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HLD200 methylphenidate

Phase 3

Attention Deficit Hyperactivity Disorder | Small molecule | Psychiatry |Collegium Pharmaceutical, Inc.|Last Updated: Jul 23, 2021

Target and mechanism

ModalitySmall molecule

Also known as HLD200 methylphenidate hydrochloride (MPH) Capsules

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment288

FDA Designations

No designations recorded

Clinical trial landscape

HLD200 methylphenidate · 2 trials · 1 indication

Phase 3 2
NCT02520388A Pivotal Efficacy Trial to Evaluate HLD200 in Children With ADHD in a Naturalistic SettingAttention Deficit Hyperactivity Disorder
COMPLETED163 Analytics
NCT02493777A Pivotal Efficacy Trial to Evaluate HLD200 in Children With ADHD in a Classroom SettingAttention Deficit Hyperactivity Disorder
COMPLETED125 Analytics
PHASE3COMPLETED
A Pivotal Efficacy Trial to Evaluate HLD200 in Children With ADHD in a Naturalistic Setting
Attention Deficit Hyperactivity DisorderUnlock trial analytics
PHASE3COMPLETED
A Pivotal Efficacy Trial to Evaluate HLD200 in Children With ADHD in a Classroom Setting
Attention Deficit Hyperactivity DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Attention Deficit Hyperactivity Disorder Rating Scale Based on DSM-IV Criteria (ADHD-RS-IV) Total Score.
Last week of 3-week treatment period assessed at Visit 5.

The ADHD-RS-IV was developed to measure the behaviors of children with ADHD (DuPaul et al., 1998). The scale consists of 18 items designed to reflect current symptomatology of ADHD. Each item is scored in a range from 0 (reflecting no symptoms or a frequency of never or rarely) to 3 (reflecting severe symptoms or a frequency of almost always), with a range of total scores ranging from 0 to 54. In this study, a site clinican (required to be an MD, PhD, DO, licensed social worker, or any trained mental health professional approved by the sponsor) completed ADHD-RS-IV assessments at each visit using a structured interview format.

Swanson, Kotkin, Agler, M-Flynn and Pelham Combined Score (SKAMP CS) - Model-adjusted Average of All Post-dose Time Points Assessed During a Laboratory Classroom Test Day (Visit 9).
12-hours from 8:00 am to 8:00 pm

The SKAMP is a validated, 13-item, observer-rated scale designed to assess the level of impairment of classroom-observed behaviors (Wigal and Wigal, 2006). Items 1 through 4 assess subject attention; items 5 through 8 assess deportment; items 9 through 11 assess quality of work; while items 12 and 13 assess subject compliance with teacher/classroom rules. Each individual item is rated on a 7-point scale from 0 (normal, no impairment) to 6 (maximal impairment). When all individual item scores are summed together, they produce a 13-item combined score that ranges from 0 to 78, with higher scores signifying greater impairment. In the present study, the SKAMP rating scale was utilized across 9 sessions occuring at 8:00 am, 9:00 am, 10:00 am, 12:00 pm, 2:00 pm, 4:00 pm, 6:00 pm, 7:00 pm, and 8:00 pm of the laboratory classroom day. Successful training of qualified individuals on the SKAMP scale was required before raters were allowed to perform study assessments.

Secondary Endpoints

Before School Functioning Questionnaire (BSFQ) Total Score
Last week of 3-week treatment period assessed at Visit 5.
Parent Rating of Evening and Morning Behavior Revised, Morning Subscale (PREMB-R AM).
PREMB-R AM mean subscale score for the 2-days prior to Visit 9.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
HLD200 (methylphenidate)EXPERIMENTALExperimental: HLD200 (methylphenidate) The investigational drug for this study is HLD200 MPH MR capsules comprised of the active pharmaceutical ingredient (MPH) in a dual-coated drug-layered core. Following a minimum 72-hour washout, subjects will be randomized (1:1) to double-blind HLD200 to be taken once daily during the evening for a period of 3-weeks prior to testing.
PlaceboPLACEBO_COMPARATORPlacebo capsules will be composed of microcrystalline cellulose beads in place of MPH containing beads found in the HLD200 capsules. Following a minimum 72-hour washout, subjects will be randomized (1:1) to double-blind placebo to be taken once daily during the evening for a period of 3-weeks prior to testing.

Interventions

NameTypeDescription
HLD200 methylphenidate hydrochloride (MPH) CapsulesDRUGHLD200 Doses: 40, 60 or 80 mg
PlaceboDRUG -
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Eligibility Criteria

Age Range6 Years to 12 Years
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: 1. Subjects must be male or female children (6 to 12 years at the time of consent). 2. Subjects must have a diagnosis of ADHD as defined by DSM5 criteria and confirmation using the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). 3. Subjects...

Countries:United States
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