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Last Updated: April 1, 2025

CLINICAL TRIALS PROFILE FOR APTENSIO XR


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All Clinical Trials for APTENSIO XR

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT03420339 ↗ Stimulant Effects on Disruptive Behavior Recruiting Matthew J O'Brien, PhD, BCBA-D Phase 4 2018-10-01 The goal of this study is to determine the effects of stimulant medication on disruptive behavior, function, preference and choice; however, it is primarily methodological and will add to current research by establishing an effective evaluation of the impact of stimulant medication on these behaviors. Three behavior assessments for children and adolescents diagnosed with AD/HD who exhibit disruptive behavior will be conducted: 1. Preference assessments will be conducted to determine whether preference for social and nonsocial items and activities differs under medication and non-medication conditions. 2. Functional analyses will be conducted to determine whether stimulant medication has an effect on the frequency and function or purpose of disruptive behavior. 3. Choice assessments will be conducted to evaluate the impact of stimulant medication on impulse control/delay discounting. This study will be conducted in three phases. For each of the 5 to 10 participants there will be 8 total visits. The first 4 visits will entail a preference assessment, followed by a functional analysis. On visits 1 and 3, the participant will be asked to take his/her stimulant medication as is typically done; however, on visits 2 and 4, the participant will be asked to refrain from taking the medication. For visits 5-8, participants will continue to participate in preference assessments, but will also be presented with a choice arrangement with work and play. In the choice arrangement, participants will be given four work cards and four play cards that they can organize in any order. Work cards will be associated with a brief academic task and play cards will be associated with a brief play period using high-preferred toys/activities. On visits 5 and 7 the participant will be asked to take his or her stimulant medication as usual, while on visits 6 and 8 the participant will be asked to refrain from taking his or her medication.
NCT03420339 ↗ Stimulant Effects on Disruptive Behavior Recruiting Matthew O'Brien Phase 4 2018-10-01 The goal of this study is to determine the effects of stimulant medication on disruptive behavior, function, preference and choice; however, it is primarily methodological and will add to current research by establishing an effective evaluation of the impact of stimulant medication on these behaviors. Three behavior assessments for children and adolescents diagnosed with AD/HD who exhibit disruptive behavior will be conducted: 1. Preference assessments will be conducted to determine whether preference for social and nonsocial items and activities differs under medication and non-medication conditions. 2. Functional analyses will be conducted to determine whether stimulant medication has an effect on the frequency and function or purpose of disruptive behavior. 3. Choice assessments will be conducted to evaluate the impact of stimulant medication on impulse control/delay discounting. This study will be conducted in three phases. For each of the 5 to 10 participants there will be 8 total visits. The first 4 visits will entail a preference assessment, followed by a functional analysis. On visits 1 and 3, the participant will be asked to take his/her stimulant medication as is typically done; however, on visits 2 and 4, the participant will be asked to refrain from taking the medication. For visits 5-8, participants will continue to participate in preference assessments, but will also be presented with a choice arrangement with work and play. In the choice arrangement, participants will be given four work cards and four play cards that they can organize in any order. Work cards will be associated with a brief academic task and play cards will be associated with a brief play period using high-preferred toys/activities. On visits 5 and 7 the participant will be asked to take his or her stimulant medication as usual, while on visits 6 and 8 the participant will be asked to refrain from taking his or her medication.
NCT02677519 ↗ A 12-Month Open Label Safety Study of Aptensio XR® in Children Ages 4-5 Years Diagnosed With ADHD Unknown status Rhodes Pharmaceuticals, L.P. Phase 4 2016-09-01 The primary objective of this study is to evaluate the long-term safety and tolerability of methylphenidate hydrochloride extended-release capsules (Aptensio XR®) in children aged 4-5 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Safety and tolerability will be evaluated by assessing treatment-emergent adverse events (TEAEs) blood pressure, pulse, height, weight, electrocardiograms (ECGs), laboratory The primary objective of this study is to evaluate the long-term (12-month) safety and tolerability of Aptensio XR® in children aged 4 to less than 6 years who have been diagnosed with ADHD. Safety and tolerability will be evaluated by assessing treatment-emergent adverse events (TEAEs) blood pressure, pulse, height, weight, electrocardiograms (ECGs), laboratory values and Columbia Suicide Severity Rating Scale (C-SSRS). Disturbances in sleep (quantity and quality) patterns will also be assessed using the Child Sleep Habits Questionnaire (CSHQ). Secondary objectives include assessment of long-term efficacy of Aptensio XR®. Secondary measures include: - Investigator administered Attention-Deficit/Hyperactivity Disorder Rating Scale Preschool Version (ADHD-RS-IV Preschool Version) - Clinical Global Impressions-Severity Scale (CGI-S ) - Connors Early Childhood Behavior-Parent Short form [Conners EC BEH-P(S)]
NCT02683265 ↗ A Flexible-Dose Titration Study of Aptensio XR in Children Ages 4 to Under 6 Years Diagnosed With ADHD Unknown status Rhodes Pharmaceuticals, L.P. Phase 4 2016-03-01 This randomized, double-blind, flexible-dose, placebo-controlled, parallel group study is designed to evaluate Aptensio XR® compared to placebo in preschool age children with ADHD. Male and female children ages 4 years, 0 months to 5 years, 8 months with a diagnosis of ADHD (combined, inattentive or hyperactive/impulsive) will be enrolled. There will be 6 phases in this study: a screening phase of up to 4 weeks, which will include washout if applicable, an enrollment & parent training phase lasting 2-4 weeks, an eligibility phase of up to 2 weeks to determine eligibility for the open-label phase, a 6-week open-label dose titration phase, a 2 week double-blind phase for Aptensio XR® responders, and a two-week follow-up call after study completion or early discontinuation to assess for ongoing adverse events and concomitant medications. Up to 150 subjects will be enrolled in this trial to allow for subjects who improve significantly during the behavior training phase and drop-outs. Once 74 subjects have completed the double-blind phase, no additional subjects will be enrolled in the trial. Subjects who are already enrolled at that time will be allowed to complete the trial. The primary objective of this study is to establish that an optimal dose of Aptensio XR® will result in a significant reduction in ADHD symptoms compared with placebo in children ages 4 to under 6 years
NCT02470234 ↗ Pharmacokinetic Study of Methylphenidate HCl Extended-Release Capsules in Children 4 to Under 6 Years of Age With ADHD Unknown status Rhodes Pharmaceuticals, L.P. Phase 4 2016-02-01 To assess the pharmacokinetics of a single dose of Aptensio XR® (methylphenidate hydrochloride extended-release) capsules under fed conditions in male or female children 4 to under 6 years of age with ADHD.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 5 of 5 entries

