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Amphetamine Extended-Release Tablets in the Treatment of Adults With ADHD

Amphetamine Extended-Release Tablets in the Treatment of Adults With ADHD

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03834766
Enrollment
130
Registered
2019-02-08
Start date
2019-02-06
Completion date
2019-10-19
Last updated
2023-11-02

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

Conditions

ADHD

Brief summary

To evaluate the efficacy of AMPH ER TAB compared to placebo in adult patients with ADHD aged 18 to 60 years.

Detailed description

This is a randomized, double-blind (DB), placebo-controlled, parallel, study to assess the efficacy and safety of AMPH ER TAB compared to placebo for the treatment of ADHD in adults aged 18 to 60 years. After Screening and Baseline evaluations are complete, eligible subjects will be randomized in the study to take DB AMPH ER TAB or matching placebo orally once daily in the morning beginning the day after the Baseline visit for 5 weeks. Dose will be titrated on a weekly basis to reach 20 mg per day. Subjects who cannot tolerate the study drug will be discontinued from the study. A Math Test placement test will be done at Screening or at Baseline. At Visit 5, efficacy assessments will include the administration of serial Math Tests at pre-dose and at 0.5, 1, 2, 4, 8, 10, 12, 13, and 14 hours post-dose (Primary Endpoint) Adult Investigator Symptom Rating Scale (AISRS) and Clinical Global Impression Scale Severity (CGI-S) will be conducted at Baseline and Visits 1 to 5. Digit Symbol Substitution Test (DSST) will be administered at Baseline and Visit 5 (Secondary Endpoints). Safety assessments will include treatment-emergent adverse events, physical examination, vital signs, body weight, Columbia Suicide Severity Rating Scale (C-SSRS), and direct questioning to assess for sleep, appetite, mood and psychotic events.

Interventions

DRUGAMPH ER Tab 5, 10, 15 and 20 mg

Amphetamine

DRUGAMPH ER Tab Matching Placebo 5, 10, 15 and 20 mg

Placebo

Sponsors

Premier Research
CollaboratorOTHER
Tris Pharma, Inc.
Lead SponsorINDUSTRY

Study design

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

Masking description

AMPH ER Tab 5, 10, 15 & 20 mg Vs. Matching Placebo

Intervention model description

This is a randomized, double-blind (DB), placebo-controlled, parallel study

Eligibility

Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

1. Male or female aged 18 to 60 years, inclusive at the time of Screening. 2. Diagnosed with ADHD using the DSM-5 criteria based on the Adults ADHD Clinical Diagnostic Scale (ACDS). 3. IQ within normal range based upon clinical opinion of the Investigator. 4. Baseline AISRS total score greater than or equal to 26. 5. Baseline score of 4 or higher in CGI-S. 6. Females who participate in this study will be of childbearing or non-childbearing potential: * Childbearing potential: Physically capable of becoming pregnant * Non-childbearing potential: * Permanently sterile (i.e., both ovaries removed, uterus removed, or bilateral tubal ligation for at least 6 weeks or documented successful hysteroscopic sterilization); and/or * Post-menopausal (no menstrual period for at least 12 consecutive months without any other medical cause). 7. Females of childbearing potential must be non-lactating and must have a negative serum pregnancy test at Screening. 8. Willing to use acceptable, effective methods of contraception. 9. Be able to attend the clinic regularly and reliably. 10. Be able to understand, read, write, and speak English fluently to complete the study related materials. 11. Be informed of the nature of the study and give written consent prior to any study procedure.

