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Trial ยท NCT01244490

Efficacy and Safety of Extended-release Guanfacine Hydrochloride in Children and Adolescents Aged 6-17 Years With Attention-Deficit/Hyperactivity Disorder (ADHD)

NCT01244490, Phase 3, Completed, Shire; results first posted 2014-07-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Extended-release Guanfacine Hydrochloride in Children and Adolescents Aged 6-17 Years With Attention-Deficit/Hyperactivity Disorder (ADHD). Trials, record NCT01244490. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01244490

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Trial

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

Title
Efficacy and Safety of Extended-release Guanfacine Hydrochloride in Children and Adolescents Aged 6-17 Years With Attention-Deficit/Hyperactivity Disorder (ADHD)
NCT number
NCT01244490
Status
Completed
Phases
Phase 3
Enrollment
338 participants, actual
Lead sponsor
Shire
Conditions
Attention Deficit Hyperactivity Disorder
Interventions
Extended-release Guanfacine Hydrochloride, Atomoxetine Hydrochloride, Placebo Comparator
First posted
2010-11-19
Last updated
2021-07-02
Other registries' IDs
eudract:2010-018579-12
Results first posted
2014-07-14

Source ClinicalTrials.gov

Registered outcomes16

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at Week 10/13 - Last Observation Carried Forward (LOCF)Baseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The ADHD-RS-IV consists of 18 items scored on a 4-point scale ranging from 0 (no symptoms) to 3 (severe symptoms) with total score ranging from 0 to 54. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryPercentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) ScoresUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
Clinical Global Impression-Improvement (CGI-I) consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryChange From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Learning and School Domain Scores at Week 10/13 - LOCFBaseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The WFIRS-P Learning in School Domain is the mean of 10 items, ranging from 0 (never/not at all) to 3 (very often/very much). Higher scores indicate greater functional impairment. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryChange From Baseline in the WFIRS-P Family Domain Score at Week 10/13 - LOCFBaseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The WFIRS-P Family Domain is the mean of 10 items, ranging from 0 (never/not at all) to 3 (very often/very much). Higher scores indicate greater functional impairment. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryClinical Global Impression-Severity of Illness (CGI-S) - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
CGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill). Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryHealth Utilities Index-2/3 (HUI 2/3) Scores - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
HUI is used to describe health status and to obtain utility scores by collecting data using one or more questionnaires in formats selected to match the specific study design criteria. Scoring ranges from 0.00 (dead) to 1.00 (perfect health). Higher scores represent better health status. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryChange From Baseline in the WFIRS-P Global Score at Week 10/13 - LOCFBaseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The WFIRS-P Global Score is the mean of 50 items, ranging from 0 (never/not at all) to 3 (very often/very much). Higher scores indicate greater functional impairment. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryChange From Baseline in the WFIRS-P Academic Performance Domain Score at Week 10/13 - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The WFIRS-P Academic Performance Domain is the mean of 4 items, ranging from 0 (never/not at all) to 3 (very often/very much). Higher scores indicate greater functional impairment. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryChange From Baseline in the WFIRS-P Behavior in School Domain Score at Week 10/13 - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The WFIRS-P Behavior in School Domain is the mean of 6 items, ranging from 0 (never/not at all) to 3 (very often/very much). Higher scores indicate greater functional impairment. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.
SecondaryChange From Baseline in the WFIRS-P Life Skills Domain Score at Week 10/13 - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
The WFIRS-P Life Skills Domain is the mean of 10 items, ranging from 0 (never/not at all) to 3 (very often/very much). Higher scores indicate greater functional impairment. Outcome measure is at 10 weeks for ages 6-12 years and at 13 weeks for ages 13-17 years.