Clinical Trial Conditions for APTENSIO XR

Condition Name

21110-0.200.20.40.60.811.21.41.61.822.2Attention Deficit Disorder With HyperactivityAttention Deficit Hyperactivity DisorderAttention-Deficit/Hyperactivity DisorderProblem Behavior[disabled in preview]
Condition Name for APTENSIO XR
Intervention Trials
Attention Deficit Disorder With Hyperactivity 2
Attention Deficit Hyperactivity Disorder 1
Attention-Deficit/Hyperactivity Disorder 1
Problem Behavior 1
[disabled in preview] 0
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Condition MeSH

421000.511.522.533.54Attention Deficit Disorder with HyperactivityHyperkinesisProblem Behavior[disabled in preview]
Condition MeSH for APTENSIO XR
Intervention Trials
Attention Deficit Disorder with Hyperactivity 4
Hyperkinesis 2
Problem Behavior 1
[disabled in preview] 0
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Clinical Trial Locations for APTENSIO XR

Trials by Country

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Trials by Country for APTENSIO XR
Location Trials
United States 7
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Trials by US State

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Trials by US State for APTENSIO XR
Location Trials
North Carolina 3
Nevada 2
Iowa 1
Florida 1
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Clinical Trial Progress for APTENSIO XR

Clinical Trial Phase

100.0%000.511.522.533.54Phase 4[disabled in preview]
Clinical Trial Phase for APTENSIO XR
Clinical Trial Phase Trials
Phase 4 4
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Clinical Trial Status

75.0%25.0%000.511.522.53Unknown statusRecruiting[disabled in preview]
Clinical Trial Status for APTENSIO XR
Clinical Trial Phase Trials
Unknown status 3
Recruiting 1
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Clinical Trial Sponsors for APTENSIO XR

Sponsor Name

trials0112233Rhodes Pharmaceuticals, L.P.Matthew J O'Brien, PhD, BCBA-DMatthew O'Brien[disabled in preview]
Sponsor Name for APTENSIO XR
Sponsor Trials
Rhodes Pharmaceuticals, L.P. 3
Matthew J O'Brien, PhD, BCBA-D 1
Matthew O'Brien 1
[disabled in preview] 0
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Sponsor Type

60.0%40.0%000.511.522.53IndustryOther[disabled in preview]
Sponsor Type for APTENSIO XR
Sponsor Trials
Industry 3
Other 2
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Aptensio XR: Clinical Trials Update, Market Analysis, and Future Projections

Aptensio XR, a once-daily central nervous system stimulant for treating Attention-Deficit/Hyperactivity Disorder (ADHD), has made significant strides in the pharmaceutical market since its FDA approval in 2015. This article delves into the latest clinical trial updates, market analysis, and future projections for this innovative ADHD medication.

The Evolution of Aptensio XR

Aptensio XR, developed by Rhodes Pharmaceuticals, entered the ADHD treatment landscape with a unique extended-release formulation of methylphenidate. Its approval was based on two Phase III, randomized, double-blind, placebo-controlled studies that demonstrated its safety and efficacy in children and adolescents with ADHD[1].

"We were encouraged that the Aptensio XR's extended-release formulation helped to control symptoms throughout a 12-hour day, and that it's now another option physicians may consider for their patients," said Robert Kupper, PhD, Vice President and Chief Technology Officer, Rhodes Pharmaceuticals[1].

