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Comparison of Atomoxetine Versus Placebo in Children With Attention-Deficit/Hyperactivity Disorder (ADHD)

A Randomized, Double Blind Comparison of the Effects of Atomoxetine Versus Placebo on Neuropsychological Outcomes Across the Day in Children With Attention-Deficit/Hyperactivity Disorder (ADHD) by Use of a Computer Based Continuous Performance Test (cb CPT)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00546910
Enrollment
125
Registered
2007-10-19
Start date
2007-10-31
Completion date
2009-05-31
Last updated
2010-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Attention Deficit Hyperactivity Disorder

Brief summary

This is a two-arm, parallel, randomized, double-blind, placebo-controlled Phase 4 multicenter trial to compare the whole day efficacy of atomoxetine versus placebo in children aged 6 through 12 years with Attention-Deficit/Hyperactivity Disorder (ADHD) treated in an inpatient, day-patient and outpatient setting in Germany. Core symptoms will be measured during once or bi-weekly visits, three times per visit-day, by a computer based Continuous Performance Test. Following an initial 3-28-day screening and washout phase, patients will be assigned to double-blind treatment with atomoxetine or placebo. In the verum arm, a one-week atomoxetine treatment period with the 0.5 mg/kg per day lead-in dose will be succeeded by a 7 week period at the target dose of 1.2 mg/kg per day.

Interventions

DRUGAtomoxetine

A one-week atomoxetine treatment period with the 0.5 mg/kg per day lead-in dose will be succeeded by a 7 week period at the target dose of 1.2 mg/kg per day. 3 capsules of study medication have to be taken once daily in the morning, with or without food.

DRUGPlacebo

3 capsules of placebo have to be taken once daily in the morning, with or without food.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No

Inclusion criteria

* Male or female patients who are at least 6 years of age, and who will not have reached their 13th birthday * Diagnosis of ADHD * Normal intelligence * Able to swallow capsules

Exclusion criteria

* Weight less than 20 kg or more than 60 kg at study entry * Prior treatment with atomoxetine * History of seizure disorder, suicidal risk, alcohol or drug abuse within the past 3 months * History of severe allergies or multiple adverse drug reactions * Cardiovascular disorders: hypertension, unexplained cardiac signs or symptoms, QT prolongation, inherited cardiac disorders

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline, 8 weeks (W8)Infra-red camera tracks movement of head reflector on patient performing computer test. Hyperactivity test variables: TA=percent time patient moved\>1 centimeter (cm)/second; DIS=path of movement (m); AR=total area (cm2) of movements; ME=number of position changes\>1 mm; MS=degree (percent) of directional changes. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation (SD)=1 in general population, expressing the probability determined by the Gamma function in terms of SD of Gaussian density). Higher scores reflect more severe symptoms.
Change From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline, 8 weeksComputer test. Patient is to press button if target appears, but not at non-target. Inattention test variables: mRT=average time (ms) from target presentation to response; RTV=standard deviation of mRT; nVRT=RTV expressed in terms of RT (variation as a percent of mean value); OE= percent of omitted targets. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and SD=1 in the general population, expressing the probability determined by the Gamma function in terms of SD of Gaussian density). Higher scores reflect more severe symptoms.
Change From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline, 8 weeksComputer test. Patient is to press button if target appears, but not at non-target. Impulsivity variables during test: CE=percent of response to non-target; ANT=percent of responses prior to target presentation. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation=1 in the general population, expressing the probability determined by the Gamma function in terms of standard deviation of Gaussian density). Higher scores reflect more severe symptoms.
Change From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline, 8 weeksComputer test. Patient is to press button if target appears, but not at non-target. Other variables during test: ER=percent of overall incorrect responses (CE and OE); MR=percent of multiple responses per presentation of target (patient responds more than once to target). Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation=1 in the general population, expressing the probability determined by the Gamma function in terms of standard deviation of Gaussian density). Higher scores reflect more severe symptoms.

