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This entry refers to the comparative evaluation of two central nervous system stimulant medications, lisdexamfetamine dimesylate (LDX) and mixed amphetamine salts immediate release (MAS-IR), developed by Shire (now part of Takeda) for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). LDX is a long-acting prodrug that is enzymatically converted in the blood to the active stimulant d-amphetamine, providing a gradual and sustained therapeutic effect. MAS-IR is an immediate-release formulation containing a mixture of four amphetamine salts (d-amphetamine saccharate, d-amphetamine sulfate, l-amphetamine aspartate, and l-amphetamine sulfate). Both medications function by increasing the synaptic concentrations of the catecholamine neurotransmitters dopamine and norepinephrine through the inhibition of their reuptake and the promotion of their release from presynaptic neurons. The specific context provided describes a Phase I crossover study (NCT00544115) designed to evaluate the sensitivity of a computerized cognitive test battery in adults with ADHD treated with these agents.
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