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Trial · NCT02691182

Treatment of Impulsive Aggression in Subjects With ADHD in Conjunction With Standard ADHD Treatment (CHIME 4)

NCT02691182, Phase 3, Terminated, Supernus Pharmaceuticals, Inc.; results first posted 2024-05-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Treatment of Impulsive Aggression in Subjects With ADHD in Conjunction With Standard ADHD Treatment (CHIME 4). Trials, record NCT02691182. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02691182

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Trial

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

Title
Treatment of Impulsive Aggression in Subjects With ADHD in Conjunction With Standard ADHD Treatment (CHIME 4)
NCT number
NCT02691182
Status
Terminated
Phases
Phase 3
Enrollment
491 participants, actual
Lead sponsor
Supernus Pharmaceuticals, Inc.
Conditions
Attention Deficit Hyperactivity Disorder (ADHD)
Interventions
SPN-810
First posted
2016-02-25
Last updated
2024-05-16
Results first posted
2024-05-16

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryEffect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score17-time points: Months 3 (V5), 6 (V6), 9 (V7), 12 (V8), 15 (V9), 18 (V10), 21 (V11), 24 (V12), 27 (V13), 30 (V14), 33 (V15), 36 (V16), 39 (V17), 42 (V18), 45 (V19), 48 (V20) and month 60 (Visit 24).
R-MOAS scale gauges the severity of aggressive behavior: the frequency of the 16 behaviors is rated over the past week in 4 areas (VE, PH, PR, SE). For each open question in each area, the parent-rated the aggressive behaviors on a scale from 0 to 5 or more times. To each area corresponds a weighted category: Verbal Incidents (VE)=1, Incidents Toward Other (PH) =4, Incidents Involving Property (PR)=2 and Incidents Directed Toward Self (SE)=3. Therefore, the sum of each area yields a maximum weighted score of 20 (VE), 120 (PH), 60 (PR), and 90 (SE). The total score is the sum of the four area scores or 0-290; the higher the score, the more severe the aggressive behavior is. The data represent the total score change from baseline at each visit for the duration of the study, a total of 60 months. The baseline score represents the total score at the last visit of each double-blind study.
PrimaryEffect of SPN810 on Impulsive Aggression (IA) Measured by Clinical Global Impression - Severity Scale (CGI-S)
20-time points: Week 2 (V2), Week 4 (V3), Week 8 (V4), Months 3 (V5), 6 (V6), 9 (V7), 12 (V8), 15 (V9),18 (V10), 21 (V11), 24 (V12), 27 (V13), 30 (V14), 33 (V15), 36 (V16), 39 (V17), 42 (V18), 45 (V19), 48 (V20) and month 60 (Visit 24).
The Clinical Global Impression - Severity of Illness (CGI-S) is a single item clinician rating of clinician's assessment of the severity of IA behaviors. CGI-S was evaluated by the Investigator at each visit on a 7- point scale with 1=Normal, 2=Borderline ill, 3=Mildly ill, 4=Moderately ill, 5=Markedly ill, 6=Severely ill, and 7=Extremely ill. Data represent the change from baseline to each visit during the study. The baseline score represents the total score at the last visit of each double-blind study.
PrimaryEffect of SPN810 on Impulsive Aggression (IA) Measured by Clinical Global Impression - Improvement Scale (CGI-I)
20-time points: Week 2 (V2), Week 4 (V3), Week 8 (V4), Months 3 (V5), 6 (V6), 9 (V7), 12 (V8), 15 (V9),18 (V10), 21 (V11), 24 (V12), 27 (V13), 30 (V14), 33 (V15), 36 (V16), 39 (V17), 42 (V18), 45 (V19), 48 (V20) and Month 60 (Visit 24).
The Clinical Global Impression - Improvement Scale (CGI-I) is a clinician's assessment of how much the IA behaviors have improved or worsened relative to a baseline state at the beginning of treatment. CGI-I was evaluated by the Investigator at each visit on a 7-point scale with 1=Very much improved, 2= Much improved, 3= Minimally improved, 4= No change, 5= Minimally worse, 6= Much worse, 7= Very much worse. Data represent the score at each visit during the study.