Secondary

MeasureTime frameDescription
Change From Baseline Clinical Global Impressions-Severity of ADHD (CGI-S-ADHD) Score at Week 8Baseline, 8 weeksCGI-S-ADHD measures severity of the patient's overall severity of ADHD symptoms (1=normal, not at all ill; 7=among the most extremely ill patients).
Change From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Baseline, 8 weeksWeekly Rating Of Evening & Morning Behavior-Revised-Investigator Rated (WREMB-R-Inv) measures the level of difficulty of 11 common morning or evening behaviors (e.g. getting out of bed, doing homework, sitting through dinner). Possible scores for each item range from 0 (no difficulty) to 3 (a lot of difficulty) with a Total score (maximum score=33), Morning subscore (maximum score=9), Evening subscore (maximum score=24), and Item 11 score which pertains to degree of difficulty falling asleep (maximum score=3).
Change From Baseline Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator-Administered And Scored (ADHDRS-IV-Parent:Inv) Total Score At Week 8Baseline, 8 weeksMeasures the 18 symptoms contained in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision (DSM-IV-TR) diagnosis of Attention-Deficit/Hyperactivity Disorder. Individual item scores range from 0 (none/never or rarely) to 3 (severe/very often). Total scores range from 0 to 54.

Countries

Germany

Participant flow

Participants by arm

ArmCount
Atomoxetine
0.5 milligram per kilogram (mg/kg) per day lead-in dose for 1 weeks followed by 7 weeks at 1.2 mg/kg per day dose.
63
Placebo
Placebo matched to 1 week lead-in and 7 week standard target dose of atomoxetine
62
Total125

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event23
Overall StudyLack of Efficacy57
Overall StudyPhysician Decision01
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicAtomoxetinePlaceboTotal
ADHD Rating Scale-IV Parent Version: Investigator Administered & Scored, Total Score37.30 units on a scale
STANDARD_DEVIATION 10.62
36.68 units on a scale
STANDARD_DEVIATION 12.53
36.99 units on a scale
STANDARD_DEVIATION 11.56
Age Continuous9.1 years
STANDARD_DEVIATION 1.93
8.9 years
STANDARD_DEVIATION 1.64
9.0 years
STANDARD_DEVIATION 1.79
Clinical Global Impressions - Severity Of Attention Deficit Hyperactive Disorder Score5.11 units on a scale
STANDARD_DEVIATION 1.02
5.05 units on a scale
STANDARD_DEVIATION 1.11
5.08 units on a scale
STANDARD_DEVIATION 1.06
Diagnosis
ADHD-Combined Type
40 participants48 participants88 participants
Diagnosis
ADHD- Predominantly Hyperactive-Impulsive Type
6 participants3 participants9 participants
Diagnosis
ADHD-Predominantly Inattentive Type
17 participants11 participants28 participants
Number of Participants with Family History of ADHD
At least one known relative with ADHD
36 participants35 participants71 participants
Number of Participants with Family History of ADHD
None or missing
27 participants27 participants54 participants
Number of Participants with Prior Therapy For Attention-Deficit/Hyperactive Disorder (ADHD)
None or missing
37 participants35 participants72 participants
Number of Participants with Prior Therapy For Attention-Deficit/Hyperactive Disorder (ADHD)
Previous treatment for ADHD
26 participants27 participants53 participants
Number of Participants with Psychiatric Comorbidities
At least one psychiatric comorbidity
25 participants25 participants50 participants
Number of Participants with Psychiatric Comorbidities
None or missing
38 participants37 participants75 participants
Race/Ethnicity, Customized
African
1 participants0 participants1 participants
Race/Ethnicity, Customized
Caucasian
62 participants62 participants124 participants
Region of Enrollment
Germany
63 participants62 participants125 participants
Sex: Female, Male
Female
16 Participants12 Participants28 Participants
Sex: Female, Male
Male
47 Participants50 Participants97 Participants
Summary Of Participants' Living Arrangements
Nuclear Family (Biological Mother and Father)
38 participants36 participants74 participants
Summary Of Participants' Living Arrangements
Single Mother
15 participants17 participants32 participants
Summary Of Participants' Living Arrangements
Step Parent (One Biologic and one step parent)
10 participants9 participants19 participants
Time Since Initial Diagnosis Of ADHD1.8 years
STANDARD_DEVIATION 2.23
1.6 years
STANDARD_DEVIATION 1.89
1.7 years
STANDARD_DEVIATION 2.06
Time Since Onset Of ADHD Symptoms4.9 years
STANDARD_DEVIATION 2.12
5.2 years
STANDARD_DEVIATION 1.95
5.0 years
STANDARD_DEVIATION 2.04
Weekly Rating Of Evening & Morning Behavior-Revised-Investigator Rated, Total & Subscores
Evening Subscore
14.54 units on a scale
STANDARD_DEVIATION 4.76
15.39 units on a scale
STANDARD_DEVIATION 4.74
14.96 units on a scale
STANDARD_DEVIATION 4.75
Weekly Rating Of Evening & Morning Behavior-Revised-Investigator Rated, Total & Subscores
Item 11 Subscore
1.60 units on a scale
STANDARD_DEVIATION 1.23
1.56 units on a scale
STANDARD_DEVIATION 1.26
1.58 units on a scale
STANDARD_DEVIATION 1.24
Weekly Rating Of Evening & Morning Behavior-Revised-Investigator Rated, Total & Subscores
Morning Subscore
5.56 units on a scale
STANDARD_DEVIATION 2.66
4.63 units on a scale
STANDARD_DEVIATION 2.92
5.10 units on a scale
STANDARD_DEVIATION 2.82
Weekly Rating Of Evening & Morning Behavior-Revised-Investigator Rated, Total & Subscores
Total Score
21.70 units on a scale
STANDARD_DEVIATION 7.64
21.58 units on a scale
STANDARD_DEVIATION 7.91
21.64 units on a scale
STANDARD_DEVIATION 7.75

