Paliperidone palmitate in non-acute patients with schizophrenia previously unsuccessfully treated with risperidone long-acting therapy or frequently used conventional depot antipsychotics

Schreiner A., Bergmans P., Cherubin P., Keim S., Llorca P., Cosar B., ...More

JOURNAL OF PSYCHOPHARMACOLOGY, vol.29, no.8, pp.910-922, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 8
  • Publication Date: 2015
  • Doi Number: 10.1177/0269881115586284
  • Journal Name: JOURNAL OF PSYCHOPHARMACOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.910-922
  • Keywords: Non-acute, paliperidone palmitate, schizophrenia, switching, injectable antipsychotic, INJECTABLE RISPERIDONE, ORAL ANTIPSYCHOTICS, FOLLOW-UP, STRATEGIES, EFFICACY, RELAPSE, SAFETY
  • Gazi University Affiliated: Yes

Abstract

PALMFlexS, a prospective multicentre, open-label, 6-month, phase IIIb interventional study, explored tolerability, safety and treatment response in adults (n = 231) with non-acute but symptomatic schizophrenia switching to flexibly dosed paliperidone palmitate (PP) after unsuccessful treatment with risperidone long-acting injectable therapy (RLAT) or conventional depot antipsychotics (APs). Treatment response was measured by change in Positive and Negative Syndrome Scale (PANSS) total score from baseline (BL) to last-observation-carried-forward (LOCF) endpoint (EP). Safety and tolerability assessments included Extrapyramidal Symptom Rating Scale (ESRS) total score and treatment-emergent adverse events. Significant reductions in mean PANSS total score were observed for all groups (-7.5 to -10.6; p 0.01 [BL to LOCF EP]). After switching to PP, more than 50% of all patients achieved 20% and one-third of RLAT-treated patients even achieved 50% improvement in PANSS total score. Across groups, there were significant improvements (p < 0.05) in symptom severity as measured by Clinical Global Impression-Severity (CGI-S; trend for improvement with RLAT; p = 0.0568), subjective well-being, medication satisfaction, and patient functioning with PP. PP was generally well tolerated. Clinically relevant benefits were observed in non-acute patients with schizophrenia switched from RLAT or conventional depot APs to PP.