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Trial ยท NCT00192023

An Italian Study of the Efficacy of Atomoxetine in the Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder (ADHD) and Comorbid Oppositional Defiant Disorder (ODD).

NCT00192023, Phase 3, Completed, Eli Lilly and Company; results first posted 2010-01-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. An Italian Study of the Efficacy of Atomoxetine in the Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder (ADHD) and Comorbid Oppositional Defiant Disorder (ODD). Trials, record NCT00192023. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00192023

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
An Italian Study of the Efficacy of Atomoxetine in the Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder (ADHD) and Comorbid Oppositional Defiant Disorder (ODD).
NCT number
NCT00192023
Status
Completed
Phases
Phase 3
Enrollment
139 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder
Interventions
atomoxetine 0.5 mg/kg/day, placebo, atomoxetine 1.2 mg/kg/day, atomoxetine 1.2-1.4 mg/kg/day
First posted
2005-09-19
Last updated
2010-01-18
Results first posted
2010-01-18
Limitations and caveats
Due to the open-ended timing of the open-label period (up to 1.5 years or until commercial availability) the efficacy data from the open-label extension phase is not included except for adverse event data.

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline to 8 Week Endpoint in Swanson, Nolan and Pelham Questionnaire (SNAP-IV): Attention-Deficit/Hyperactivity Disorder (ADHD) SubscaleVisit 8 (baseline) and Visit 14 (8 weeks)
Items from the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) criteria for ADHD are included for the two subsets of symptoms: inattention (items #1-#9) and hyperactivity/impulsivity (items #11-#19). The SNAP-IV is based on a 0 (not at all) to 3 (very much) rating scale. Total subscale scores range from 0 to 54.
SecondaryChange From Baseline to 8 Week Endpoint in Clinical Global Impressions - Attention-Deficit/Hyperactivity Disorder (ADHD) - SeverityVisit 8 (baseline) and Visit 14 (8 weeks)Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients.
SecondaryChange From Baseline to 8 Week Endpoint in SNAP-IV Oppositional SubscaleVisit 8 (baseline) and Visit 14 (8 weeks)
Items are included from the DSM-IV criteria for Oppositional Defiant Disorder (items #21-#28). The SNAP-IV is based on a 0 (not at all) to 3 (very much) rating scale. Total subscale scores range from 0 to 24.
SecondaryChange From Baseline to 8 Week Endpoint in Screen for Child Anxiety Related Emotional Disorders (SCARED) Total ScoreVisit 8 (baseline) and Visit 14 (8 weeks)
The scale measures symptoms of DSM-IV linked anxiety disorders in children. Contains 41 items. Individual item scores range from 0 (not true or hardly ever true) to 2 (very true or often true). Therefore, the overall score ranges from 0 to 82. Higher scores are more indicative of greater anxiety.
SecondaryChange From Baseline to 8 Week Endpoint in Children's Depression Rating Scale-RevisedVisit 8 (baseline) and Visit 14 (8 weeks)
Measures presence and severity of depression. Consists of 17 items scored on a 1-5 or 1-7 scale. A rating of 1 indicates normal, thus the minimum score is 17. The maximum score is 113. In general, scores below 20 indicate an absence of depression; scores of 20 or 30 indicate borderline depression; scores of 40 to 60 indicate moderate depression.
SecondaryChange From Baseline to 8 Week Endpoint in Conners' Parent Rating Scale-Revised: Short Form Subscale ScoresVisit 8 (baseline) and Visit 14 (8 weeks)
A 27-item rating scale (0 \[not at all/never\] to 3 \[very much true/very often\]) completed by the parent to assess problem behaviors related to ADHD. Subscales: Oppositional, Cognitive Problems, Hyperactivity, and ADHD Index. Subscale total scores range from 0 to 18 for all subscales except ADHD Index which ranges from 0 to 36.
SecondaryChange From Baseline to 8 Week Endpoint in Child Health and Illness Profile - Child Edition (CHIP-CE): Parent Rated FormVisit 8 (baseline) and Visit 14 (8 weeks)
Parent-rated assessment of a child's health status and level of functioning. It consists of 76 items. The majority of items assess frequency of activities or feelings using a five-point response format (for example, 'how good is your child at making friends?' 1=never, 5=always). Standard scores (t-value) were established, with all domains and subdomains having a mean score of 50 and standard deviation of 10. Standard scores are expressed in standard deviation units. T-score=\[(score-4.2382)\*10/0.32835\] + 50. Higher scores mean improvement.
