Xin Lang Cai Jing·2026-01-08 02:09Core Insights - The recent developments in ADHD treatment highlight the approval of a new compound medication by Aikobai, which combines two forms of methylphenidate to provide extended symptom control for ADHD patients aged 6 and above [3][4] - The ADHD prevalence among children globally is approximately 7.2%, with a lower rate of 6.26% reported in China, indicating a significant number of untreated cases due to low consultation rates [3][4] Company Developments - Aikobai's compound medication, marketed as Aizhida, has received approval from the National Medical Products Administration, marking its entry into the commercial stage [3] - The compound consists of 30% immediate-release methylphenidate and 70% prodrug, designed for gradual release throughout the day, enhancing treatment adherence [3][4] - Aikobai acquired the rights to this medication for the Greater China region for a total price of $105.5 million [3] Market Dynamics - The market for methylphenidate is dominated by Johnson & Johnson's product, "Zhuanzhuo," which has a significant market share despite being an older drug with expired patents [4][6] - The supply of "Zhuanzhuo" has faced challenges due to increased global demand and production constraints, prompting Johnson & Johnson to shift packaging operations to local facilities to meet market needs [9] - The approval of generic versions of methylphenidate by other companies, such as Liyoujia and Youer Pharmaceutical, indicates a potential shift in market competition dynamics [9][10] Treatment Guidelines - Current treatment guidelines recommend long-acting methylphenidate formulations as first-line medications for ADHD, with alternatives like atomoxetine and alpha-2 adrenergic agonists as second and third-line options [4][10] - The sales of methylphenidate are projected to exceed 500 million yuan in 2024, with Johnson & Johnson's product accounting for nearly the entire market share [4] Regulatory Environment - Methylphenidate and its derivatives are classified as controlled substances in China, requiring qualified practitioners to prescribe them, which may limit accessibility and increase the risk of misuse [10]