Evidence map›Paper›PMID 34523063›Full record

ArticlePaediatric drugs2021

Executive Function Outcome of Treatment with Viloxazine Extended-Release Capsules in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder: A Post-Hoc Analysis of Four Randomized Clinical Trials.

Stephen V Faraone, Roberto Gomeni, Joseph T Hull, Gregory D Busse, Zare Melyan, Jonathan Rubin, Azmi Nasser

4 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Paediatric drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT03247517 phase3completednot on this map

Evaluation of SPN 812 (Viloxazine Extended-release Capsule) 200 and 400 mg Efficacy and Safety in Adolescents With ADHD - A Double-Blind, Placebo-Controlled, Pivotal Trial

TypeinterventionalSponsorSupernus Pharmaceuticals, Inc.Ran2017 to 2018Enrolled310ConditionsADHDArmsPlacebo, 200mg SPN-812, 400mg SPN-812
NCT03247530 phase3completednot on this map

Evaluation of SPN-812 (Viloxazine Extended-release Capsule) 100 and 200 mg Efficacy and Safety in Children With ADHD - A Double-Blind, Placebo-Controlled, Pivotal Trial

TypeinterventionalSponsorSupernus Pharmaceuticals, Inc.Ran2017 to 2018Enrolled477ConditionsADHDArmsPlacebo, 100mg SPN-812, 200mg SPN-812
NCT03247543 phase3completednot on this map

Evaluation of SPN-812 (Viloxazine Extended-release Capsule) 200 and 400 mg Efficacy and Safety in Children With ADHD - A Double-Blind, Placebo-Controlled, Pivotal Trial

TypeinterventionalSponsorSupernus Pharmaceuticals, Inc.Ran2017 to 2018Enrolled313ConditionsADHDArmsPlacebo, 200mg SPN-812, 400mg SPN-812
NCT03247556 phase3completednot on this map

Evaluation of SPN-812 (Viloxazine Extended-release Capsule) 400 and 600 mg Efficacy and Safety in Adolescents With ADHD - A Double-Blind, Placebo-Controlled, Pivotal Trial

TypeinterventionalSponsorSupernus Pharmaceuticals, Inc.Ran2017 to 2019Enrolled297ConditionsADHDArmsPlacebo, 400mg SPN-812, 600mg SPN-812
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Stephen V FaraoneDepartments of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA.
Roberto GomeniPharmacometrica, Lieu-dit Longcol, La Fouillade, France.
Joseph T HullSupernus Pharmaceuticals, Inc., 9715 Key West Ave, Rockville, MD, 20850, USA.
Gregory D BusseSupernus Pharmaceuticals, Inc., 9715 Key West Ave, Rockville, MD, 20850, USA.
Zare MelyanSupernus Pharmaceuticals, Inc., 9715 Key West Ave, Rockville, MD, 20850, USA.
Jonathan RubinSupernus Pharmaceuticals, Inc., 9715 Key West Ave, Rockville, MD, 20850, USA.
Azmi NasserSupernus Pharmaceuticals, Inc., 9715 Key West Ave, Rockville, MD, 20850, USA. anasser@supernus.com.
Supernus Pharmaceuticals (United States) · USSUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to evaluate the effect of viloxazine extended-release capsules (viloxazine ER; Qelbree™) on executive function deficits (EFDs) in pediatric subjects (6-17 years of age) with attention-deficit/hyperactivity disorder (ADHD).

methodsData from four phase III placebo-controlled trials of 100-600 mg/day viloxazine ER (6-8 weeks of treatment) were used to evaluate the change from baseline (CFB) in the Conners 3rd Edition Parent Short Form-Executive Function (C3PS-EF) content scale T-score. Subjects were defined as EFD responders if they had C3PS-EF T-score > 70 at baseline and < 65 at end of study. ADHD symptoms were assessed with ADHD Rating Scale 5th Edition (ADHD-RS-5). Subjects were defined as ADHD symptom responders if they had a ≥ 50% reduction in CFB ADHD-RS-5 Total score at Week 6. The number needed to treat (NNT) and Cohen's d effect sizes were estimated for EFD and ADHD symptoms.

resultsA total of 1154 subjects were included in the analysis. Statistically significant improvements in EFDs were observed with viloxazine ER versus placebo (p = 0.0002). There were 52.5% of EFD or ADHD symptom responders in the viloxazine ER treatment group and 35.4% in the placebo group (p < 0.0001). The NNT was 5.8. The Cohen's d effect size for EFD and ADHD symptoms was 0.31.

conclusionConsistent with the efficacy of viloxazine ER demonstrated in pivotal trials, viloxazine ER significantly reduced EFDs in subjects with ADHD. Moreover, a substantial proportion of subjects treated with viloxazine ER had large improvements in EFDs, ADHD symptoms, or both. CLINICAL TRIAL REGISTRATION NUMBERS: NCT03247530, NCT03247517, NCT03247543, NCT03247556.

Indexed as

Attention Deficit Disorder with HyperactivityCentral Nervous System StimulantsViloxazineAdolescentChildDelayed-Action PreparationsDose-Response Relationship, DrugDouble-Blind MethodExecutive FunctionHumansRandomized Controlled Trials as TopicTreatment OutcomeCentral Nervous System StimulantsDelayed-Action PreparationsViloxazine

Identifiers

PMID34523063
PMCPMC8563661
OpenAlexW3199307573

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.