SecondaryChange From Baseline to 8 Week Endpoint in Conners' Teacher Rating Scale-Revised: Short Form Subscale ScoresVisit 8 (baseline) and Visit 14 (8 weeks)
A 28-item rating scale (0 \[not at all/never\] to 3 \[very much true/very often\]) completed by the teacher to assess problem behaviors related to ADHD. Subscale total scores range from 0 to 15 for Oppositional and Cognitive Problems, 0 to 21 for Hyperactivity, and 0 to 36 for ADHD Index.
OtherOpen-Label Phase Serious Adverse EventsBaseline (Visit 14) though 1.5 years (Visit 20) or until atomoxetine received marketing approvalNumber of participants with serious adverse events during the open-label phase of the trial, which was for 1.5 years or until atomoxetine received marketing approval.
OtherOpen-Label Phase Nonserious Adverse EventsBaseline (Visit 14) though 1.5 years (Visit 20) or until atomoxetine received marketing approvalNumber of participants with nonserious adverse events during the open-label phase of the trial, which was for 1.5 years or until atomoxetine received marketing approval.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline to 8 Week Endpoint in Swanson, Nolan and Pelham Questionnaire (SNAP-IV): Attention-Deficit/Hyperactivity Disorder (ADHD) SubscaleVisit 8 (baseline) and Visit 14 (8 weeks)Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e, 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied.units on a scaleMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in Clinical Global Impressions - Attention-Deficit/Hyperactivity Disorder (ADHD) - SeverityVisit 8 (baseline) and Visit 14 (8 weeks)Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e, 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied.units on a scaleMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in SNAP-IV Oppositional SubscaleVisit 8 (baseline) and Visit 14 (8 weeks)Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e, 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied.units on a scaleMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in Screen for Child Anxiety Related Emotional Disorders (SCARED) Total ScoreVisit 8 (baseline) and Visit 14 (8 weeks)
Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e., 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied. Missing data were not imputed, which generates different analysis population sizes for the different endpoints.
units on a scaleMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in Children's Depression Rating Scale-RevisedVisit 8 (baseline) and Visit 14 (8 weeks)Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e, 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied.units on a scaleMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in Conners' Parent Rating Scale-Revised: Short Form Subscale ScoresVisit 8 (baseline) and Visit 14 (8 weeks)
Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e., 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied. Missing data were not imputed, which generates different analysis population sizes for the different endpoints.
units on a scaleMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in Child Health and Illness Profile - Child Edition (CHIP-CE): Parent Rated FormVisit 8 (baseline) and Visit 14 (8 weeks)
Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e., 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied. Missing data were not imputed, which generates different analysis population sizes for the different endpoints.
standard deviation unitsMEAN
SECONDARYChange From Baseline to 8 Week Endpoint in Conners' Teacher Rating Scale-Revised: Short Form Subscale ScoresVisit 8 (baseline) and Visit 14 (8 weeks)
Efficacy Population (All 139 randomized patients with at least a post-baseline value for the primary endpoint, i.e., 105 + 32 = 137 patients in total). Last Observation Carried Forward was applied. Missing data were not imputed, which generates different analysis population sizes for the different endpoints.
units on a scaleMEAN
OTHER_PRE_SPECIFIEDOpen-Label Phase Serious Adverse EventsBaseline (Visit 14) though 1.5 years (Visit 20) or until atomoxetine received marketing approvalNumber of patients who entered this optional open-label phase. All of the patients were dispensed drug.participantsNUMBER
OTHER_PRE_SPECIFIEDOpen-Label Phase Nonserious Adverse EventsBaseline (Visit 14) though 1.5 years (Visit 20) or until atomoxetine received marketing approvalNumber of patients who entered this optional open-label phase. All of the patients were dispensed drug.participantsNUMBER

