San Diego Union-Tribune

FDA OKS FIRST NEW ADHD DRUG IN MORE THAN 10 YEARS FOR CHILDREN

New medication is not a stimulant, also tested for adults

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U.S. regulators have approved the first new drug in over a decade for children with ADHD, which causes inattentio­n, hyperactiv­ity and impulsivit­y.

The Food and Drug Administra­tion OK’d Qelbree for treating attention deficit hyperactiv­ity disorder in children ages 6 to 17. It comes as a capsule that’s taken daily.

Unlike nearly all other ADHD medicines, Qelbree is not a stimulant or a controlled substance, making it harder to abuse than older drugs. That’s been a problem with earlier ADHD treatments, like Ritalin, nearly all of which contain the stimulants amphetamin­e or methylphen­idate.

Qelbree, developed by Supernus Pharmaceut­icals of Rockville, Md., carries a warning of potential for suicidal thoughts and behavior, which occurred in fewer than 1 percent of volunteers in studies of the drug.

ADHD affects about 6 million American children and adolescent­s. For many, problems include trouble paying attention and completing tasks, fidgeting and impulsiven­ess.

Experts say the drug may appeal to parents who don’t want to give their child stimulants.

It also could be an option for those who have substance abuse problems, dislike the side effects of stimulants or need additional therapy, said Dr. David Goodman, director of Suburban Psychiatri­c Associates near Baltimore and an assistant professor of psychiatry at the Johns Hopkins School of Medicine.

Goodman said most ADHD patients taking medication currently are prescribed long-acting stimulants, which are harder to abuse to get a high than the original, fast-acting versions.

In a key late-stage study funded by Supernus, 477 children ages 6 to 11 took the drug for six weeks. Inattentio­n and hyperactiv­ity symptoms were reduced by about 50 percent compared with the placebo group. Qelbree, also known as viloxazine, helped reduce symptoms in some study volunteers within a week. Common side effects include sleepiness, lethargy, decreased appetite and headache.

Supernus is in late-stage testing for adults with ADHD.

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