0000000000141358

AUTHOR

Keith Mcburnett

showing 2 related works from this author

Distinguishing the efficacy and sedative effects of guanfacine extended release in children and adolescents with attention-deficit/hyperactivity diso…

2019

The present study investigated whether symptom reduction in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) treated with guanfacine extended release (GXR) can be explained by sedative effects of the medication. Data from four double-blind, randomized, placebo-controlled, phase 3 trials of GXR monotherapy (1-7 mg/day; morning administration) in children (aged 6-12 years) and adolescents (aged 13-17 years) with ADHD were analyzed post hoc. Two studies used forced-dose titration and two used flexible-dose titration. Efficacy was determined using ADHD Rating Scale IV (ADHD-RS-IV) scores. Sedative treatment-emergent adverse events (TEAEs) included somnolence, sedati…

MalePediatricsmedicine.medical_specialtyTime FactorsAdolescentmedicine.drug_classSedationDrug Administration Schedule03 medical and health sciences0302 clinical medicineDouble-Blind MethodRating scalemedicineHumansHypnotics and SedativesAttention deficit hyperactivity disorderPharmacology (medical)ChildAdverse effectBiological PsychiatryMorningPsychiatric Status Rating ScalesPharmacologyDose-Response Relationship Drugbusiness.industrymedicine.diseaseGuanfacine030227 psychiatryGuanfacinePsychiatry and Mental healthTreatment OutcomeNeurologyAttention Deficit Disorder with HyperactivityDelayed-Action PreparationsSedativeFemaleNeurology (clinical)medicine.symptombusiness030217 neurology & neurosurgerySomnolenceFollow-Up Studiesmedicine.drugEuropean Neuropsychopharmacology
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Separating efficacy and sedative effects of guanfacine extended release in children and adolescents with ADHD from four randomized, controlled, phase…

2016

IntroductionGuanfacine extended release (GXR) is a non-stimulant treatment for attention-deficit/hyperactivity disorder (ADHD).ObjectiveTo separate efficacy and sedative treatment-emergent adverse events (TEAEs) associated with GXR in four randomized, controlled trials in children (6–12 years) and adolescents (13–17 years) with ADHD.MethodsSPD503-301 (n = 345) and SPD503-304 (n = 324) were 8 and 9 week studies of fixed-dose GXR (≤ 4 mg/day). SPD503-312 (n = 314; adolescents only) and SPD503-316 (n = 338) were 10–13 week studies of dose-optimized GXR (1–7 mg/day).ResultsIn fixed-dose studies, pooled incidences of sedative TEAEs with GXR were highest at week 1 (GXR, 13.9–18.7%; placebo, 8.7%)…

business.industrymedicine.drug_classSedationPlaceboGuanfacineClinical trialPsychiatry and Mental healthAnesthesiaSedativemedicineDosingmedicine.symptomExtended releasebusinessAdverse effectmedicine.drugEuropean Psychiatry
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