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
32 / 6327 / 62
serious
Total, serious adverse events
0 / 630 / 62

Outcome results

Primary

Change From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8

Computer test. Patient is to press button if target appears, but not at non-target. Impulsivity variables during test: CE=percent of response to non-target; ANT=percent of responses prior to target presentation. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation=1 in the general population, expressing the probability determined by the Gamma function in terms of standard deviation of Gaussian density). Higher scores reflect more severe symptoms.

Time frame: Baseline, 8 weeks

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: CE- Morning-0.68 Q-scoresStandard Deviation 1.34
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: CE- Noon-0.65 Q-scoresStandard Deviation 1.29
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: CE- Evening-0.80 Q-scoresStandard Deviation 1.23
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: CE- Morning-0.88 Q-scoresStandard Deviation 1.33
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: CE- Noon-0.94 Q-scoresStandard Deviation 1.33
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: CE- Evening-0.76 Q-scoresStandard Deviation 1.31
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: AR- Morning0.41 Q-scoresStandard Deviation 1.15
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: AR- Noon0.28 Q-scoresStandard Deviation 1.06
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: AR- Evening0.32 Q-scoresStandard Deviation 1.16
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: AR- Morning-0.50 Q-scoresStandard Deviation 0.98
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: AR-Noon-0.54 Q-scoresStandard Deviation 0.87
AtomoxetineChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: AR- Evening-0.52 Q-scoresStandard Deviation 0.83
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: AR-Noon-0.31 Q-scoresStandard Deviation 0.84
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: CE- Morning-0.89 Q-scoresStandard Deviation 1.03
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: AR- Morning0.15 Q-scoresStandard Deviation 0.88
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: CE- Noon-0.85 Q-scoresStandard Deviation 0.94
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: AR- Morning-0.34 Q-scoresStandard Deviation 0.84
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: CE- Evening-0.87 Q-scoresStandard Deviation 1.06
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: AR- Noon0.12 Q-scoresStandard Deviation 0.85
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: CE- Morning-0.32 Q-scoresStandard Deviation 0.9
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: AR- Evening-0.28 Q-scoresStandard Deviation 0.78
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: CE- Noon-0.44 Q-scoresStandard Deviation 0.82
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8Baseline: AR- Evening0.08 Q-scoresStandard Deviation 0.85
PlaceboChange From Baseline cb CPT Variable: Impulsivity (Includes Commission Error [CE], Anticipatory Response [AR]) Q-scores At Week 8W8: CE- Evening-0.49 Q-scoresStandard Deviation 0.92
p-value: <0.00195% CI: [0.31, 0.68]Mixed Models Analysis
p-value: 0.02295% CI: [0.02, 0.31]Mixed Models Analysis
Primary

