Study to Evaluate NRCT-101SR in Pediatric Subjects With ADHD

Who can take part

• Male or female, 13-17 years of age at screening
• Has a primary diagnosis of ADHD according to the DSM-5 classification, confirmed with MINI using DSM-5 probes
• ADHD-related symptoms - ADHD-RS-5 ≥ 28 in screening and baseline; Baseline score must not change by more than 25% from screening to baseline, except subjects who stop taking ADHD medication after screening may have an increase of more than 25%
• Has a minimum score of 5 on the CGI-S at baseline

Who cannot take part

• Current abnormal thyroid function as defined as abnormal screening thyroid stimulating hormone. Treatment for at least 3 months with a stable dose of thyroid medication is permitted
• Is currently participating in another clinical trial or has participated in a clinical trial within 30 days or 5 half-lives of the investigational drug, whichever is longer, prior to the Screening Visit
• Has previously participated in a NRCT-101SR / L-TAMS investigational study
• Changes in medications or doses of medication as follows:
• All allowed concomitant medications, supplements, or other substances must be at stable doses for at least 30 days prior to screening and must be kept as stable as medically possible during the trial. For allowed concomitant medications, any dosing change within 30 days of Screening may be allowed if, in the opinion of the Investigator, it will not affect or influence study results
• Lifetime history of severe psychiatric symptoms of major depression requiring hospitalization, bipolar disorder, schizophrenia or schizoaffective disorder, hallucinations, or delusions. Severe comorbid disorders such as PTSD, severe obsessive-compulsive disorder, or other symptomatic presentation that, in the opinion of the examining physician, will contraindicate NRCT-101SR treatment or confound efficacy or safety assessments. Subjects with mild to moderate forms of social phobia or dysthymia, for instance, may be included
• History of seizures (other than infantile febrile seizures), any tic disorder (except transient tic disorder and subject has no episodes for at least 1 year), or a current diagnosis of Tourette's Disorder
• Recent history (within the past 1 year) of suspected substance abuse or dependence disorder in accordance with DSM-5 criteria
• History of significant gastrointestinal disorders, such as chronic diarrhea, irritable bowel syndrome, ulcerative colitis, Crohn's disease, etc
• Has history of severe drug allergy or hypersensitivity to the study medication or its excipients
• Known history of hepatitis B and/or C.:
• Known history of symptomatic cardiac disease, advanced atherosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary heart disease, transient ischemic attack or stroke or other serious cardiac problems
• Known family history of sudden cardiac death or ventricular arrhythmia
• Serious or unstable clinically important systemic illness or disease that, in the judgment of the Investigator, is likely to affect the study assessments, deteriorate, or affect the subject's safety or ability to complete the study, including hepatic (e.g., Child-Pugh grade C), renal, gastroenterological, respiratory, cardiovascular, endocrinologic, immunologic, infectious, or hematologic disorders
• History of poor kidney function; corrected estimated glomerular filtration rate (eGFR) < 90 mL/min/m2
• Hypermagnesemia; serum magnesium > 2.5 mg/dL
• Hepatic impairment as defined by serum AST, ALT and/or ALP > 1.25 ULN, and/or serum bilirubin > 1.5 ULN
• Subject is functioning below an age-appropriate level intellectually, as judged by the Investigator
• Female subjects who are pregnant and/or lactating and/or sexually active women of childbearing potential (WOCBP) not agreeing to use birth control methods outlined in inclusion criterion
• *A woman is considered fertile following menarche unless permanently sterile; a premenarchal female is not considered a WOBCP)
• A "yes" answer to "suicidal ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS assessment at screening (in the past 12 months)
• Currently living in an institutional facility
• Severe physical disability not associated with cognitive function that limits ability to complete testing
• Investigators and their immediate family members are not permitted to participate in the study