Results by group71

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline to 8 Week Endpoint in Swanson, Nolan and Pelham Questionnaire (SNAP-IV): Attention-Deficit/Hyperactivity Disorder (ADHD) SubscaleAtomoxetineBaseline42.7Standard Deviation 6.2units on a scale
Change From Baseline to 8 Week Endpoint in Swanson, Nolan and Pelham Questionnaire (SNAP-IV): Attention-Deficit/Hyperactivity Disorder (ADHD) SubscalePlaceboBaseline41.5Standard Deviation 6.9units on a scale
Change From Baseline to 8 Week Endpoint in Swanson, Nolan and Pelham Questionnaire (SNAP-IV): Attention-Deficit/Hyperactivity Disorder (ADHD) SubscaleAtomoxetineChange to 8 Week Endpoint-8.1Standard Deviation 9.2units on a scale
Change From Baseline to 8 Week Endpoint in Swanson, Nolan and Pelham Questionnaire (SNAP-IV): Attention-Deficit/Hyperactivity Disorder (ADHD) SubscalePlaceboChange to 8 Week Endpoint-2.0Standard Deviation 4.7units on a scale
Change From Baseline to 8 Week Endpoint in Clinical Global Impressions - Attention-Deficit/Hyperactivity Disorder (ADHD) - SeverityAtomoxetineBaseline5.1Standard Deviation 0.8units on a scale
Change From Baseline to 8 Week Endpoint in Clinical Global Impressions - Attention-Deficit/Hyperactivity Disorder (ADHD) - SeverityPlaceboBaseline5.1Standard Deviation 0.9units on a scale
Change From Baseline to 8 Week Endpoint in Clinical Global Impressions - Attention-Deficit/Hyperactivity Disorder (ADHD) - SeverityAtomoxetineChange to 8 Week Endpoint-0.6Standard Deviation 0.7units on a scale
Change From Baseline to 8 Week Endpoint in Clinical Global Impressions - Attention-Deficit/Hyperactivity Disorder (ADHD) - SeverityPlaceboChange to 8 Week Endpoint0.0Standard Deviation 0.5units on a scale
Change From Baseline to 8 Week Endpoint in SNAP-IV Oppositional SubscaleAtomoxetineBaseline17.2Standard Deviation 3.0units on a scale
Change From Baseline to 8 Week Endpoint in SNAP-IV Oppositional SubscalePlaceboBaseline17.5Standard Deviation 3.8units on a scale

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Period III - Double-BlindSTARTEDAtomoxetine107
Period III - Double-BlindSTARTEDPlacebo32
Period III - Double-BlindCOMPLETEDAtomoxetine100
Period III - Double-BlindCOMPLETEDPlacebo32
Period III - Double-BlindNOT COMPLETEDAtomoxetine7
Period III - Double-BlindNOT COMPLETEDPlacebo0
Period IV - Optional Open-LabelSTARTEDAtomoxetine124
Period IV - Optional Open-LabelSTARTEDPlacebo0
Period IV - Optional Open-LabelCOMPLETEDAtomoxetine49
Period IV - Optional Open-LabelCOMPLETEDPlacebo0

Adverse events26

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersAtomoxetine1110713
otherAbdominal painGastrointestinal disordersPlacebo1321
otherAbdominal pain upperGastrointestinal disordersAtomoxetine910711
otherAbdominal pain upperGastrointestinal disordersPlacebo4324
otherDiarrhoeaGastrointestinal disordersAtomoxetine41076
otherDiarrhoeaGastrointestinal disordersPlacebo2322
otherNauseaGastrointestinal disordersAtomoxetine1410715
otherNauseaGastrointestinal disordersPlacebo0320
otherVomitingGastrointestinal disordersAtomoxetine1410722
otherVomitingGastrointestinal disordersPlacebo1321

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAtomoxetine
Total, all-cause mortalityPlacebo
Total, other adverse eventsAtomoxetine79107
Total, other adverse eventsPlacebo1232
Total, serious adverse eventsAtomoxetine0107
Total, serious adverse eventsPlacebo032

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
25019647DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Atomoxetine vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00192023

GET https://conductscience.org/api/trials/v1/NCT00192023/results?page=2