Change From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8

Computer test. Patient is to press button if target appears, but not at non-target. Inattention test variables: mRT=average time (ms) from target presentation to response; RTV=standard deviation of mRT; nVRT=RTV expressed in terms of RT (variation as a percent of mean value); OE= percent of omitted targets. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and SD=1 in the general population, expressing the probability determined by the Gamma function in terms of SD of Gaussian density). Higher scores reflect more severe symptoms.

Time frame: Baseline, 8 weeks

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: OR- Morning1.12 Q-scoresStandard Deviation 1.24
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: RTV-Noon2.95 Q-scoresStandard Deviation 2.11
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: RTV-Evening2.63 Q-scoresStandard Deviation 2.49
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: RTV-Morning-0.89 Q-scoresStandard Deviation 2.29
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: RTV-Noon-1.07 Q-scoresStandard Deviation 1.92
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: RTV-Evening-0.90 Q-scoresStandard Deviation 1.98
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: RTV-Morning2.93 Q-scoresStandard Deviation 2.41
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: OR- Noon1.31 Q-scoresStandard Deviation 1.32
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: OR- Evening1.22 Q-scoresStandard Deviation 1.43
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: OR- Morning0.01 Q-scoresStandard Deviation 1.83
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: OR- Noon0.03 Q-scoresStandard Deviation 1.45
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: OR- Evening-0.04 Q-scoresStandard Deviation 1.5
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: mRT- Morning2.42 Q-scoresStandard Deviation 2.03
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: mRT- Noon2.40 Q-scoresStandard Deviation 1.78
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: mRT- Evening2.23 Q-scoresStandard Deviation 1.77
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: mRT- Morning-0.18 Q-scoresStandard Deviation 1.84
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: mRT- Noon-0.35 Q-scoresStandard Deviation 1.53
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: mRT- Evening-0.13 Q-scoresStandard Deviation 1.4
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: nVRT-Morning1.00 Q-scoresStandard Deviation 1.6
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: nVRT-Noon1.06 Q-scoresStandard Deviation 1.48
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: nVRT-Evening0.92 Q-scoresStandard Deviation 1.81
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: nVRT-Morning-0.59 Q-scoresStandard Deviation 1.58
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: nVRT-Noon-0.65 Q-scoresStandard Deviation 1.48
AtomoxetineChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: nVRT-Evening-0.65 Q-scoresStandard Deviation 1.75
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: nVRT-Noon-0.09 Q-scoresStandard Deviation 0.97
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: RTV-Morning2.49 Q-scoresStandard Deviation 1.62
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: mRT- Morning1.92 Q-scoresStandard Deviation 1.53
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: RTV-Noon2.48 Q-scoresStandard Deviation 1.92
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: nVRT-Morning0.93 Q-scoresStandard Deviation 1.28
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: RTV-Evening2.19 Q-scoresStandard Deviation 2
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: mRT- Noon2.02 Q-scoresStandard Deviation 1.49
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: RTV-Morning-0.09 Q-scoresStandard Deviation 1.78
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: nVRT-Morning-0.36 Q-scoresStandard Deviation 1.15
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: RTV-Noon0.00 Q-scoresStandard Deviation 1.7
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: mRT- Evening1.86 Q-scoresStandard Deviation 1.49
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: RTV-Evening-0.00 Q-scoresStandard Deviation 1.88
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: nVRT-Noon0.82 Q-scoresStandard Deviation 1.26
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: OR- Morning1.13 Q-scoresStandard Deviation 1.19
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: mRT- Morning0.35 Q-scoresStandard Deviation 1.28
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: OR- Noon1.30 Q-scoresStandard Deviation 1.32
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: nVRT-Evening-0.33 Q-scoresStandard Deviation 1.19
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: OR- Evening1.28 Q-scoresStandard Deviation 1.34
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: mRT- Noon0.12 Q-scoresStandard Deviation 1.42
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: OR- Morning0.54 Q-scoresStandard Deviation 1.14
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8Baseline: nVRT-Evening0.68 Q-scoresStandard Deviation 1.31
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: OR- Noon0.53 Q-scoresStandard Deviation 1.17
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: mRT- Evening0.48 Q-scoresStandard Deviation 1.37
PlaceboChange From Baseline cb CPT Variable: Inattention (Includes Reaction Time Variation[RTV], Omission Error [OR], Mean Reaction Time [mRT], Normalized Variation Of Reaction Time [nVRT]) Q-scores At Week 8W8: OR- Evening0.52 Q-scoresStandard Deviation 1.2
p-value: <0.00195% CI: [0.66, 1.35]Mixed Models Analysis
p-value: <0.00195% CI: [0.46, 0.93]Mixed Models Analysis
p-value: <0.00195% CI: [0.17, 0.65]Mixed Models Analysis
p-value: <0.00195% CI: [0.26, 0.73]Mixed Models Analysis
Primary

