PMID- 29211967 OWN - NLM STAT- MEDLINE DCOM- 20191003 LR - 20191007 IS - 1557-8992 (Electronic) IS - 1044-5463 (Print) IS - 1044-5463 (Linking) VI - 28 IP - 5 DP - 2018 Jun TI - Efficacy and Safety of Amphetamine Extended-Release Oral Suspension in Children with Attention-Deficit/Hyperactivity Disorder. PG - 306-313 LID - 10.1089/cap.2017.0095 [doi] AB - OBJECTIVES: To determine the efficacy and safety of amphetamine extended-release oral suspension (AMPH EROS) in the treatment of attention-deficit/hyperactivity disorder (ADHD) in a dose-optimized, randomized, double-blind, parallel-group study. METHODS: Boys and girls aged 6 to 12 years diagnosed with ADHD were enrolled. During a 5-week, open-label, dose-optimization phase, patients began treatment with 2.5 or 5 mg/day of AMPH EROS; doses were titrated until an optimal dose (maximum 20 mg/day) was reached. During the double-blind phase, patients were randomized to receive treatment with either their optimized dose (10-20 mg/day) of AMPH EROS or placebo for 1 week. Efficacy was assessed in a laboratory classroom setting on the final day of double-blind treatment using the Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) Rating Scale and Permanent Product Measure of Performance (PERMP) test. Safety was assessed measuring adverse events (AEs) and vital signs. RESULTS: The study was completed by 99 patients. The primary efficacy endpoint (change from predose SKAMP-Combined score at 4 hours postdose) and secondary endpoints (change from predose SKAMP-Combined scores at 1, 2, 6, 8, 10, 12, and 13 hours postdose) were statistically significantly improved with AMPH EROS treatment versus placebo at all time points. Onset of treatment effect was present by 1 hour postdosing, the first time point measured, and duration of efficacy lasted 13 hours postdosing. PERMP data mirrored the SKAMP-Combined score data. AEs (>5%) reported during dose optimization were decreased appetite, insomnia, affect lability, upper abdominal pain, mood swings, and headache. CONCLUSION: AMPH EROS was effective in reducing symptoms of ADHD and had a rapid onset and extended duration of effect. Reported AEs were consistent with those of other extended-release amphetamine products. FAU - Childress, Ann C AU - Childress AC AD - 1 Center for Psychiatry and Behavioral Medicine, Inc. , Las Vegas, Nevada. FAU - Wigal, Sharon B AU - Wigal SB AD - 2 AVIDA, Inc. , Newport Beach, California. FAU - Brams, Matthew N AU - Brams MN AD - 3 Bayou City Research, Ltd. , Houston, Texas. FAU - Turnbow, John M AU - Turnbow JM AD - 4 Westex Clinical Investigations , Lubbock, Texas. FAU - Pincus, Yulia AU - Pincus Y AD - 5 Tris Pharma, Inc. , Monmouth Junction, New Jersey. FAU - Belden, Heidi W AU - Belden HW AD - 5 Tris Pharma, Inc. , Monmouth Junction, New Jersey. FAU - Berry, Sally A AU - Berry SA AD - 5 Tris Pharma, Inc. , Monmouth Junction, New Jersey. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20171206 PL - United States TA - J Child Adolesc Psychopharmacol JT - Journal of child and adolescent psychopharmacology JID - 9105358 RN - 0 (Central Nervous System Stimulants) RN - 0 (Delayed-Action Preparations) RN - 0 (Suspensions) RN - CK833KGX7E (Amphetamine) SB - IM MH - Amphetamine/*therapeutic use MH - Attention Deficit Disorder with Hyperactivity/*drug therapy MH - Central Nervous System Stimulants/*therapeutic use MH - Child MH - Delayed-Action Preparations MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Suspensions MH - Time Factors MH - Treatment Outcome PMC - PMC5994670 OTO - NOTNLM OT - amphetamine OT - attention-deficit/hyperactivity disorder OT - extended-release OT - laboratory school OT - liquid formulation OT - oral suspension EDAT- 2017/12/07 06:00 MHDA- 2019/10/08 06:00 PMCR- 2018/06/01 CRDT- 2017/12/07 06:00 PHST- 2017/12/07 06:00 [pubmed] PHST- 2019/10/08 06:00 [medline] PHST- 2017/12/07 06:00 [entrez] PHST- 2018/06/01 00:00 [pmc-release] AID - 10.1089/cap.2017.0095 [pii] AID - 10.1089/cap.2017.0095 [doi] PST - ppublish SO - J Child Adolesc Psychopharmacol. 2018 Jun;28(5):306-313. doi: 10.1089/cap.2017.0095. Epub 2017 Dec 6.