SDX/d-MPH成人ADHD全天检查效果的试点试验。

Psychopharmacology bulletin Pub Date : 2025-07-04
Lenard A Adler, Dayeon Cho, Terry Leon, Mariane Guschwan, Caleb A Massimi, Deepti Anbarasan
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引用次数: 0

摘要

目的:探讨盐酸哌甲酯/盐酸哌甲酯(SDX/d-MPH)对DSM-5 ADHD成人全天ADHD症状的影响。方法:这是一项为期6周的试点研究,包括在完成一周的筛查期和两周的观察期后,对17名ADHD成人进行3周的SDX/d-MPH开放标签治疗(临床滴定39.2/7.8 mg/天至52.3/10.4 mg/天)。两名受试者被终止试验,一名受试者对安慰剂有反应,另一名受试者在观察期间表现出血压不稳定。在剩下的15名受试者中,1名受试者在一周后以39.2/7.8 mg/天的剂量退出,而其他所有受试者都完成了试验。所有15名参与者都被纳入数据分析。结果:SDX/d-MPH对所有临床指标均有显著影响,包括研究者症状评分(AISRS);自我报告(ASRS)评分,时间敏感性ADHD (TASS)全天评分,损害(CGI)和执行功能评分(BRIEF-A)以及药物平滑度测量(AMSES)。SDX/d-MPH一般耐受良好。结论:本初步研究是SDX/d-MPH治疗成人DSM-5 ADHD的首个系统疗效试验数据。这些数据初步支持DSM/d-MPH治疗成人ADHD的临床疗效及其改善全天症状的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pilot Trial of SDX/d-MPH Adult ADHD Examining Effects Throughout the Day.

Objective: To examine the effects of Serdexmethylphenidate/dexmethylphenidate (SDX/d-MPH) on ADHD symptoms throughout the day in adults with DSM-5 ADHD.

Method: This was a 6-week pilot study that included 3 weeks of open label treatment with SDX/d-MPH (39.2/7.8 mg/day to 52.3/10.4 mg/day in clinical titration) after completion of a one-week screening period and a two-week observation period in seventeen adults with ADHD. Two subjects were discontinued from the trial, one for being placebo-responder and another for exhibiting blood pressure lability during the observation period. Of the remaining 15 subjects, one dropped out after one week on 39.2/7.8 mg/day, while all others completed the trial. All fifteen participants were included in the data analyses.

Results: There were substantial effects of SDX/d-MPH on all clinical measures, including investigator symptom scores (AISRS); self-report (ASRS) scores, time-sensitive ADHD (TASS) scores throughout the day, impairment (CGI) and executive function scores (BRIEF-A) and measures of medication smoothness (AMSES). SDX/d-MPH was generally well tolerated.

Conclusions: This pilot study is the first systematic treatment effect trial data for SDX/d-MPH in adults with DSM-5 ADHD. The data preliminarily supports the clinical efficacy of DSM/d-MPH in adult ADHD and its ability to ameliorate symptoms throughout the day.

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