Viloxazine extended-release capsules as an emerging treatment for attention-deficit/hyperactivity disorder in children and adolescents.

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY
Expert Review of Neurotherapeutics Pub Date : 2024-05-01 Epub Date: 2024-03-19 DOI:10.1080/14737175.2024.2327533
Vladimir Maletic, Gregory W Mattingly, Jami Earnest
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引用次数: 0

Abstract

Introduction: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention and/or hyperactivity and impulsivity. Viloxazine extended-release (ER) capsules (Qelbree®) is a US Food and Drug Administration-approved nonstimulant treatment option for children, adolescents, and adults with ADHD.

Areas covered: This review manuscript summarizes the neurobiology of ADHD and currently available treatment options before discussing viloxazine pharmacology, efficacy, safety, and tolerability data from phase II and III trials in children and adolescents (6-17 years old). Viloxazine clinical efficacy has also been further demonstrated by post hoc analyses of pediatric clinical trial results.

Expert opinion: Current stimulant and nonstimulant treatments for ADHD may be suboptimal given low response rates and that tolerability issues are frequently experienced. Preclinical and clinical evidence has implicated both the role of catecholamine and serotonin signaling in the pathophysiology of ADHD and the pharmacologic effect of viloxazine on these critical neurotransmitter systems. With a relatively rapid onset of action, sustained symptom improvement, and clinical benefit in ADHD-associated impairments (functional and social), viloxazine ER represents a novel and emerging ADHD treatment option.

维洛沙嗪缓释胶囊作为治疗儿童和青少年注意力缺陷/多动症的新兴疗法。
简介注意力缺陷/多动障碍(ADHD)是一种以注意力不集中和/或多动、冲动为特征的神经发育障碍。维洛沙嗪缓释(ER)胶囊(Qelbree®)是美国食品和药物管理局批准的一种非兴奋剂治疗方案,适用于患有多动症的儿童、青少年和成人:本综述手稿概述了多动症的神经生物学和目前可用的治疗方案,然后讨论了维洛沙嗪在儿童和青少年(6-17 岁)中的药理学、疗效、安全性和耐受性数据。对儿科临床试验结果的事后分析也进一步证明了维洛沙嗪的临床疗效:专家观点:目前治疗多动症的刺激剂和非刺激剂疗法可能并不理想,因为反应率低,而且经常出现耐受性问题。临床前和临床证据表明,儿茶酚胺和血清素信号传导在多动症的病理生理学中起着重要作用,而维洛嗪对这些关键神经递质系统具有药理作用。维洛沙嗪ER起效相对较快,可持续改善症状,并对多动症相关障碍(功能性和社交性)有临床疗效,是一种新型的、新兴的多动症治疗药物。
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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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