Abstract | AIM: METHODS: Data from four phase III placebo-controlled trials of 100-600 mg/day viloxazine ER (6-8 weeks of treatment) were used to evaluate the change from baseline (CFB) in the Conners 3rd Edition Parent Short Form-Executive Function (C3PS-EF) content scale T-score. Subjects were defined as EFD responders if they had C3PS-EF T-score > 70 at baseline and < 65 at end of study. ADHD symptoms were assessed with ADHD Rating Scale 5th Edition (ADHD-RS-5). Subjects were defined as ADHD symptom responders if they had a ≥ 50% reduction in CFB ADHD-RS-5 Total score at Week 6. The number needed to treat (NNT) and Cohen's d effect sizes were estimated for EFD and ADHD symptoms. RESULTS: A total of 1154 subjects were included in the analysis. Statistically significant improvements in EFDs were observed with viloxazine ER versus placebo (p = 0.0002). There were 52.5% of EFD or ADHD symptom responders in the viloxazine ER treatment group and 35.4% in the placebo group (p < 0.0001). The NNT was 5.8. The Cohen's d effect size for EFD and ADHD symptoms was 0.31. CONCLUSION: Consistent with the efficacy of viloxazine ER demonstrated in pivotal trials, viloxazine ER significantly reduced EFDs in subjects with ADHD. Moreover, a substantial proportion of subjects treated with viloxazine ER had large improvements in EFDs, ADHD symptoms, or both. CLINICAL TRIAL REGISTRATION NUMBERS: NCT03247530, NCT03247517, NCT03247543, NCT03247556.
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Authors | Stephen V Faraone, Roberto Gomeni, Joseph T Hull, Gregory D Busse, Zare Melyan, Jonathan Rubin, Azmi Nasser |
Journal | Paediatric drugs
(Paediatr Drugs)
Vol. 23
Issue 6
Pg. 583-589
(Nov 2021)
ISSN: 1179-2019 [Electronic] Switzerland |
PMID | 34523063
(Publication Type: Journal Article)
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Copyright | © 2021. The Author(s). |
Chemical References |
- Central Nervous System Stimulants
- Delayed-Action Preparations
- Viloxazine
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Topics |
- Adolescent
- Attention Deficit Disorder with Hyperactivity
(drug therapy)
- Central Nervous System Stimulants
- Child
- Delayed-Action Preparations
- Dose-Response Relationship, Drug
- Double-Blind Method
- Executive Function
- Humans
- Randomized Controlled Trials as Topic
- Treatment Outcome
- Viloxazine
(therapeutic use)
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