PMID- 19508731 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20100520 LR - 20211020 IS - 1753-2000 (Electronic) IS - 1753-2000 (Linking) VI - 3 IP - 1 DP - 2009 Jun 9 TI - A 13-hour laboratory school study of lisdexamfetamine dimesylate in school-aged children with attention-deficit/hyperactivity disorder. PG - 17 LID - 10.1186/1753-2000-3-17 [doi] AB - BACKGROUND: Lisdexamfetamine dimesylate (LDX) is indicated for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children 6 to 12 years of age and in adults. In a previous laboratory school study, LDX demonstrated efficacy 2 hours postdose with duration of efficacy through 12 hours. The current study further characterizes the time course of effect of LDX. METHODS: Children aged 6 to 12 years with ADHD were enrolled in a laboratory school study. The multicenter study consisted of open-label, dose-optimization of LDX (30, 50, 70 mg/d, 4 weeks) followed by a randomized, placebo-controlled, 2-way crossover phase (1 week each). Efficacy measures included the SKAMP (deportment [primary] and attention [secondary]) and PERMP (attempted/correct) scales (secondary) measured at predose and at 1.5, 2.5, 5, 7.5, 10, 12, and 13 hours postdose. Safety measures included treatment-emergent adverse events (AEs), physical examination, vital signs, and ECGs. RESULTS: A total of 117 subjects were randomized and 111 completed the study. Compared with placebo, LDX demonstrated significantly greater efficacy at each postdose time point (1.5 hours to 13.0 hours), as measured by SKAMP deportment and attention scales and PERMP (P < .005). The most common treatment-emergent AEs during dose optimization were decreased appetite (47%), insomnia (27%), headache (17%), irritability (16%), upper abdominal pain (16%), and affect lability (10%), which were less frequent in the crossover phase (6%, 4%, 5%, 1%, 2%, and 0% respectively). CONCLUSION: In school-aged children (6 to 12 years) with ADHD, efficacy of LDX was maintained from the first time point (1.5 hours) up to the last time point assessed (13.0 hours). LDX was generally well tolerated, resulting in typical stimulant AEs. TRIAL REGISTRATION: Official Title: A Phase IIIb, Randomized, Double-Blind, Multi-Center, Placebo-Controlled, Dose-Optimization, Cross-Over, Analog Classroom Study to Assess the Time of Onset of Vyvanse (Lisdexamfetamine Dimesylate) in Pediatric Subjects Aged 6-12 With Attention-Deficit/Hyperactivity Disorder. ClinicalTrials.gov Identifier: NCT00500149 http://clinicaltrials.gov/ct2/show/NCT00500149. FAU - Wigal, Sharon B AU - Wigal SB AD - University of California, Irvine, Child Development Center, Irvine, California, USA. sbwigal@uci.edu FAU - Kollins, Scott H AU - Kollins SH FAU - Childress, Ann C AU - Childress AC FAU - Squires, Liza AU - Squires L CN - 311 Study Group LA - eng SI - ClinicalTrials.gov/NCT00500149 PT - Journal Article DEP - 20090609 PL - England TA - Child Adolesc Psychiatry Ment Health JT - Child and adolescent psychiatry and mental health JID - 101297974 PMC - PMC2704174 FIR - Brams, Matthew IR - Brams M FIR - Childress, Ann IR - Childress A FIR - Kollins, Scott H IR - Kollins SH FIR - Lerner, Marc A IR - Lerner MA FIR - Moon, Eliot IR - Moon E FIR - Turnbow, John M IR - Turnbow JM FIR - Vince, Bradley IR - Vince B FIR - Wigal, Sharon B IR - Wigal SB EDAT- 2009/06/11 09:00 MHDA- 2009/06/11 09:01 PMCR- 2009/06/09 CRDT- 2009/06/11 09:00 PHST- 2009/02/11 00:00 [received] PHST- 2009/06/09 00:00 [accepted] PHST- 2009/06/11 09:00 [entrez] PHST- 2009/06/11 09:00 [pubmed] PHST- 2009/06/11 09:01 [medline] PHST- 2009/06/09 00:00 [pmc-release] AID - 1753-2000-3-17 [pii] AID - 10.1186/1753-2000-3-17 [doi] PST - epublish SO - Child Adolesc Psychiatry Ment Health. 2009 Jun 9;3(1):17. doi: 10.1186/1753-2000-3-17.