Phase 2
Completed N=227
Investigating the Effect of Vortioxetine in Adult ADHD Patients
Source: ClinicalTrials.gov NCT02327013 ↗Enrolled (actual)
227
Serious AEs
0.9%
Results posted
Jan 2018
Primary outcomePrimary: Change in ADHD Investigator Symptom Rating Scale (AISRS) Total Score — -12.4; -12.8; -11.6; -4.1 units on a scale — p=0.9723
Summary
The purpose is to determine the effect of vortioxetine treatment on ADHD symptoms in adult patients with ADHD in a 12 weeks study.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in ADHD Investigator Symptom Rating Scale (AISRS) Total Score |
-12.4; -12.8; -11.6; -4.1; -3.9; -2.9 | 0.9723 |
| SECONDARY Inattention/Meta-cognition: Change in Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A) Using Metacognition Index |
-10.0; -11.2; -10.2; -3.1; -2.6; 0.9 | — |
| SECONDARY Cognitive Function/Global Executive Function: Change in BRIEF-A Using the Global Executive Composite Score |
-9.9; -12.5; -11.4; -3.0; -3.5; 2.1 | — |
| SECONDARY Overall Functioning: Change in Sheehan Disability Scale (SDS) Total Score |
-5.3; -7.9; -7.4; 0.6; -0.9; -1.4 | — |
| SECONDARY Productivity: Change in Work Limitations Questionnaire (WLQ) Productivity Loss Score |
-2.4; -2.5; -2.4; -0.8; -0.9; -0.7 | — |
| SECONDARY Change in AISRS Inattention Sub-score |
-6.5; -6.0; -5.9; -1.9; -2.0; -1.6 | — |
| SECONDARY Change AISRS Hyperactivity/Impulsivity Sub-score |
-5.9; -7.0; -5.7; -2.1; -2.0; -1.2 | — |
| SECONDARY Percentage of Patients Responding (Response Defined as 30% or Greater Reduction From Baseline in AISRS Total Score) |
30.9; 27.5; 23.1 | — |
| SECONDARY Change in Adult ADHD Self-Report Scale (ASRS) Total Score |
-4.9; -6.5; -3.4 | — |
| SECONDARY Change in Clinical Global Impression - Severity of Illness (CGI-S) Score |
-0.5; -0.7; -0.6 | — |
| SECONDARY Clinical Global Impression - Global Improvement (CGI-I) Score |
3.01; 2.93; 3.15 | — |
| SECONDARY Response (Defined as a CGI-I Score of 1 or 2), Stage 1 |
43; 13; 11 | — |
| SECONDARY Change in BRIEF-A Using the Behavioural Regulation Index |
-5.3; -7.9; -3.9 | — |
| SECONDARY Change in BRIEF-A Subscales - Inhibit |
-5.5; -8.6; -3.2 | — |
| SECONDARY Change BRIEF-A Subscales - Initiate |
-6.2; -5.8; -4.2 | — |
| SECONDARY Change in BRIEF-A Subscales - Organization of Materials |
-4.4; -6.3; -3.2 | — |
| SECONDARY Change in BRIEF-A Subscales - Planning/Organize |
-8.2; -8.7; -6.8 | — |
| SECONDARY Change in BRIEF-A Subscales - Shift |
-5.6; -9.1; -3.5 | — |
| SECONDARY Change in BRIEF-A Subscales - Self Monitor |
-6.5; -11.0; -4.8 | — |
| SECONDARY Change in BRIEF-A Subscales - Task Monitor |
-6.4; -7.8; -4.9 | — |
| SECONDARY Change in BRIEF-A Subscales - Working Memory |
-7.6; -9.9; -3.8 | — |
| SECONDARY Change in BRIEF-A Subscales - Emotional Control |
-3.4; -4.8; -3.5 | — |
| SECONDARY Change in Perceived Deficits Questionnaire - Depression (PDQ-D) Total Score |
-7.6; -9.3; -6.3 | — |
| SECONDARY Change in PDQ-D Subscales - Attention and Concentration Sub-score |
-1.7; -2.3; -1.8 | — |
| SECONDARY Change in PDQ-D Sub-scales - Retrospective Memory Sub-score |
-1.8; -2.4; -1.5 | — |
| SECONDARY Change in PDQ-D Sub-scales - Prospective Memory Sub-score |
-1.5; -2.3; -0.9 | — |
| SECONDARY Change in PDQ-D Sub-scales - Planning and Organisation Sub-score |
-2.4; -2.5; -1.9 | — |
| SECONDARY Change in SDS Item Scores - Family |
-1.5; -1.8; -1.5 | — |
| SECONDARY Change in SDS Item Scores - Work |
-1.2; -2.0; -2.1 | — |
| SECONDARY Change in SDS Item Scores - Social Life |
-1.1; -1.7; -1.5 | — |
| SECONDARY Change in SDS Item Scores - Number of Days Lost |
-0.3; -0.2; -0.1 | — |
| SECONDARY Change in SDS Item Scores - Number of Underproductive Days |