Exclusion criteria

1. Current or lifetime history of bipolar disorder or any psychotic disorder as established by Mini International Neuropsychiatric Interview (M.I.N.I.) 7.0.2. 2. Current history of major depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, or post-traumatic stress disorder as established by the M.I.N.I. 7.0.2. 3. Known history of chronic medical illnesses including untreated thyroid disease, peripheral vasculopathy, known structural cardiac disorders, serious cardiac conditions, serious arrhythmias, cardiomyopathy, and known family history of sudden death. 4. History of uncontrolled hypertension or a resting systolic blood pressure \>140 mmHg or diastolic blood pressure \>90 mmHg. Subjects with well-controlled hypertension on a stable dose for at least 3 months of anti-hypertensives will be allowed to participate. 5. Have clinically significant findings in vital signs measurements at Screening including: * Systolic blood pressure \>140 mmHg or diastolic blood pressure \>90 mmHg * Heart rate \>100 bpm 6. Known history or presence of significant renal or hepatic disease, as indicated by clinical laboratory assessment: * Liver function test results ≥2 times the upper normal limit * Abnormal blood urea nitrogen, or creatinine levels 7. Clinically significant abnormal electrocardiogram or cardiac findings on physical examination (including the presence of a pathologic murmur). 8. Use of the following medications within 14 days of Baseline Visit: * Atomoxetine * Monoamine oxidase inhibitors (e.g., selegiline, isocarboxazid, phenelzine, tranylcypromine) * Tricyclic antidepressants (e.g., desipramine, protriptyline). 9. Use of the following medications within 3 days of Baseline Visit: * Gastrointestinal acidifying agents (e.g., guanethidine, reserpine, glutamic acid hydrochloride \[HCl\], ascorbic acid) * Urinary acidifying agents (e.g., ammonium chloride, sodium acid phosphate, methenamine salts). 10. Use of fluoxetine within 30 days of Baseline Visit. 11. Use of stimulant medications within 1 week of Baseline Visit. 12. Planned use of prohibited drugs or agents from the Screening visit through the end of the study. 13. Participation in a clinical study in which an investigational drug was administered within 30 days prior to Screening. 14. Abnormal clinically significant laboratory test values at Screening that, in the opinion of the Medical Monitor or Sponsor, would preclude study participation. 15. Known history of allergy/hypersensitivity to amphetamine or any of the components of AMPH ER TAB. 16. Known history of lack of clinical response to amphetamine based upon Investigator judgment. 17. Positive test result for HIV, Hepatitis B surface antigen, or Hepatitis C antibody. 18. Any uncontrolled medical condition that, in the opinion of Medical Monitor or Sponsor, would preclude study participation. 19. History or presence of alcohol dependence or substance abuse disorder according to DSM-5 or within the last 12 months. 20. Subject's inability or unwillingness to follow directions from the study research staff. 21. Answer of yes to questions 4 or 5 of the C-SSRS within the last 2 years.

Design outcomes

Primary

MeasureTime frameDescription
Lean Squares Mean (± Standard Error) of Math Test Score Over All Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)Pre-dose to 14 hour post-doseThe Total Math Score is the sum of the number of math problems attempted plus the number of math problems answered correctly and it provides an objective measure of performance that is time-sensitive, ADHD medication-sensitive, and well documented as a measure to evaluate ADHD medication effectiveness throughout the day. The Total Math Score ranges from 0-800 with higher scores indicating better performance.

Secondary

MeasureTime frameDescription
Change From Baseline in AISRS Total Score at Each Post-baseline VisitBaseline, Visit 1 (week 1), Visit 2 (week 2), Visit 3 (week 3), Visit 4 (week 4), Visit 5 (week 5)AISRS scale was developed to better capture symptoms of ADHD in adult patients. The scale has 18 items scored as follows: 0 (none), 1 (mild), 2 (moderate), 3 (severe). The maximum total score for the scale is 54 points.
Change From Baseline to Visit 5 on DSSTFrom baseline to week 5The Digit Symbol Substitution Test (DSST) is a paper-and-pencil cognitive test presented on a single sheet of paper that requires a subject to match symbols to numbers according to a key located on the top of the page. The DSST is sensitive to the presence of cognitive dysfunction as well as to change in cognitive function. The DSST is a 90 second test requiring participants to match symbols with numbers according to a code. Potential scores range from 0 to 100, and lower scores indicate worse performance.
Change From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)Visit 5 (week 5)The Total Math Score is the sum of the number of math problems attempted plus the number of math problems answered correctly and it provides an objective measure of performance that is time-sensitive, ADHD medication-sensitive, and well documented as a measure to evaluate ADHD medication effectiveness throughout the day. The Total Math Score ranges from 0-800 with higher scores indicating better performance.
Change From Baseline in CGI-S Total Score at Each Post-baseline VisitBaseline, Visit 1 (week 1), Visit 2 (week 2), Visit 3 (week 3), Visit 4 (week 4), Visit 5 (week 5)The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Possible ratings are: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients.

