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., ...Daha Fazla

JOURNAL OF PSYCHOPHARMACOLOGY, cilt.29, sa.8, ss.910-922, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 8
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1177/0269881115586284
  • Dergi Adı: JOURNAL OF PSYCHOPHARMACOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.910-922
  • Anahtar Kelimeler: Non-acute, paliperidone palmitate, schizophrenia, switching, injectable antipsychotic, INJECTABLE RISPERIDONE, ORAL ANTIPSYCHOTICS, FOLLOW-UP, STRATEGIES, EFFICACY, RELAPSE, SAFETY
  • Gazi Üniversitesi Adresli: Evet

Özet

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.