-1.2; -1.0; -1.2 | — |
| SECONDARY Change in WLQ Using the Global Productivity Index |
-0.0; -0.0; -0.0 | — |
| SECONDARY Change in WLQ Domain Scores - Limitations Handling Time |
-5.6; -7.7; -2.2 | — |
| SECONDARY Change in WLQ Domain Scores - Mental-Interpersonal Work Demands |
-8.4; -8.2; -6.2 | — |
| SECONDARY Change in WLQ Domain Scores - Physical Demands |
-5.5; -5.0; -4.6 | — |
| SECONDARY Change in WLQ Domain Scores - Output Demands |
-8.9; -7.1; -7.2 | — |
| SECONDARY Change in Adult ADHD Quality of Life Measure (AAQoL) Total Score |
7.7; 9.1; 5.4 | — |
| SECONDARY Change in AAQoL Subscales - Life Productivity Sub-score |
10.9; 11.6; 6.4 | — |
| SECONDARY Change in AAQoL Subscales - Psychological Health Sub-score |
6.7; 10.3; 5.7 | — |
| SECONDARY Change in AAQoL Subscales - Life Outlook Sub-score |
3.7; 5.0; 3.0 | — |
| SECONDARY Change in AAQoL Subscales - Relationships Sub-score |
7.4; 8.1; 6.0 | — |
Eligibility Criteria
Inclusion Criteria
- The patient is willing and able to attend study appointments within the specified time windows.
- The patient is an outpatient.
- The patient is diagnosed with a primary diagnosis of ADHD according to the DSM-5™ classification.
- The patient has an AISRS total score ≥24.
- The patient has a CGI-S rating ≥4 (moderately ill or worse).
Exclusion Criteria
- The patient has previously been treated with vortioxetine.
- The patient has any current psychiatric disorder (DSM-IV-TR™ criteria), other than ADHD, as assessed using the Mini International Neuropsychiatric Interview (MINI).
- The patient has a known first-degree relative with bipolar disorder.
- The patient suffers from intellectual disability as evaluated by the Wechsler Abbreviated Scale of Intelligence (WASI) II vocabulary and matrix.
- The patient suffers from organic mental disorders, or mental disorders due to a general medical condition (DSM-5™ criteria).
- The patient has reported current use of, or has tested positive for, drugs of abuse (opiates, methadone, cocaine, amphetamines [including ecstasy], barbiturates, benzodiazepines, and cannabinoids). If a patient tests positive for opiates due to incidental use of codeine containing medication, as assessed in a clinical interview, the drug screen may be repeated up to three weeks later but the retest result must be available from the central laboratory latest at Visit 2 and has to be negative for this patient to be eligible for enrolment. If a patient tests positive for amphetamines due to his/her ADHD current treatment, as confirmed by a clinical interview, the patient is eligible for enrolment provided this treatment is discontinued two weeks prior to the Baseline Visit.
- The patient has a history of two prior failed (<50% improvement in symptoms) adequate trials of ADHD treatment.
- The patient has any other disorder for which the treatment takes priority over treatment of ADHD or is likely to interfere with study treatment or impair treatment compliance.
- The patient has a history of moderate or severe head trauma or other neurological disorders or systemic medical diseases that are, in the investigator's opinion, likely to affect central nervous system functioning.
- The patient has attempted suicide within the last 6 months or is at significant risk of suicide (either in the opinion of the Investigator or defined as a "yes" to suicidal ideation questions 4 or 5 or answering "yes" to suicidal behaviour on the Columbia-Suicide Rating Scale (C-SSRS) within the last 12 months).
Other protocol defined inclusion and exclusion criteria do apply
Data sourced from ClinicalTrials.gov (NCT02327013). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.