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Metadoxine

Phase 2

ADHD | Small molecule | Psychiatry |Arcturus Therapeutics Holdings Inc.|Trials Updated: Mar 13, 2017

Metadoxine target and mechanism

ModalitySmall molecule

Also known as Metadoxine (MG01CI )

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment282

FDA Designations

No designations recorded

Metadoxine clinical trials

Metadoxine · 4 trials · 4 indications

Phase 2 3Phase 1 1
NCT02189772Safety and Tolerability Study of Metadoxine Extended Release (MDX) (Previously Known as MG01CI) in PI-ADHD Adolescent SubjectsADHD, Predominantly Inattentive Type
COMPLETED83 Analytics
NCT01685281Study Comparing Two Doses of MG01CI and Placebo in Adults With Predominantly Inattentive Attention Deficit Hyperactivity DisorderADHD Predominantly Inattentive Type
COMPLETED36 Analytics
NCT01243242Clinical Efficacy & Safety, of Metadoxine (MG01CI) Extended Release in Attention-Deficit Hyperactivity Disorder (ADHD)ADHD
COMPLETED120 Analytics
PHASE2COMPLETED
Safety and Tolerability Study of Metadoxine Extended Release (MDX) (Previously Known as MG01CI) in PI-ADHD Adolescent Subjects
ADHD, Predominantly Inattentive TypeUnlock trial analytics
PHASE2COMPLETED
Study Comparing Two Doses of MG01CI and Placebo in Adults With Predominantly Inattentive Attention Deficit Hyperactivity Disorder
ADHD Predominantly Inattentive TypeUnlock trial analytics
PHASE2COMPLETED
Clinical Efficacy & Safety, of Metadoxine (MG01CI) Extended Release in Attention-Deficit Hyperactivity Disorder (ADHD)
ADHDUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety and Tolerability
Up to 6 weeks

Frequency of treatment emergent adverse events (AEs). Frequency of subjects who withdrew early from the study due to AE.

Change in TOVA ADHD score from Screening/Baseline to 4 hours post-dose;
4 weeks

TOVA® is a computerized test that provides information about an individual's sustained attention, speed and consistency of responding, and behavioral self-regulation and executive functioning

Conners' Adult ADHD Rating Scales (CAARS™)
6 weeks (from visit 1 baseline to visit 6)

The primary efficacy endpoint is the difference in change (decrease) in CAARS (Total ADHD Symptoms Score) between the study groups. The CAARS assess the presence and severity of ADHD symptoms and behaviors in adults. Respondents are asked to report their own experiences by rating items pertaining to their behavior/problems using a 4-point Likert-style format ranging from 0 ('Not at all', 'never') to 3 ('Very much', 'very frequently'). The scale measures ADHD symptoms using a 30-item questionnaire.Total score is the sum of all the items ,min=30 Max=90

Secondary Endpoints

Efficacy
Up to 5 weeks
PK
Up to 5 weeks
Change in CANTAB sub-scores from baseline (Visit 2) to 4 hours post-dose;
4 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MDX (metadoxine extended release)EXPERIMENTALRoute of administration: oral The dose of MDX (approximately 14-22 mg/kg) will be determined by the subject's weight at the baseline visit as follows: * 40-49 kg 700 mg consisting of a 700 mg tablet * 50-64 kg 1050 mg consisting of a 700 mg tablet, a 350 mg tablet * 65-100 kg 1400 mg consisting of two 700 mg tablets
placeboPLACEBO_COMPARATORPlacebo tablets will be similar in appearance (color and size) to the investigational product
Metadoxine (MG01CI) 1400 mgACTIVE_COMPARATORsingle dose of Metadoxine (MG01CI) 1400 mg
Metadoxine (MG01CI) 700 mgACTIVE_COMPARATORSingle dose of Metadoxine (MG01CI) 700 mg
METADOXINEEXPERIMENTALEligible subjects will be randomly assigned to receive MG01CI (1,400 mg)
Metadoxine SREXPERIMENTALMetadoxine is a pyrolate salt of Pyridoxine

Interventions

NameTypeDescription
Metadoxine extended releaseDRUGMG01CI
PlaceboDRUGInactive drug
Metadoxine (MG01CI)DRUGMG01CI is an orally administered extended release formulation of metadoxine. Doses: 1400 mg and 700 mg and Placebo
Extended Release MetadoxineDRUGone oral 1400mg dose (2 tablets)
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Eligibility Criteria

Age Range13 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: 1. Adolescent males and females, 13-17 years old, inclusive, at screening visit, with visible axillary hair. 2. Diagnosed with predominantly inattentive ADHD based on DSM V criteria for ADHD as assessed by the Adolescent ADHD Clinician Diagnostic Scale (Adol-CDS V1.2). 3. Clinic...

Countries:Israel
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Competitive Landscape -ADHD 10 trials

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Frequently asked questions about Metadoxine

What is Metadoxine used for?

Metadoxine is being developed for the treatment of attention-deficit hyperactivity disorder (ADHD), including ADHD Predominantly Inattentive Type, in adults. It is an investigational small molecule in Phase 2 clinical development and is not approved for marketing.

Who is developing Metadoxine?

Metadoxine is being developed by Arcturus Therapeutics Holdings Inc., which trades on the Nasdaq under the ticker ARCT. The company is advancing the asset for ADHD indications in adult patients.

What phase is Metadoxine in?

Metadoxine is in Phase 2 clinical development for ADHD. It has completed Phase 2 trials but has not been approved by the FDA or any other regulatory authority. It remains an investigational drug.

What clinical trials is Metadoxine in?

Metadoxine has been studied in two completed Phase 2 trials: NCT01243242, which enrolled 120 adults with ADHD, and NCT01685281, which enrolled 36 adults with ADHD Predominantly Inattentive Type. Both were randomized, double-blind, placebo-controlled studies conducted in Israel.

Is Metadoxine the same as MG01CI?

Yes, Metadoxine is also known as MG01CI, and the extended-release formulation is referred to as Metadoxine (MG01CI). These names refer to the same investigational small molecule being developed by Arcturus Therapeutics for ADHD.