Change From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8

Computer test. Patient is to press button if target appears, but not at non-target. Other variables during test: ER=percent of overall incorrect responses (CE and OE); MR=percent of multiple responses per presentation of target (patient responds more than once to target). Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation=1 in the general population, expressing the probability determined by the Gamma function in terms of standard deviation of Gaussian density). Higher scores reflect more severe symptoms.

Time frame: Baseline, 8 weeks

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: ER- Morning0.37 Q-scoresStandard Deviation 1.56
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: ER- Noon0.52 Q-scoresStandard Deviation 1.46
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: ER- Evening0.37 Q-scoresStandard Deviation 1.58
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: ER- Morning-0.41 Q-scoresStandard Deviation 2.06
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: ER- Noon-0.44 Q-scoresStandard Deviation 1.7
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: ER- Evening-0.43 Q-scoresStandard Deviation 1.8
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: MR- Morning-0.04 Q-scoresStandard Deviation 1.25
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: MR- Noon0.01 Q-scoresStandard Deviation 1.15
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: MR- Evening0.03 Q-scoresStandard Deviation 1.25
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: MR- Morning-0.23 Q-scoresStandard Deviation 1.15
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: MR- Noon-0.45 Q-scoresStandard Deviation 0.97
AtomoxetineChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: MR- Evening-0.35 Q-scoresStandard Deviation 1.3
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: MR- Noon-0.16 Q-scoresStandard Deviation 0.83
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: ER- Morning0.30 Q-scoresStandard Deviation 1.15
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: MR- Morning-0.26 Q-scoresStandard Deviation 0.84
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: ER- Noon0.41 Q-scoresStandard Deviation 1.24
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: MR- Morning-0.24 Q-scoresStandard Deviation 0.78
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: ER- Evening0.41 Q-scoresStandard Deviation 1.24
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: MR- Noon-0.30 Q-scoresStandard Deviation 0.95
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: ER- Morning0.35 Q-scoresStandard Deviation 1.1
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: MR- Evening-0.16 Q-scoresStandard Deviation 0.77
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: ER- Noon0.32 Q-scoresStandard Deviation 1.06
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8Baseline: MR- Evening-0.34 Q-scoresStandard Deviation 0.89
PlaceboChange From Baseline cb CPT Variable: Other (Includes Error Rate [ER] and Multi Response [MR]) Q-scores At Week 8W8: ER- Evening0.28 Q-scoresStandard Deviation 1.1
p-value: <0.00195% CI: [0.69, 1.18]Mixed Models Analysis
p-value: 0.17895% CI: [0.05, 0.28]Mixed Models Analysis
Primary

