Axsome doses first patient in FOCUS-2 Phase 3 ADHD trial

1 min read     Updated on 07 Jul 2026, 05:25 PM
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Axsome Therapeutics advances its pediatric ADHD program by dosing the first patient in the FOCUS-2 Phase 3 trial for children aged 6 to 12. The study will evaluate solriamfetol's efficacy and safety in 468 patients over six weeks, with the primary endpoint measuring changes in ADHD-RS-5 scores. This follows the earlier launch of the FOCUS-3 trial for adolescents.

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Axsome Therapeutics has dosed the first patient in its FOCUS-2 Phase 3 trial evaluating solriamfetol for children aged 6 to less than 12 years with Attention Deficit Hyperactivity Disorder (ADHD). The trial aims to assess the efficacy and safety of the treatment in this pediatric population, addressing a significant unmet medical need.

FOCUS-2 is a randomized, double-blind, placebo-controlled, multicenter study designed to evaluate two doses of solriamfetol against a placebo. Approximately 468 patients will be randomized in a 1:1:1 ratio to receive one of the two doses or the placebo for a treatment duration of six weeks.

The primary endpoint of the trial is the change from baseline to week 6 in the ADHD Rating Scale (ADHD-RS-5) total score. This measure will help determine the drug's impact on ADHD symptoms in children.

Previously, Axsome announced the initiation of the FOCUS-3 Phase 3 trial of solriamfetol in adolescents aged 12 to less than 18 years with ADHD. The progression of the pediatric clinical program underscores Axsome's commitment to developing treatments across different age groups affected by ADHD.

The trial design and endpoints are structured to provide robust data on the potential benefits and risks of solriamfetol in younger patients. Results from this study will inform future regulatory submissions and potential treatment options for children with ADHD.

What are the anticipated timelines for the release of top-line data from the FOCUS-2 trial?

How might the results from the FOCUS-3 adolescent trial influence the regulatory strategy for the FOCUS-2 pediatric indication?

What potential market impact could solriamfetol have on current ADHD treatment options for children if approved?

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Axsome doses first patient in FOCUS-3 Phase 3 ADHD trial

1 min read     Updated on 26 Jun 2026, 05:01 PM
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Suketu GScanX News Team
AI Summary

Axsome Therapeutics, Inc. has initiated the FOCUS-3 Phase 3 trial by dosing the first patient to evaluate solriamfetol for adolescents with ADHD. The randomized, double-blind, placebo-controlled study aims to assess the efficacy and safety of the drug in approximately 468 patients aged 12 to less than 18 years over a 6-week treatment period.

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*this image is generated using AI for illustrative purposes only.

Axsome Therapeutics, Inc. has dosed the first patient in the FOCUS-3 Phase 3 trial evaluating solriamfetol as a treatment for adolescents with attention deficit hyperactivity disorder (ADHD). The trial aims to assess the efficacy and safety of the drug in this patient population, addressing a critical gap in care for CNS disorders.

FOCUS-3 (Forward Treatment of Attention Deficit and Hyperactivity Using Solriamfetol) is a Phase 3, randomized, double-blind, placebo-controlled, multicenter trial. Approximately 468 patients aged 12 to less than 18 years with ADHD will be randomized in a 1:1:1 ratio to receive one of two doses of solriamfetol or placebo for 6 weeks. The primary endpoint is the change from baseline to week 6 in the ADHD Rating Scale (ADHD-RS-5) total score.

About Solriamfetol

Solriamfetol is a dopamine and norepinephrine reuptake inhibitor (DNRI), TAAR1 agonist, and 5-HT1A agonist. It is being developed for the treatment of ADHD, major depressive disorder (MDD) with excessive daytime sleepiness (EDS), binge eating disorder (BED), and excessive sleepiness associated with shift work disorder (SWD).

Trial Design

Parameter Details
Trial Name FOCUS-3
Phase Phase 3
Design Randomized, double-blind, placebo-controlled, multicenter
Participants Approximately 468 patients aged 12 to <18 years
Randomization Ratio 1:1:1
Treatment Duration 6 weeks
Primary Endpoint Change from baseline to week 6 in ADHD-RS-5 total score

About Axsome Therapeutics

Axsome Therapeutics is a biopharmaceutical company focused on the treatment of central nervous system (CNS) conditions. The company's portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing serious neurological and psychiatric conditions.

What are the potential regulatory challenges Axsome might face when seeking approval for an adolescent ADHD indication?

How could the success of the FOCUS-3 trial impact Axsome's strategy for developing solriamfetol for other CNS disorders like MDD and binge eating disorder?

What competitive advantages does solriamfetol offer over existing ADHD treatments for adolescents, particularly regarding its mechanism of action?

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