Countries

United States

Participant flow

Recruitment details

A total of 166 subjects was screened; 36 subjects failed screening. A total of 130 subjects were randomized, 65 to each treatment arm. Three subjects randomized to AMPH ER TAB did not receive drug, resulting in 127 subjects who started the study.

Participants by arm

ArmCount
AMPH ER Tab
Amphetamine Extended Release Tablets 5, 10, 15 and 20 mg AMPH ER Tab 5, 10, 15 and 20 mg: Amphetamine
62
Matching Placebo
Matching Placebo Tablets 5, 10, 15 and 20 mg AMPH ER Tab Matching Placebo 5, 10, 15 and 20 mg: Placebo
65
Total127

Baseline characteristics

CharacteristicAMPH ER TabTotalMatching Placebo
Age, Continuous33.1 years
STANDARD_DEVIATION 11.14
32.4 years
STANDARD_DEVIATION 10.71
31.8 years
STANDARD_DEVIATION 10.33
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants57 Participants36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
41 Participants70 Participants29 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants5 Participants4 Participants
Race (NIH/OMB)
Black or African American
7 Participants16 Participants9 Participants
Race (NIH/OMB)
More than one race
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
52 Participants104 Participants52 Participants
Region of Enrollment
United States
62 participants127 participants65 participants
Sex: Female, Male
Female
40 Participants76 Participants36 Participants
Sex: Female, Male
Male
22 Participants51 Participants29 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 620 / 65
other
Total, other adverse events
54 / 6235 / 65
serious
Total, serious adverse events
0 / 620 / 65

Outcome results

Primary

Lean Squares Mean (± Standard Error) of Math Test Score Over All Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)

The Total Math Score is the sum of the number of math problems attempted plus the number of math problems answered correctly and it provides an objective measure of performance that is time-sensitive, ADHD medication-sensitive, and well documented as a measure to evaluate ADHD medication effectiveness throughout the day. The Total Math Score ranges from 0-800 with higher scores indicating better performance.

Time frame: Pre-dose to 14 hour post-dose

ArmMeasureValue (MEAN)Dispersion
AMPH ER TabLean Squares Mean (± Standard Error) of Math Test Score Over All Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)259.5 Score on a scaleStandard Deviation 69.4
Matching PlaceboLean Squares Mean (± Standard Error) of Math Test Score Over All Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)260.6 Score on a scaleStandard Deviation 77.75
Secondary

Change From Baseline in AISRS Total Score at Each Post-baseline Visit

AISRS scale was developed to better capture symptoms of ADHD in adult patients. The scale has 18 items scored as follows: 0 (none), 1 (mild), 2 (moderate), 3 (severe). The maximum total score for the scale is 54 points.

Time frame: Baseline, Visit 1 (week 1), Visit 2 (week 2), Visit 3 (week 3), Visit 4 (week 4), Visit 5 (week 5)

ArmMeasureGroupValue (MEAN)Dispersion
AMPH ER TabChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 4-15.4 Score on a scaleStandard Deviation 10.36
AMPH ER TabChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 1-7.2 Score on a scaleStandard Deviation 7.94
AMPH ER TabChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 2-11.2 Score on a scaleStandard Deviation 9.45
AMPH ER TabChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 3-15 Score on a scaleStandard Deviation 9.08
AMPH ER TabChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 5-15.9 Score on a scaleStandard Deviation 10.98
Matching PlaceboChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 5-9.5 Score on a scaleStandard Deviation 10.05
Matching PlaceboChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 3-8.8 Score on a scaleStandard Deviation 8.38
Matching PlaceboChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 1-5.3 Score on a scaleStandard Deviation 5.95
Matching PlaceboChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 4-9.3 Score on a scaleStandard Deviation 9.47
Matching PlaceboChange From Baseline in AISRS Total Score at Each Post-baseline VisitVisit 2-8.1 Score on a scaleStandard Deviation 7.22
Secondary

Change From Baseline in CGI-S Total Score at Each Post-baseline Visit

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Possible ratings are: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients.