Clinical Efficacy and Safety Profile

Rapid Onset and Extended Duration

One of Aptensio XR's key features is its rapid onset of action, beginning within one hour of administration, coupled with a duration of effect lasting up to 12 hours[1]. This unique pharmacokinetic profile addresses a critical need in ADHD management – providing all-day symptom control with a single dose.

Dosing Flexibility

Aptensio XR offers seven dose strengths (10, 15, 20, 30, 40, 50, and 60 mg), allowing for personalized treatment regimens[1]. This flexibility is crucial for optimizing ADHD management, as optimal treatment often varies from patient to patient.

Safety Considerations

While Aptensio XR demonstrated a favorable safety profile in clinical trials, it's important to note common side effects. These include headache, insomnia, upper abdominal pain, decreased appetite, nausea, vomiting, and dizziness[1][7].

Recent Clinical Trials and FDA Updates

Studies in Younger Children

Recent clinical trials have explored the use of Aptensio XR in children under 6 years of age. However, these studies failed to establish safety and effectiveness in this younger population[10].

Long-term Growth Effects

A critical aspect of ADHD medication use in children is its potential impact on growth. The FDA has highlighted the importance of monitoring growth in pediatric patients using Aptensio XR, as some studies have shown a temporary slowing in growth rate[7].

Market Analysis and Competitive Landscape

Market Reach and Physician Engagement

In 2018, Aptensio XR's promotional activities reached a significant number of physicians in the ADHD market. The promotional mix included sales rep detailing, physician education, and paid speaking engagements[2].

Competitive Positioning

Aptensio XR competes in a crowded ADHD medication market, alongside drugs like Adzenys XR, Cotempla XR-ODT, Dyanavel XR, and Vyvanse[2]. Its unique formulation and dosing options position it as a valuable alternative for patients who may not respond optimally to other treatments.

Future Projections and Market Outlook

While specific market projections for Aptensio XR are not available, the broader clinical trial imaging market, which includes studies for drugs like Aptensio XR, is expected to grow significantly. The global clinical trial imaging market is projected to reach USD 2.07 billion by 2029, growing at a CAGR of 7.8% from 2024 to 2029[3].

Challenges and Opportunities

Addressing Unmet Needs

Despite the availability of numerous ADHD treatments, there remains an unmet need for medications that provide consistent symptom control throughout the day. Aptensio XR's extended-release formulation aims to address this gap[1].

Potential for Expanded Indications

While currently approved for patients 6 years and older, future research could potentially explore Aptensio XR's efficacy in adult ADHD populations, expanding its market reach.

Generic Competition

As with all branded pharmaceuticals, Aptensio XR may face future competition from generic versions. The cost of generic drug development and approval processes could impact the market dynamics in the coming years[6].

Key Takeaways

  1. Aptensio XR offers a unique extended-release formulation of methylphenidate for ADHD treatment, with rapid onset and 12-hour duration.

  2. The medication provides flexible dosing options, allowing for personalized treatment regimens.

  3. Recent clinical trials have explored its use in younger children, but safety and efficacy were not established for children under 6 years.

  4. Aptensio XR competes in a crowded ADHD medication market but differentiates itself through its pharmacokinetic profile.

  5. The broader clinical trial imaging market is projected to grow significantly, which could indirectly benefit drugs like Aptensio XR.

  6. Ongoing monitoring of growth in pediatric patients and potential for expanded indications represent both challenges and opportunities for the future of Aptensio XR.

FAQs

  1. Q: How does Aptensio XR differ from other ADHD medications? A: Aptensio XR offers a unique extended-release formulation that provides symptom control for up to 12 hours with a single daily dose, and it has a rapid onset of action within one hour.

  2. Q: Is Aptensio XR safe for children under 6 years old? A: Recent studies have not established the safety and effectiveness of Aptensio XR in children under 6 years of age.

  3. Q: How many dosage options are available for Aptensio XR? A: Aptensio XR is available in seven dose strengths: 10, 15, 20, 30, 40, 50, and 60 mg.

  4. Q: What are the most common side effects of Aptensio XR? A: Common side effects include headache, insomnia, upper abdominal pain, decreased appetite, nausea, vomiting, and dizziness.

  5. Q: How does Aptensio XR impact long-term growth in children? A: Some studies have shown a temporary slowing in growth rate with methylphenidate use. The FDA recommends closely monitoring growth in pediatric patients using Aptensio XR.

Sources cited:

  1. https://www.biospace.com/b-rhodes-pharmaceuticals-b-announces-launch-of-new-once-daily-treatment-for-adhd
  2. https://mddetails.com/downloads/aptensio-xr-2018-report/
  3. https://about.cmrad.com/articles/clinical-trial-imaging-market-size-growth-analysis-forecast-2024-2029
  4. https://aspe.hhs.gov/sites/default/files/documents/20e14b66420440b9e726c61d281cc5a5/cost-of-generic-drugs-erg.pdf
  5. https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/205831s008lbl.pdf
  6. https://www.fda.gov/media/173309/download

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