48hrs |
|
|
|
| 0 |
| 18 |
| 0 |
| 18 |
| 10 |
| 18 |
| EG001 | Children (6-12 Yrs) | Drug: B-HLD200 54mg capsules (Methylphenidate Modified Release B Formulation) or Drug: C-HLD200 54mg capsules (Methylphenidate Modified Release C Formulation) | 0 | 11 | 0 | 11 | 6 | 11 |
| Abdominal Pain Upper | Gastrointestinal disorders | Non-systematic Assessment |
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| Flatulence | Gastrointestinal disorders | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
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| Pharyngitis | Infections and infestations | Non-systematic Assessment |
|
| Upper Respiratory Tract Infection | Infections and infestations | Non-systematic Assessment |
|
| Musculoskeletal And Connective Tissue Disorders | Infections and infestations | Non-systematic Assessment |
|
| Myalgia | Infections and infestations | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | Non-systematic Assessment |
|
| Dizziness Postural | Nervous system disorders | Non-systematic Assessment |
|
| Headache | Nervous system disorders | Non-systematic Assessment |
|
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| D010880 |
| Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| t=6 hrs |
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| t=8 hrs |
|
| t=9 hrs |
|
| t=10 hrs |
|
| t=11 hrs |
|
| t=12 hrs |
|
| t= 13 hrs |
|
| t=14 hrs |
|
| t=15 hrs |
|
| t=16 hrs |
|
| t=18 hrs |
|
| t=20 hrs |
|
| t=22 hrs |
|
| t=24 hrs |
|
| t=36 hrs |
|
| t=48 hrs |
|