Could this pill tame ADHD in kids as young as 4?
NCT ID NCT04781140
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
This study tests whether a medication called SPN-812 (viloxazine) can safely reduce ADHD symptoms in children aged 4 to 5. About 286 kids will receive either the drug or a placebo for 6 weeks. The goal is to see if the drug improves attention and reduces hyperactivity better than a placebo.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 286 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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48 to 69 months
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Is male or female 4 years 0 months of age to less than or equal to 5 years 9 months of age at Visit 1 (Screening) and considered medically healthy. 2. Subject's parent(s) or legal guardian(s)/representative(s) is (are) willing and able to provide written informed consent before completing any study related procedures. 3. Has a primary diagnosis of ADHD according to DSM-IV-TR criteria and confirmed with the Kiddie Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL). 4. Has an ADHD-RS-IV-P Total Score of ≥ 28 (males) or ≥ 24 (females) at Visit 1 (Screening) and at Visit 2 (Baseline). 5. Has a CGI-S score of ≥ 4 (moderate or worse) at Visit 1 (Screening) and at Visit 2 (Baseline). 6. Has undergone an adequate course of non-pharmacologic treatment or is having symptoms severe enough to warrant pharmacologic treatment without prior non-pharmacologic treatment. 7. Is participating in a structured group activity (e.g., preschool, kindergarten, sports, Sunday school, summer camp or childcare program) at least 2 days a week during study so as to assess symptoms and impairment in a setting outside the home. 8. Has not initiated any behavioral intervention/therapy within 30 days of Visit 1 (Screening) and does not plan to initiate any new or discontinue any ongoing behavioral intervention/therapy during the study (e.g., subject is eligible if behavioral intervention/therapy is initiated 30 or more days prior to Visit 1 \[Screening\] and continues with a similar duration/frequency throughout their study). 9. Subjects who are on ADHD medication at Visit 1 (Screening), but whose ADHD symptoms are not well controlled on current ADHD medication (e.g., meets Inclusion Criterion #4), meet all other inclusion/exclusion criteria, and discontinues ADHD medication at least 7 days prior to the day of Visit 2 (Baseline) are eligible to participate. 10. Has no current condition in the opinion of the Investigator that could confound efficacy assessments, safety assessments or increase participant risk. 11. Has lived with the same parent(s) or legal guardian(s) or has lived under a shared living arrangement (e.g., joint legal custody) for greater than or equal to 6 months prior to Visit 1 (Screening). 12. Has a body weight ≥5th percentile for age and sex at Visit 1 (Screening) and Visit 2 (Baseline). Exclusion Criteria: 1. Has a diagnosis at Screening (per K-SADS-PL) of another psychiatric disorder that is considered to be the primary diagnosis rather than ADHD or has a comorbid psychiatric disorder secondary to ADHD that, in the opinion of the investigator (after consulting medical monitor), will likely interfere with study treatment adherence and/or impact study results. 2. Has a current diagnosis of a major neurological disorder. The eligibility of those who have seizures, a history of seizure-like events (e.g., syncope, myoclonus, severe muscle spasms), a family history of seizure disorder (immediate family, i.e., sibling, parent), and/or febrile seizures will be assessed on a case-by-case basis after consulting the medical monitor. 3. History of Bipolar Disorder diagnosed in a first degree relative. 4. Has global development delay or intellectual disability by medical history. 5. Has a current diagnosis of a significant (per Investigator's evaluation and/or judgement) systemic disease. 6. Has body mass index \> 95th percentile for the subject's age and sex at Visit 1 (Screening) or Visit 2 (Baseline). 7. Has a mean resting systolic and diastolic blood pressure\* that are both \>95th percentile for age sex, and height and has a mean resting pulse rate\* that is \>95th percentile for age and sex (males: \>117 bpm; females: \>122 bpm) at Visit 1 (Screening) or Visit 2 (Baseline). \* Note: The mean of three measurements while seated. 8. Has a clinically significant electrocardiogram finding(s) at Visit 1 (Screening). 9. Is currently taking SPN-812 for ADHD, has previously taken SPN-812 for ADHD, but discontinued due to a lack of efficacy or adverse reactions, or has history of allergic reaction, hypersensitivity or intolerance to viloxazine. 10. Has an allergy to or cannot swallow pudding and applesauce and cannot swallow intact capsule whole. 11. Has any food allergy, intolerance, restriction or special diet that, in the opinion of the Investigator, could contraindicate the subject's participation in the study. 12. Has received any investigational drug within the longer of 30 days or 5 half-lives prior to Visit 2 (e.g., first dose of study medication). 13. Has a positive urine drug test at Visit 1 (Screening). A positive test for amphetamines is allowed for subjects receiving a stimulant ADHD medication at Screening. The subject will be required to discontinue the stimulant for the duration of the study, beginning at least 7 days prior to Visit 2 (Baseline). 14. Is using of prohibited concomitant medications including known CYP1A2 substrates (e.g., theophylline, melatonin) during the Screening Period or (anticipated) for the duration of the study. 15. Any reason that, in the opinion of the Investigator, would prevent the subject from participating in the study. 16. Has suicidal ideation ("Yes" indicated on C-SSRS question 4 or 5) or suicidal behavior ("Yes" indicated on C-SSRS for any suicidal behavior) within 6 months prior to or the day of Visit 1 (Screening) or has attempted suicide ("Yes" indicated on C-SSRS for lifetime).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
47 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
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Locations
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AIM Trials, LLC
RECRUITINGPlano, Texas, 75093, United States
Contact Email: •••••@•••••
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APG Research LLC
RECRUITINGOrlando, Florida, 32803, United States
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Advanced Discovery Research LLC
RECRUITINGAtlanta, Georgia, 30318, United States
Contact Email: •••••@•••••
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Advanced Research Center (ARC), Inc.
