Evidence map›Paper›PMID 40600581›Full record

Trial reportJournal of clinical psychopharmacology

52-Week Open-Label Safety and Tolerability Study of Centanafadine Sustained Release in Adults With Attention-Deficit/Hyperactivity Disorder.

Gregory W Mattingly, Osman Turkoglu, Denise Chang, Caroline Ward, Taisa Skubiak, Zhen Zhang, Andrew J Cutler

Abstract readClinical Trial, Phase IIIMulticenter Study
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Gregory W MattinglyWashington University School of Medicine, Midwest Research Group, St. Louis, MO.
Osman TurkogluOtsuka Pharmaceutical Development and Commercialization, Inc., Princeton, NJ.
Denise ChangOtsuka Pharmaceutical Development and Commercialization, Inc., Princeton, NJ.
Caroline WardOtsuka Pharmaceutical Development and Commercialization, Inc., Princeton, NJ.
Taisa SkubiakOtsuka Pharmaceutical Development and Commercialization, Inc., Princeton, NJ.
Zhen ZhangOtsuka Pharmaceutical Development and Commercialization, Inc., Princeton, NJ.
Andrew J CutlerDepartment of Psychiatry, SUNY Upstate Medical University, Syracuse, NY.

Funding

Otsuka Pharmaceutical Development and Commercialization, Inc.
6 · The paper itself

Abstract

backgroundCentanafadine (CTN) is a potential first-in-class norepinephrine, dopamine, and serotonin reuptake inhibitor (NDSRI) currently in development for the treatment of attention-deficit/hyperactivity disorder (ADHD) in adults. Safety, tolerability, and exploratory efficacy of CTN sustained release (SR) in adults were assessed over 52 weeks.

methodsAdults were enrolled after completing a phase 3 pivotal trial or de novo. The monitoring schedule employed a screening (up to 28 d for de novo group only), 52-week open-label, and 10-day safety follow-up periods. Participants received CTN SR 400 mg total daily dose, twice daily. Safety assessments included treatment-emergent adverse events (TEAEs), clinical laboratories, vital signs, electrocardiogram measures, the Study Medication Withdrawal Questionnaire, and the Columbia-Suicide Severity Rating Scale. Exploratory efficacy was assessed using the Adult Investigator Symptom Rating Scale (AISRS) and the Clinical Global Impression of Severity (CGI-S). Safety was analyzed with a mixed-effect model; efficacy was reported using summary statistics.

resultsOf 662 adults enrolled [mean (SD) age, 36.7 (10.1) y; 51.1% female; 82.9% white], 653 received CTN SR, and 345 completed the trial. Altogether, 61.4% reported ≥1 TEAE, mostly mild or moderate in severity; insomnia (8.0%), nausea (7.7%), diarrhea and headache (7.0% each) were most common. Eighty (12.3%) discontinued because of TEAEs. Serious adverse events occurred in 12 (1.8%) participants; none were CTN SR-related per investigators. AISRS total scores improved up to 57% and CGI-S by 1.5 points from baseline.

conclusionsResults from this trial demonstrate that CTN SR 400 mg is safe and effective for long-term treatment of adults with ADHD.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentAdultDelayed-Action PreparationsFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultDelayed-Action PreparationsADHDadultsAISRScentanafadine

Identifiers

PMID40600581
PMCPMC12379780

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.