Outcomes16

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at Week 10/13 - Last Observation Carried Forward (LOCF)Baseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 years
Full Analysis Set (FAS) defined as all randomized subjects who took at least 1 dose of investigational product. If more than 20% of the items used for summing a score were missing, the score was set to missing.
units on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) ScoresUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. Not all subjects in the FAS population had data for this outcome.percentage of participantsNUMBER
SECONDARYChange From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Learning and School Domain Scores at Week 10/13 - LOCFBaseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. If more than 30% of items used to derive the score were missing, the corresponding score was considered as missing.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in the WFIRS-P Family Domain Score at Week 10/13 - LOCFBaseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. If more than 30% of items used to derive the score were missing, the corresponding score was considered as missing.units on a scaleLEAST_SQUARES_MEAN
SECONDARYClinical Global Impression-Severity of Illness (CGI-S) - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. Not all subjects in the FAS population had data for this outcome.percentage of participantsNUMBER
SECONDARYHealth Utilities Index-2/3 (HUI 2/3) Scores - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. Not all subjects in the FAS population had data for this outcome.units on a scaleMEAN
SECONDARYChange From Baseline in the WFIRS-P Global Score at Week 10/13 - LOCFBaseline and Up to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. If more than 30% of items used to derive the score were missing, the corresponding score was considered as missing.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in the WFIRS-P Academic Performance Domain Score at Week 10/13 - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. If more than 30% of items used to derive the score were missing, the corresponding score was considered as missing.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in the WFIRS-P Behavior in School Domain Score at Week 10/13 - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. If more than 30% of items used to derive the score were missing, the corresponding score was considered as missing.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in the WFIRS-P Life Skills Domain Score at Week 10/13 - LOCFUp to 10 weeks for children aged 6-12 years and up to 13 weeks for adolescents aged 13-17 yearsFull Analysis Set. If more than 30% of items used to derive the score were missing, the corresponding score was considered as missing.units on a scaleLEAST_SQUARES_MEAN

Results by group114

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at Week 10/13 - Last Observation Carried Forward (LOCF)Placebo-15.0Standard Error 1.1612units on a scale
Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at Week 10/13 - Last Observation Carried Forward (LOCF)Guanfacine Hydrochloride-23.9Standard Error 1.1531units on a scale
Change From Baseline in Attention Deficit Hyperactivity Disorder Rating Scale-fourth Edition (ADHD-RS-IV) Total Score at Week 10/13 - Last Observation Carried Forward (LOCF)Atomoxetine Hydrochloride-18.8Standard Error 1.1549units on a scale
Percentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) ScoresPlacebo44.1percentage of participants
Percentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) ScoresGuanfacine Hydrochloride67.9percentage of participants
Percentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) ScoresAtomoxetine Hydrochloride56.3percentage of participants
Change From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Learning and School Domain Scores at Week 10/13 - LOCFPlacebo-0.419Standard Error 0.0537units on a scale
Change From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Learning and School Domain Scores at Week 10/13 - LOCFGuanfacine Hydrochloride-0.636Standard Error 0.0527units on a scale
Change From Baseline in the Weiss Functional Impairment Rating Scale - Parent Report (WFIRS-P) Learning and School Domain Scores at Week 10/13 - LOCFAtomoxetine Hydrochloride-0.581Standard Error 0.0534units on a scale
Change From Baseline in the WFIRS-P Family Domain Score at Week 10/13 - LOCFPlacebo-0.409Standard Error 0.0568units on a scale

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo111
Overall StudySTARTEDGuanfacine Hydrochloride115
Overall StudySTARTEDAtomoxetine Hydrochloride112
Overall StudyCOMPLETEDPlacebo92
Overall StudyCOMPLETEDGuanfacine Hydrochloride91
Overall StudyCOMPLETEDAtomoxetine Hydrochloride89
Overall StudyNOT COMPLETEDPlacebo19
Overall StudyNOT COMPLETEDGuanfacine Hydrochloride24
Overall StudyNOT COMPLETEDAtomoxetine Hydrochloride23

Adverse events51

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersPlacebo2011132
otherAbdominal painGastrointestinal disordersGuanfacine Hydrochloride1911429
otherAbdominal painGastrointestinal disordersAtomoxetine Hydrochloride1911231
otherAbdominal pain upperGastrointestinal disordersPlacebo61116
otherAbdominal pain upperGastrointestinal disordersGuanfacine Hydrochloride71147
otherAbdominal pain upperGastrointestinal disordersAtomoxetine Hydrochloride21123
otherDiarrhoeaGastrointestinal disordersPlacebo1511118
otherDiarrhoeaGastrointestinal disordersGuanfacine Hydrochloride1011416
otherDiarrhoeaGastrointestinal disordersAtomoxetine Hydrochloride21123
otherNauseaGastrointestinal disordersPlacebo1111113

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo
Total, all-cause mortalityGuanfacine Hydrochloride
Total, all-cause mortalityAtomoxetine Hydrochloride
Total, other adverse eventsPlacebo62111
Total, other adverse eventsGuanfacine Hydrochloride79114
Total, other adverse eventsAtomoxetine Hydrochloride67112
Total, serious adverse eventsPlacebo1111
Total, serious adverse eventsGuanfacine Hydrochloride1114
Total, serious adverse eventsAtomoxetine Hydrochloride0112

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
25453486RESULT

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 comparisons0

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

None in this release.

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.

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