Time frame: Baseline, Visit 1 (week 1), Visit 2 (week 2), Visit 3 (week 3), Visit 4 (week 4), Visit 5 (week 5)

ArmMeasureGroupValue (MEAN)Dispersion
AMPH ER TabChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 2-1.0 Score on a scaleStandard Deviation 1.02
AMPH ER TabChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 4-1.4 Score on a scaleStandard Deviation 1.17
AMPH ER TabChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 3-1.3 Score on a scaleStandard Deviation 1.2
AMPH ER TabChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 5-1.3 Score on a scaleStandard Deviation 1.24
AMPH ER TabChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 1-0.6 Score on a scaleStandard Deviation 0.89
Matching PlaceboChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 5-0.7 Score on a scaleStandard Deviation 0.97
Matching PlaceboChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 1-0.3 Score on a scaleStandard Deviation 0.52
Matching PlaceboChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 2-0.6 Score on a scaleStandard Deviation 0.68
Matching PlaceboChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 3-0.6 Score on a scaleStandard Deviation 0.79
Matching PlaceboChange From Baseline in CGI-S Total Score at Each Post-baseline VisitVisit 4-0.8 Score on a scaleStandard Deviation 1.1
Secondary

Change From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)

The Total Math Score is the sum of the number of math problems attempted plus the number of math problems answered correctly and it provides an objective measure of performance that is time-sensitive, ADHD medication-sensitive, and well documented as a measure to evaluate ADHD medication effectiveness throughout the day. The Total Math Score ranges from 0-800 with higher scores indicating better performance.

Time frame: Visit 5 (week 5)

ArmMeasureGroupValue (MEAN)Dispersion
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)1 hours67.9 Score on a scaleStandard Deviation 107.43
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)10 hours81.2 Score on a scaleStandard Deviation 118.64
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)4 hours81.7 Score on a scaleStandard Deviation 121.72
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)12 hours85.2 Score on a scaleStandard Deviation 111.18
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)2 hours84.4 Score on a scaleStandard Deviation 115.37
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)13 hours88.8 Score on a scaleStandard Deviation 120.45
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)8 hours78.8 Score on a scaleStandard Deviation 121.72
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)14 hours89 Score on a scaleStandard Deviation 122.89
AMPH ER TabChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)0.5 hours64.5 Score on a scaleStandard Deviation 106.21
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)14 hours62.9 Score on a scaleStandard Deviation 78.34
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)0.5 hours39.7 Score on a scaleStandard Deviation 82.74
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)1 hours27.8 Score on a scaleStandard Deviation 84.1
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)2 hours47.0 Score on a scaleStandard Deviation 84.12
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)4 hours53.0 Score on a scaleStandard Deviation 87.84
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)8 hours48.2 Score on a scaleStandard Deviation 90.28
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)10 hours53.8 Score on a scaleStandard Deviation 85.1
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)12 hours58.3 Score on a scaleStandard Deviation 94.97
Matching PlaceboChange From Baseline on Total Math Test Score Over Each Post-dose Time Points (0.5, 1, 2, 4, 8, 10, 12, 13, and 14 Hours Post-dose) Assessed During the Administration of Serial Math Tests at Visit 5 (Week 5)13 hours47.7 Score on a scaleStandard Deviation 84.07
Secondary

Change From Baseline to Visit 5 on DSST

The Digit Symbol Substitution Test (DSST) is a paper-and-pencil cognitive test presented on a single sheet of paper that requires a subject to match symbols to numbers according to a key located on the top of the page. The DSST is sensitive to the presence of cognitive dysfunction as well as to change in cognitive function. The DSST is a 90 second test requiring participants to match symbols with numbers according to a code. Potential scores range from 0 to 100, and lower scores indicate worse performance.

Time frame: From baseline to week 5

ArmMeasureValue (MEAN)Dispersion
AMPH ER TabChange From Baseline to Visit 5 on DSST4.8 Score on a scaleStandard Deviation 7.64
Matching PlaceboChange From Baseline to Visit 5 on DSST6.5 Score on a scaleStandard Deviation 7.21

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026