Title

Pharmacokinetics of HLD200 in Children and Adolescents With ADHD
A Phase I/II, Single Center, Single-Treatment, Open-Label, Adaptive Clinical Trial Design Examining the Pharmacokinetic Effects of up to Two Separate HLD200 Modified Release Formulations of Methylphenidate in Adolescent and Pediatric Subjects With ADHD
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    methylphenidate ...
  • Study Participants

    29
This study was designed to assess the pharmacokinetic effects of a single dose of HLD200 (methylphenidate hydrochloride) in children and adolescents with ADHD.
This study utilized a single-center, open-label, single-treatment, fasted design to examine the rate and extent of absorption of evening-administered HLD200 in children (6-12 years) and adolescents (13-17 years) with ADHD.

Following a screening period that included five days washout to allow for clearance of any prior ADHD medications, subjects were domiciled in-clinic and administered HLD200 (B-formulation; 54 mg; oral capsule) at 9 pm under fasted conditions. Subjects were then observed for safety and tolerability and a total of 18 blood samples collected during a 48 hour period (at t=0, 4, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24, 36 and 48 hours post-dosing). These samples were then assayed for methylphenidate plasma concentrations and this data used for calculation of pharmacokinetic parameters.
Study Started
Aug 31
2013
Primary Completion
Oct 31
2013
Study Completion
Oct 31
2013
Results Posted
Sep 20
2021
Last Update
Dec 23
2021

Drug HLD200 (methylphenidate hydrochloride)

  • Other names: JORNAY PM

HLD200 (methylphenidate hydrochloride) in Adolescents Experimental

HLD200 (B formulation, 54 mg, oral capsules) administered as a single treatment in the evening to children aged 13-17 years.

HLD200 (methylphenidate hydrochloride) in Children Experimental

HLD200 (B formulation, 54 mg, oral capsules) administered as a single treatment in the evening to children aged 6-12 years.

Criteria

Inclusion Criteria:

Male and female adolescents (13-17 years) and children (6-12 years).
Previous diagnosis of ADHD and confirmation using the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID).
ADHD symptoms controlled on a stable dose of ADHD medication. Subjects should be on MPH or have previous history of symptom control during treatment with MPH.
Physical examination free of clinically significant findings, unless deemed NCS by the Investigator and Medical Monitor;
Able to swallow treatment capsules;
Available for entire study period;
Provision of informed consent (from the parent[s] and/or legal representative[s]) and assent (from the subject); and
Female subjects of childbearing potential (i.e., post-menarche) required to have a negative result on urine pregnancy testing (and will be given specific instructions on avoiding pregnancy during trial)

Exclusion Criteria:

Any known history or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, ophthalmologic disease, unless deemed NCS by the Investigator and the Medical Monitor;
Presence of any significant physical or organ abnormality;
Any illness during the 4 weeks before this study, unless deemed NCS by the Investigator and the Clinical and/or Medical Monitor;
Severe comorbid psychiatric diagnosis that may affect subject safety or confound results (e.g., psychosis, bipolar disorder);
Known history of moderate to severe asthma;
Known history of severe allergic reaction (including drugs, food, insect bites, environmental allergens);
Known history of seizures (except febrile seizures prior to age 5), anorexia nervosa, bulimia or current diagnosis or family history of Tourette's disorder;
Subject who are severely underweight or overweight.
Clinical value outside of the acceptable ranges, unless deemed NCS significant per the Investigator;
Positive history for hepatitis B, hepatitis C and Human Immunodeficiency Virus (HIV);
Positive screening for illicit drug use, and/or current health conditions or use of medications that might confound the results of the study or increase risk to the subject;
Use of prescription medications (except ADHD medications) within 7 days and over-the counter medications (except birth control) within the 3 days preceding study enrollment, unless deemed acceptable by the Investigator and Clinical and/or Medical Monitor;
Blood draws of 50 ml to 249 ml within the 30 days, 250 ml to 449 ml within the 45 days and ≥ 450 ml within the 60 days preceding study enrollment;
Participation in clinical trial with an investigational drug within the 30 days preceding study enrollment;
Intolerance to venipuncture; and
Current suicidal ideation or history of suicidality determined as a significant finding on the Columbia-Suicide Severity Rating Scale (C-SSRS) by the investigator (Baseline C-SSRS for adolescents; Pediatric Baseline C-SSRS for children).

Summary

Adolescents (13-17yrs)

Children (6-12 Yrs)

All Events

Event Type Organ System Event Term Adolescents (13-17yrs) Children (6-12 Yrs)

PK Parameters for Rate and Extent of Absorption of MPH: Lag Time

The absorption lag time for methylphenidate in plasma expressed in hours is the difference in time between the drug administration and the last time point where the drug concentration was below the limit of assay quantitation.

HLD200 in Adolescents (13-17 Years)

6.3
hours (Mean)
Standard Deviation: 1.3

HLD200 in Children (6-12 Yrs)

3.3
hours (Mean)
Standard Deviation: 2.7

PK Parameters for Rate and Extent of Absorption of MPH: Cmax

The maximum drug concentration of methylphenidate in plasma.

HLD200 in Adolescents (13-17 Years)

7.17
ng/mL (Mean)
Standard Deviation: 1.7

HLD200 in Children (6-12 Yrs)

11.64
ng/mL (Mean)
Standard Deviation: 4.2

PK Parameters for Rate and Extent of Absorption of MPH: Tmax

The time to reach maximum concentration of methylphenidate in plasma.