Change From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8

Infra-red camera tracks movement of head reflector on patient performing computer test. Hyperactivity test variables: TA=percent time patient moved\>1 centimeter (cm)/second; DIS=path of movement (m); AR=total area (cm2) of movements; ME=number of position changes\>1 mm; MS=degree (percent) of directional changes. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation (SD)=1 in general population, expressing the probability determined by the Gamma function in terms of SD of Gaussian density). Higher scores reflect more severe symptoms.

Time frame: Baseline, 8 weeks (W8)

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: AR- Morning-0.38 Q-scoresStandard Deviation 1.58
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: DIS- Evening1.47 Q-scoresStandard Deviation 1.86
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: AR- Noon-0.87 Q-scoresStandard Deviation 1.7
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: TA- Noon0.65 Q-scoresStandard Deviation 1.13
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: AR- Evening-0.71 Q-scoresStandard Deviation 1.53
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: DIS- Morning-0.51 Q-scoresStandard Deviation 1.8
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: ME- Morning0.97 Q-scoresStandard Deviation 1.32
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: TA- Evening-0.55 Q-scoresStandard Deviation 1.08
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: ME- Noon0.98 Q-scoresStandard Deviation 1.29
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: DIS- Noon-1.06 Q-scoresStandard Deviation 1.94
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: ME- Evening0.94 Q-scoresStandard Deviation 1.45
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: TA- Morning-0.32 Q-scoresStandard Deviation 1
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: ME- Morning-0.47 Q-scoresStandard Deviation 1.42
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: DIS- Evening-0.87 Q-scoresStandard Deviation 1.71
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: ME- Noon-0.82 Q-scoresStandard Deviation 1.48
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: DIS- Morning1.41 Q-scoresStandard Deviation 1.69
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: ME- Evening-0.72 Q-scoresStandard Deviation 1.41
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: AR- Morning1.14 Q-scoresStandard Deviation 1.65
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: MS- Morning0.21 Q-scoresStandard Deviation 1.08
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: TA- Evening0.66 Q-scoresStandard Deviation 1.26
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: MS- Noon0.25 Q-scoresStandard Deviation 1.12
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: AR- Noon1.25 Q-scoresStandard Deviation 1.66
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: MS- Evening0.22 Q-scoresStandard Deviation 1.21
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: DIS- Noon1.55 Q-scoresStandard Deviation 1.86
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: MS- Morning-0.22 Q-scoresStandard Deviation 1.29
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: AR- Evening1.19 Q-scoresStandard Deviation 1.81
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: MS- Noon-0.39 Q-scoresStandard Deviation 1.37
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: TA- Noon-0.60 Q-scoresStandard Deviation 1.13
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: MS- Evening-0.38 Q-scoresStandard Deviation 1.31
AtomoxetineChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: TA-Morning0.62 Q-scoresStandard Deviation 1.27
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: MS- Evening-0.19 Q-scoresStandard Deviation 1.09
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: TA-Morning0.84 Q-scoresStandard Deviation 0.84
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: TA- Noon0.76 Q-scoresStandard Deviation 0.79
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: TA- Evening0.85 Q-scoresStandard Deviation 0.83
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: TA- Morning0.06 Q-scoresStandard Deviation 0.84
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: TA- Noon0.15 Q-scoresStandard Deviation 0.74
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: TA- Evening0.03 Q-scoresStandard Deviation 0.76
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: DIS- Morning1.62 Q-scoresStandard Deviation 1.68
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: DIS- Noon1.62 Q-scoresStandard Deviation 1.74
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: DIS- Evening1.75 Q-scoresStandard Deviation 1.73
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: DIS- Morning0.38 Q-scoresStandard Deviation 1.75
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: DIS- Noon0.49 Q-scoresStandard Deviation 1.52
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: DIS- Evening0.07 Q-scoresStandard Deviation 1.54
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: AR- Morning1.40 Q-scoresStandard Deviation 1.56
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: AR- Noon1.45 Q-scoresStandard Deviation 1.59
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: AR- Evening1.58 Q-scoresStandard Deviation 1.67
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: AR- Morning0.39 Q-scoresStandard Deviation 1.6
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: AR- Noon0.40 Q-scoresStandard Deviation 1.18
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: AR- Evening-0.00 Q-scoresStandard Deviation 1.45
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: ME- Morning1.15 Q-scoresStandard Deviation 1.11
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: ME- Noon1.09 Q-scoresStandard Deviation 1.19
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: ME- Evening1.18 Q-scoresStandard Deviation 1.18
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: ME- Morning0.20 Q-scoresStandard Deviation 1.19
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: ME- Noon0.28 Q-scoresStandard Deviation 1.01
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: ME- Evening0.06 Q-scoresStandard Deviation 1.06
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: MS- Morning0.38 Q-scoresStandard Deviation 1.01
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: MS- Noon0.32 Q-scoresStandard Deviation 0.95
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8Baseline: MS- Evening0.35 Q-scoresStandard Deviation 1.05
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: MS- Morning-0.04 Q-scoresStandard Deviation 1.07
PlaceboChange From Baseline Computer-based Continuous Performance Test (cb- CPT; Qbtech AB, Sweden), Variable: Hyperactivity (Includes Time Active [TA], Distance [DIS], Area [AR], Microevents [ME], Motion Simplicity [MS]) Q-scores At Week 8W8 Change: MS- Noon-0.12 Q-scoresStandard Deviation 0.94
p-value: <0.00195% CI: [0.52, 0.87]Mixed Models Analysis
p-value: <0.00195% CI: [0.98, 1.57]Mixed Models Analysis
p-value: <0.00195% CI: [0.81, 1.35]Mixed Models Analysis
p-value: <0.00195% CI: [0.78, 1.22]Mixed Models Analysis
p-value: <0.00195% CI: [0.18, 0.58]Mixed Models Analysis
Secondary

