Evidence map›Paper›PMID 34181360›Full record

Trial reportJournal of clinical psychopharmacology

A Phase 3, Placebo-Controlled Trial of Once-Daily Viloxazine Extended-Release Capsules in Adolescents With Attention-Deficit/Hyperactivity Disorder.

Azmi Nasser, Tesfaye Liranso, Toyin Adewole, Nicholas Fry, Joseph T Hull, Gregory D Busse, Fatima Chowdhry, Andrew J Cutler, Nandita Joshi Jones, Robert L Findling and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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  16. Novel non-stimulants rescue hyperactive phenotype in an adgrl3.1 mutant zebrafish model of ADHD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Azmi NasserFrom the Clinical Research.
Tesfaye LiransoBiostatistics.
Toyin AdewoleFrom the Clinical Research.
Nicholas FryFrom the Clinical Research.
Joseph T HullFrom the Clinical Research.
Gregory D BusseMedical Affairs Departments, Supernus Pharmaceuticals, Inc, Rockville, MD.
Fatima ChowdhryFrom the Clinical Research.
Andrew J CutlerDepartment of Psychiatry, SUNY Upstate Medical University, and Neuroscience Education Institute, Lakewood Ranch.
Nandita Joshi JonesClinical Research Department, CNS Healthcare, Jacksonville, FL.
Robert L FindlingDepartment of Psychiatry, Virginia Commonwealth University School of Medicine, VA.
Stefan SchwabeResearch and Development, Supernus Pharmaceuticals, Inc, Rockville, MD.
Clinical Research Management · USCancer Research And Biostatistics · USCNS Healthcare · USSUNY Upstate Medical University · USSupernus Pharmaceuticals (United States) · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis phase 3 clinical trial evaluated the efficacy and safety of viloxazine extended-release capsules (VLX-ER) as a monotherapy for attention-deficit/hyperactivity disorder (ADHD) in adolescents (12-17 years).

methodsEligible subjects (n = 310) were randomized to receive once-daily 200 and 400 mg VLX-ER, or placebo for 6 weeks. The primary efficacy end point was change from baseline (CFB) at the end of study (EOS) in ADHD Rating Scale-5 Total score. Key secondary end points were Clinical Global Impression-Improvement score at EOS, CFB at EOS in Conners 3-Parent Short Form Composite T-score, and CFB at EOS in Weiss Functional Impairment Rating Scale-Parent Total average score.

resultsIn the 200-mg/d and 400-mg/d VLX-ER treatment groups, a significant improvement was found in the CFB at EOS in ADHD Rating Scale-5 Total (P = 0.0232, P = 0.0091) and Inattention (P = 0.0424, P = 0.0390) and Hyperactivity/Impulsivity (P = 0.0069, P = 0.0005) subscale scores versus placebo. The Clinical Global Impression-Improvement score was significantly improved at EOS in the 200-mg/d and 400-mg/d VLX-ER groups versus placebo (P = 0.0042, P = 0.0003). The Conners 3-Parent Short Form composite T-score and Weiss Functional Impairment Rating Scale-Parent Total average score exhibited improvement in both VLX-ER groups; however, the difference versus placebo was not statistically significant. The most common treatment-related adverse events were somnolence, headache, decreased appetite, nausea, and fatigue. The adverse event-related discontinuation rates were <5% in all groups.

conclusionsViloxazine extended-release demonstrated statistically significant and clinically meaningful improvement in ADHD symptoms in adolescents and was generally well tolerated.

Indexed as

Adolescent BehaviorAttention Deficit Disorder with HyperactivityViloxazineAdolescentAdrenergic Uptake InhibitorsBehavioral SymptomsDelayed-Action PreparationsDose-Response Relationship, DrugDouble-Blind MethodDrug MonitoringFemaleHumansMalePsychiatric Status Rating ScalesSymptom AssessmentTreatment OutcomeAdrenergic Uptake InhibitorsDelayed-Action PreparationsViloxazine

Identifiers

PMID34181360
PMCPMC8244935
OpenAlexW3162116659

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.