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEffect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score17-time points: Months 3 (V5), 6 (V6), 9 (V7), 12 (V8), 15 (V9), 18 (V10), 21 (V11), 24 (V12), 27 (V13), 30 (V14), 33 (V15), 36 (V16), 39 (V17), 42 (V18), 45 (V19), 48 (V20) and month 60 (Visit 24).Safety Population: Safety population is defined as all subjects who received at least 1 dose of study drug during the study.score on a scaleMEAN
PRIMARYEffect of SPN810 on Impulsive Aggression (IA) Measured by Clinical Global Impression - Severity Scale (CGI-S)
20-time points: Week 2 (V2), Week 4 (V3), Week 8 (V4), Months 3 (V5), 6 (V6), 9 (V7), 12 (V8), 15 (V9),18 (V10), 21 (V11), 24 (V12), 27 (V13), 30 (V14), 33 (V15), 36 (V16), 39 (V17), 42 (V18), 45 (V19), 48 (V20) and month 60 (Visit 24).
Safety Population: Safety population is defined as all subjects who received at least 1 dose of study drug during the study.score on a scaleMEAN
PRIMARYEffect of SPN810 on Impulsive Aggression (IA) Measured by Clinical Global Impression - Improvement Scale (CGI-I)
20-time points: Week 2 (V2), Week 4 (V3), Week 8 (V4), Months 3 (V5), 6 (V6), 9 (V7), 12 (V8), 15 (V9),18 (V10), 21 (V11), 24 (V12), 27 (V13), 30 (V14), 33 (V15), 36 (V16), 39 (V17), 42 (V18), 45 (V19), 48 (V20) and Month 60 (Visit 24).
Safety Population: Safety population is defined as all subjects who received at least 1 dose of study drug during the study.score on a scaleMEAN

Results by group444

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

OutcomeGroupCategoryValueSpreadUnits
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score<18 mg SPN-810VE Score Month 3-7.1Standard Deviation 5.18score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score18 mg to < 24 mg SPN-810VE Score Month 3-6.8Standard Deviation 5.57score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score24 mg to < 36 mg SPN-810VE Score Month 3-5.5Standard Deviation 5.41score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score36 mg to ≤54 mg SPN-810VE Score Month 3-6.4Standard Deviation 5.84score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score<18 mg SPN-810PH Score Month 3-23.7Standard Deviation 17.41score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score18 mg to < 24 mg SPN-810PH Score Month 3-18.5Standard Deviation 21.57score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score24 mg to < 36 mg SPN-810PH Score Month 3-13.5Standard Deviation 17.28score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score36 mg to ≤54 mg SPN-810PH Score Month 3-16.9Standard Deviation 17.78score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score<18 mg SPN-810PR Score Month 3-16.1Standard Deviation 11.47score on a scale
Effect of SPN810 on Retrospective-Modified Overt Aggression Scale (R-MOAS) Total Score18 mg to < 24 mg SPN-810PR Score Month 3-13.6Standard Deviation 13.48score on a scale

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED<18 mg SPN-81038
Overall StudySTARTED18 mg to < 24 mg SPN-810159
Overall StudySTARTED24 mg to < 36 mg SPN-810131
Overall StudySTARTED36 mg to ≤54 mg SPN-810163
Overall StudyCOMPLETED<18 mg SPN-8100
Overall StudyCOMPLETED18 mg to < 24 mg SPN-8101
Overall StudyCOMPLETED24 mg to < 36 mg SPN-8102
Overall StudyCOMPLETED36 mg to ≤54 mg SPN-8101
Overall StudyNOT COMPLETED<18 mg SPN-81038
Overall StudyNOT COMPLETED18 mg to < 24 mg SPN-810158

Adverse events112

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestations<18 mg SPN-8101381
otherNasopharyngitisInfections and infestations18 mg to < 24 mg SPN-8101015910
otherNasopharyngitisInfections and infestations24 mg to < 36 mg SPN-8101113113
otherNasopharyngitisInfections and infestations36 mg to ≤54 mg SPN-8101116314
otherUpper respiratory tract infectionInfections and infestations<18 mg SPN-8100380
otherUpper respiratory tract infectionInfections and infestations18 mg to < 24 mg SPN-8101415917
otherUpper respiratory tract infectionInfections and infestations24 mg to < 36 mg SPN-810713113
otherUpper respiratory tract infectionInfections and infestations36 mg to ≤54 mg SPN-8101216315
otherInfluenzaInfections and infestations<18 mg SPN-8102383
otherInfluenzaInfections and infestations18 mg to < 24 mg SPN-81051595

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality<18 mg SPN-810038
Total, all-cause mortality18 mg to < 24 mg SPN-8100159
Total, all-cause mortality24 mg to < 36 mg SPN-8100131
Total, all-cause mortality36 mg to ≤54 mg SPN-8100163
Total, other adverse events<18 mg SPN-8101838
Total, other adverse events18 mg to < 24 mg SPN-81056159
Total, other adverse events24 mg to < 36 mg SPN-81056131
Total, other adverse events36 mg to ≤54 mg SPN-81066163
Total, serious adverse events<18 mg SPN-810338
Total, serious adverse events18 mg to < 24 mg SPN-8105159

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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.

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/NCT02691182

GET https://conductscience.org/api/trials/v1/NCT02691182/results?page=2