Change From Baseline Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator-Administered And Scored (ADHDRS-IV-Parent:Inv) Total Score At Week 8

Measures the 18 symptoms contained in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision (DSM-IV-TR) diagnosis of Attention-Deficit/Hyperactivity Disorder. Individual item scores range from 0 (none/never or rarely) to 3 (severe/very often). Total scores range from 0 to 54.

Time frame: Baseline, 8 weeks

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator-Administered And Scored (ADHDRS-IV-Parent:Inv) Total Score At Week 8Baseline to Visit 7 (Week 8)-17.19 units on a scaleStandard Deviation 15.63
AtomoxetineChange From Baseline Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator-Administered And Scored (ADHDRS-IV-Parent:Inv) Total Score At Week 8Baseline to LOCF-15.78 units on a scaleStandard Deviation 15.19
PlaceboChange From Baseline Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator-Administered And Scored (ADHDRS-IV-Parent:Inv) Total Score At Week 8Baseline to Visit 7 (Week 8)-4.76 units on a scaleStandard Deviation 11.51
PlaceboChange From Baseline Attention-Deficit/Hyperactivity Disorder Rating Scale-IV-Parent Version: Investigator-Administered And Scored (ADHDRS-IV-Parent:Inv) Total Score At Week 8Baseline to LOCF-4.21 units on a scaleStandard Deviation 10.89
Comparison: Comparison of atomoxetine vs. placebo at Visit 7 (Week 8)p-value: <0.00195% CI: [8.2, 14.99]Mixed Models Analysis
Secondary

Change From Baseline Clinical Global Impressions-Severity of ADHD (CGI-S-ADHD) Score at Week 8

CGI-S-ADHD measures severity of the patient's overall severity of ADHD symptoms (1=normal, not at all ill; 7=among the most extremely ill patients).

