June 27, 2026

Top News
Centanafadine Expands ADHD Indication With Comorbid Anxiety Efficacy
Drug Development
Centanafadine Demonstrates Statistically Significant, Clinically Relevant Improvements in ADHD Symptoms - Pharmacy Times

Centanafadine demonstrates statistically significant and clinically relevant improvements in ADHD symptoms, supporting its potential as a new treatment option for attention-deficit/hyperactivity disorder.

Drug Development
Otsuka’s centanafadine scores in ADHD, comorbid anxiety trial - BioWorld News

Centanafadine demonstrated efficacy in a clinical trial for ADHD with comorbid anxiety, marking a significant development in the pharmacotherapy of attention-deficit/hyperactivity disorder.

Drug Development
Definium releases LSD for depression Phase 3 results and Colorado activists fight recent bill’s amendments to sharing psychedelics - The Microdose

Definium Therapeutics released Phase 3 results for its LSD-based treatment for depression, marking a significant clinical trial readout in psychedelic psychiatry.

Mechanism of Action
Investigating the effect of increased dopamine signaling on cerebral blood flow in Major Depressive Disorder: a double-blind randomized placebo-controlled study

A double-blind study demonstrates that low-dose amisulpride increases ventral striatum perfusion in MDD patients, providing mechanistic evidence for dopaminergic modulation of anhedonia.

Diagnosis & Treatment
Efficacy and predictors of cognitive stimulation therapy combined with pharmacotherapy for mild-to-moderate Alzheimer’s disease: a randomized controlled trial

This RCT demonstrates that adding modified cognitive stimulation therapy to standard pharmacotherapy (cholinesterase inhibitors/memantine) yields significant additional benefits in cognition and quality of life for mild-to-moderate Alzheimer's disease, with efficacy predicted by baseline education and lifestyle factors.

Clinical Pearls

Bite-sized clinical takeaways from today's literature (sources from Jun 26)

  • Consider centanafadine as a novel non-stimulant option for ADHD patients who have comorbid anxiety or cannot tolerate traditional stimulants.
  • Review the clinical trial data for centanafadine to assess its potential efficacy in reducing core ADHD symptoms compared to standard of care.
  • Recognize that low-dose amisulpride may offer a mechanistic approach to treating anhedonia in MDD by increasing ventral striatum perfusion via dopaminergic modulation.
  • Monitor the evolving Phase 3 data for Definium Therapeutics' LSD-based treatment as it may expand the psychedelic psychiatry toolkit for depression.
  • Incorporate modified cognitive stimulation therapy alongside standard pharmacotherapy (cholinesterase inhibitors/memantine) to enhance cognition and quality of life in mild-to-moderate Alzheimer's disease.
  • Assess baseline education and lifestyle factors when prescribing adjunctive cognitive stimulation, as these may predict treatment efficacy in Alzheimer's patients.