RECRUITINGAnaheim, California, 92805, United States
Contact Email: •••••@•••••
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Alliance Research
RECRUITINGLong Beach, California, 90807, United States
Contact Email: •••••@•••••
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Avantis Clinical Research LLC
RECRUITINGMiami, Florida, 33155, United States
Contact Email: •••••@•••••
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Boston Children's Hospital
RECRUITINGBoston, Massachusetts, 02445, United States
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CenExcel iResearch, LLC
RECRUITINGDecatur, Georgia, 30030, United States
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CenExel iResearch, LLC.
RECRUITINGSavannah, Georgia, 31405, United States
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Cincinnati Children's Hospital and Medical Center
RECRUITINGCincinnati, Ohio, 45229, United States
Contact Email: •••••@•••••
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CincyScience
RECRUITINGWest Chester, Ohio, 45069, United States
Contact Email: •••••@•••••
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Clinical Integrative Research Center of Atlanta
RECRUITINGAtlanta, Georgia, 30328, United States
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Clinical Neuroscience Solutions, Inc.
RECRUITINGJacksonville, Florida, 32256, United States
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Clinical Neuroscience Solutions, Inc.
RECRUITINGOrlando, Florida, 32801, United States
Contact Email: •••••@•••••
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Clinical Neuroscience Solutions, Inc.
RECRUITINGMemphis, Tennessee, 38119, United States
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Clinical Research Partners, LLC
RECRUITINGPetersburg, Virginia, 23805, United States
Contact Email: •••••@•••••
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Clinical Research of Southern Nevada, LLC.
RECRUITINGLas Vegas, Nevada, 89128, United States
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Coastal Carolina Research Center
RECRUITINGNorth Charleston, South Carolina, 29405, United States
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Coastal Pediatric Research
RECRUITINGSummerville, South Carolina, 29486, United States
Contact Email: •••••@•••••
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Cyn3rgy Research
RECRUITINGGresham, Oregon, 97030, United States
Contact Email: •••••@•••••
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D&H Tamarac Research Center
RECRUITINGTamarac, Florida, 33321, United States
Contact Email: •••••@•••••
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DelRicht Research
RECRUITINGPrairieville, Louisiana, 70769, United States
Contact Email: •••••@•••••
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DelRicht Research (Touro Medical Center)
RECRUITINGNew Orleans, Louisiana, 70115, United States
Contact Email: •••••@•••••
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Duke University
RECRUITINGDurham, North Carolina, 27705, United States
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Family Psych of The Woodlands
RECRUITINGThe Woodlands, Texas, 77381, United States
Contact Email: •••••@•••••
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Hope Research Network, LLC.
RECRUITINGMiami, Florida, 33166, United States
Contact Email: •••••@•••••
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Houston Clinical Trials, LLC.
RECRUITINGBellaire, Texas, 77401, United States
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IMMUNOe Research Centers
RECRUITINGCentennial, Colorado, 80112, United States
Contact Email: •••••@•••••
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10028, United States
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Javara
RECRUITINGDallas, Texas, 75230, United States
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Jersey Shore University Medical Center
RECRUITINGNeptune City, New Jersey, 07753, United States
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Kennedy Krieger Institute
RECRUITINGBaltimore, Maryland, 21205, United States
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Kentucky Pediatric/Adult Research
RECRUITINGBardstown, Kentucky, 40004, United States
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Luna Research Center
RECRUITINGCoral Gables, Florida, 33134, United States
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Med Clinical Research
RECRUITINGIrvington, New Jersey, 07111, United States
Contact Email: •••••@•••••
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Medical Research Group of Central Florida
RECRUITINGOrange City, Florida, 32763, United States
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Neurobehavioral Medicine Group
RECRUITINGBloomfield Hills, Michigan, 48302, United States
Contact Email: •••••@•••••
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Pediatric Neurology and Epilepsy Specialists
RECRUITINGWinter Park, Florida, 32789, United States
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Penn State Health Medical Group - Psychiatry and Behavioral Health
RECRUITINGHershey, Pennsylvania, 17033, United States
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Precise Research Centers
RECRUITINGFlowood, Mississippi, 39232, United States
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Preferred Research Partners, Inc.
RECRUITINGLittle Rock, Arkansas, 72211, United States
Contact Email: •••••@•••••
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Qualmedica Research, LLC.
RECRUITINGEvansville, Indiana, 47715, United States
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Qualmedica Research, LLC.
RECRUITINGOwensboro, Kentucky, 42301, United States
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Sarkis Clinical Trials
RECRUITINGGainesville, Florida, 32607, United States
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Sun Valley Research Center
RECRUITINGImperial, California, 92251, United States
Contact Email: •••••@•••••
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The Center for Clinical Trials, Inc.
RECRUITINGSaraland, Alabama, 36571, United States
Contact Email: •••••@•••••
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Virginia Commonwealth University, Virginia Treatment Center for Children
RECRUITINGRichmond, Virginia, 23220, United States
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Other studies related to the condition(s) this trial covers.
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- Could hidden ADHD symptoms be dragging down medical Students' grades?
- Can virtual worlds teach Real-Life social skills to kids with ADHD?
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