PMID- 21186969 OWN - NLM STAT- MEDLINE DCOM- 20110411 LR - 20211020 IS - 1557-8992 (Electronic) IS - 1044-5463 (Print) IS - 1044-5463 (Linking) VI - 20 IP - 6 DP - 2010 Dec TI - Executive function deficits in children with attention-deficit/hyperactivity disorder and improvement with lisdexamfetamine dimesylate in an open-label study. PG - 503-11 LID - 10.1089/cap.2009.0110 [doi] AB - OBJECTIVE: To assess the effects of lisdexamfetamine dimesylate (LDX) on executive function (EF) behaviors in children with attention-deficit/hyperactivity disorder (ADHD). METHODS: This observational, open-label, 7-week, dose-optimization study of LDX (20-70 mg/day) in children with ADHD evaluated efficacy with the ADHD Rating Scale IV; safety measures included adverse events (AEs). EF was assessed with the Behavior Rating Inventory of Executive Function (BRIEF). Post hoc analyses examined BRIEF scores by sex, ADHD subtype, comorbid psychiatric symptoms, and common treatment-emergent AEs (TEAEs). ADHD Rating Scale IV scores were assessed in subjects categorized by baseline BRIEF global executive composite T scores with clinically significant (>/=65) or not clinically significant (<65) impairment in EF. RESULTS: Mean (standard deviation) change from baseline to endpoint for BRIEF of -17.9 (12.5) for Global Executive Composite, -15.4 (12.6) for Behavioral Regulation Index, and -17.6 (12.3) for Metacognition Index demonstrated improvement with LDX (pooled doses; p < 0.0001 for all). Improvements in BRIEF scores were seen regardless of sex, ADHD subtype, comorbid psychiatric symptoms, common TEAEs, or baseline EF impairment category. TEAEs included decreased appetite, decreased weight, irritability, insomnia, headache, upper abdominal pain, and initial insomnia. CONCLUSIONS: Improvements were demonstrated in EF behaviors and ADHD symptoms with LDX. LDX safety profile was consistent with long-acting stimulant use. FAU - Turgay, Atilla AU - Turgay A AD - University of Toronto, Toronto, Canada. FAU - Ginsberg, Lawrence AU - Ginsberg L FAU - Sarkis, Elias AU - Sarkis E FAU - Jain, Rakesh AU - Jain R FAU - Adeyi, Ben AU - Adeyi B FAU - Gao, Joseph AU - Gao J FAU - Dirks, Bryan AU - Dirks B FAU - Babcock, Thomas AU - Babcock T FAU - Scheckner, Brian AU - Scheckner B FAU - Richards, Cynthia AU - Richards C FAU - Lasser, Robert AU - Lasser R FAU - Findling, Robert L AU - Findling RL LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - J Child Adolesc Psychopharmacol JT - Journal of child and adolescent psychopharmacology JID - 9105358 RN - 0 (Central Nervous System Stimulants) RN - SJT761GEGS (Lisdexamfetamine Dimesylate) RN - TZ47U051FI (Dextroamphetamine) SB - IM MH - Attention Deficit Disorder with Hyperactivity/*drug therapy/physiopathology MH - Central Nervous System Stimulants/administration & dosage/adverse effects/*therapeutic use MH - Child MH - Dextroamphetamine/administration & dosage/adverse effects/*therapeutic use MH - Dose-Response Relationship, Drug MH - Executive Function/*drug effects MH - Female MH - Humans MH - Lisdexamfetamine Dimesylate MH - Male MH - Neuropsychological Tests MH - Prospective Studies MH - Psychometrics PMC - PMC3005278 EDAT- 2010/12/29 06:00 MHDA- 2011/04/13 06:00 PMCR- 2010/12/01 CRDT- 2010/12/29 06:00 PHST- 2010/12/29 06:00 [entrez] PHST- 2010/12/29 06:00 [pubmed] PHST- 2011/04/13 06:00 [medline] PHST- 2010/12/01 00:00 [pmc-release] AID - 10.1089/cap.2009.0110 [pii] AID - 10.1089/cap.2009.0110 [doi] PST - ppublish SO - J Child Adolesc Psychopharmacol. 2010 Dec;20(6):503-11. doi: 10.1089/cap.2009.0110.