Time frame: Baseline, 8 weeks

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline Clinical Global Impressions-Severity of ADHD (CGI-S-ADHD) Score at Week 8Baseline to Visit 7 (Week 8)-1.78 units on a scaleStandard Deviation 1.61
AtomoxetineChange From Baseline Clinical Global Impressions-Severity of ADHD (CGI-S-ADHD) Score at Week 8Baseline to LOCF-1.52 units on a scaleStandard Deviation 1.63
PlaceboChange From Baseline Clinical Global Impressions-Severity of ADHD (CGI-S-ADHD) Score at Week 8Baseline to Visit 7 (Week 8)-0.63 units on a scaleStandard Deviation 1.11
PlaceboChange From Baseline Clinical Global Impressions-Severity of ADHD (CGI-S-ADHD) Score at Week 8Baseline to LOCF-0.40 units on a scaleStandard Deviation 1.17
Comparison: Comparison of atomoxetine vs. placebo at Visit 7 (Week 8)p-value: <0.00195% CI: [0.76, 1.46]Mixed Models Analysis
Secondary

Change From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8

Weekly Rating Of Evening & Morning Behavior-Revised-Investigator Rated (WREMB-R-Inv) measures the level of difficulty of 11 common morning or evening behaviors (e.g. getting out of bed, doing homework, sitting through dinner). Possible scores for each item range from 0 (no difficulty) to 3 (a lot of difficulty) with a Total score (maximum score=33), Morning subscore (maximum score=9), Evening subscore (maximum score=24), and Item 11 score which pertains to degree of difficulty falling asleep (maximum score=3).

Time frame: Baseline, 8 weeks

Population: Full analysis population (N=125) including all randomized participants taking at least one dose of study medication.

ArmMeasureGroupValue (MEAN)Dispersion
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Total Score: Baseline to Visit 7 (Week 8)-10.72 units on a scaleStandard Deviation 10.21
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Total Score: Baseline to LOCF-9.59 units on a scaleStandard Deviation 9.98
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Evening Subscore: Baseline to Visit 7 (Week 8)-6.91 units on a scaleStandard Deviation 6.38
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Evening Subscore: Baseline to LOCF-6.30 units on a scaleStandard Deviation 6.21
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Morning Subscore: Baseline to Visit 7 (Week 8)-2.81 units on a scaleStandard Deviation 3.04
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Morning Subscore: Baseline to LOCF-2.46 units on a scaleStandard Deviation 3
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Item 11 Subscore: Baseline to Visit 7 (Week 8)-1.00 units on a scaleStandard Deviation 1.6
AtomoxetineChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Item 11 Subscore: Baseline to LOCF-0.83 units on a scaleStandard Deviation 1.6
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Item 11 Subscore: Baseline to LOCF-0.23 units on a scaleStandard Deviation 1.05
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Total Score: Baseline to Visit 7 (Week 8)-5.10 units on a scaleStandard Deviation 6.83
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Morning Subscore: Baseline to Visit 7 (Week 8)-1.16 units on a scaleStandard Deviation 2.74
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Total Score: Baseline to LOCF-3.90 units on a scaleStandard Deviation 7.83
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Item 11 Subscore: Baseline to Visit 7 (Week 8)-0.37 units on a scaleStandard Deviation 1
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Evening Subscore: Baseline to Visit 7 (Week 8)-3.57 units on a scaleStandard Deviation 4.36
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Morning Subscore: Baseline to LOCF-0.65 units on a scaleStandard Deviation 2.94
PlaceboChange From Baseline Weekly Rating Of Evening and Morning Behavior-Revised-Investigator Rated, Total and Subscores at Week 8Evening Subscore: Baseline to LOCF-3.03 units on a scaleStandard Deviation 5.18
p-value: <0.00195% CI: [3.55, 7.92]Mixed Models Analysis
p-value: 0.00195% CI: [2.49, 5.44]Mixed Models Analysis
p-value: <0.00295% CI: [0.42, 1.93]Mixed Models Analysis
p-value: <0.00195% CI: [0.31, 0.93]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026