HLD200 in Adolescents (13-17 Years)

17.1
hours (Mean)
Standard Deviation: 2.5

HLD200 in Children (6-12 Yrs)

17.7
hours (Mean)
Standard Deviation: 2.5

PK Parameters for Rate and Extent of Absorption of MPH: AUC0-tz

Area under the methylphenidate plasma concentration-time curve to time point tz (AUC0-tz), where tz was the last time point over the time interval with a measurable drug concentration

HLD200 in Adolescents (13-17 Years)

105.5
ng.hr/mL (Mean)
Standard Deviation: 31.7

HLD200 in Children (6-12 Yrs)

205.6
ng.hr/mL (Mean)
Standard Deviation: 80.4

PK Parameters for Rate and Extent of Absorption of MPH: AUC0-inf

The area under the methylphenidate plasma concentration-time curve to infinite time

HLD200 in Adolescents (13-17 Years)

109.6
ng.hr/mL (Mean)
Standard Deviation: 33.8

HLD200 in Children (6-12 Yrs)

210.1
ng.hr/mL (Mean)
Standard Deviation: 80.9

PK Parameters for Rate and Extent of Absorption of MPH in Plasma: Plasma Concentration-time Curve

To determine the rate and extent of absorption of methylphenidate following a single treatment of HLD200 (B formulation; 54 mg) in children and adolescents with ADHD, plasma samples were collected at t=0, 4, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24, 36 and 48 hours post-HLD200 treatment and methylphenidate concentrations were determined.

HLD200 in Adolescents (13-17 Years)

t=0 hrs

t=10 hrs

1.37
(ng/mL) (Mean)
Standard Deviation: 0.89

t=11 hrs

2.33
(ng/mL) (Mean)
Standard Deviation: 1.32

t=12 hrs

3.76
(ng/mL) (Mean)
Standard Deviation: 1.89

t= 13 hrs

4.66
(ng/mL) (Mean)
Standard Deviation: 2.06

t=14 hrs

5.7
(ng/mL) (Mean)
Standard Deviation: 2.02

t=15 hrs

6.09
(ng/mL) (Mean)
Standard Deviation: 1.90

t=16 hrs

6.58
(ng/mL) (Mean)
Standard Deviation: 1.57

t=18 hrs

6.13
(ng/mL) (Mean)
Standard Deviation: 1.43

t=20 hrs

5.52
(ng/mL) (Mean)
Standard Deviation: 1.56

t=22 hrs

4.66
(ng/mL) (Mean)
Standard Deviation: 1.57

t=24 hrs

3.67
(ng/mL) (Mean)
Standard Deviation: 1.70

t=36 hrs

1.07
(ng/mL) (Mean)
Standard Deviation: 0.76

t=48 hrs

0.23
(ng/mL) (Mean)
Standard Deviation: 0.30

t=4 hrs

t=6 hrs

0.03
(ng/mL) (Mean)
Standard Deviation: 0.06

t=8 hrs

0.15
(ng/mL) (Mean)
Standard Deviation: 0.11

t=9 hrs

0.47
(ng/mL) (Mean)
Standard Deviation: 0.36

HLD200 in Children (6-12 Yrs)

t=0 hrs

t=10 hrs

2.15
(ng/mL) (Mean)
Standard Deviation: 1.41

t=11 hrs

4.42
(ng/mL) (Mean)
Standard Deviation: 2.77

t=12 hrs

6.84
(ng/mL) (Mean)
Standard Deviation: 4.01

t= 13 hrs

8.1
(ng/mL) (Mean)
Standard Deviation: 4.72

t=14 hrs

9.05
(ng/mL) (Mean)
Standard Deviation: 4.40

t=15 hrs

9.68
(ng/mL) (Mean)
Standard Deviation: 4.06

t=16 hrs

10.64
(ng/mL) (Mean)
Standard Deviation: 4.51

t=18 hrs

11.01
(ng/mL) (Mean)
Standard Deviation: 3.90

t=20 hrs

10.53
(ng/mL) (Mean)
Standard Deviation: 4.23

t=22 hrs

9.22
(ng/mL) (Mean)
Standard Deviation: 3.76

t=24 hrs

7.51
(ng/mL) (Mean)
Standard Deviation: 3.48

t=36 hrs

2.47
(ng/mL) (Mean)
Standard Deviation: 1.05

t=48 hrs

0.48
(ng/mL) (Mean)
Standard Deviation: 0.20

t=4 hrs

0.05
(ng/mL) (Mean)
Standard Deviation: 0.07

t=6 hrs

0.13
(ng/mL) (Mean)
Standard Deviation: 0.13

t=8 hrs

0.39
(ng/mL) (Mean)
Standard Deviation: 0.21

t=9 hrs

1.03
(ng/mL) (Mean)
Standard Deviation: 0.66

Total

29
Participants

Age, Continuous

13.52
years (Mean)
Standard Deviation: 2.75

Height (cm)

159.55
cm (Mean)
Standard Deviation: 14.434

Weight (kg)

54.74
kg (Mean)
Standard Deviation: 19.704

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Overall Study

Adolescents (13-17yrs)

Children (6-12 Yrs)