학술논문

Safety and efficacy of paliperidone palmitate 1-month formulation in Chinese patients with schizophrenia: a 25-week, open-label, multicenter, Phase IV study
Document Type
Report
Source
Neuropsychiatric Disease and Treatment. Annual, 2017, Vol. 13, p2045, 12 p.
Subject
Schizophrenia -- Patient outcomes
Medical research
Paliperidone -- Dosage and administration
Safety -- Research
Language
English
ISSN
1176-6328
Abstract
Rationale: Long-acting injectable (LAI) paliperidone palmitate 1-month formulation (PP1M) has demonstrated acceptable tolerability and favorable clinical outcomes in Western and Asian patients with schizophrenia. Hence, analysis of the outcomes of long-term PP1M treatment specifically in Chinese patients is of interest. Objective: The aim of this study is to evaluate the long-term safety and efficacy of PP1M treatment in Chinese patients with schizophrenia. Methods: In this 25-week, open-label, Phase IV study, patients (18-65 years) diagnosed with schizophrenia and having a baseline Positive and Negative Syndrome Scale (PANSS) total score of 60-120 (inclusive) were enrolled. All patients received injections of PP1M 150 mg eq. (day 1) and 100 mg eq. (day 8), followed by a flexible once-monthly maintenance dosing (75, 100, or 150 mg eq.). Results: Of the 353 patients, 234 (66.3%) completed the study treatment (mean age, 31.1 years; 52.7% men). The PANSS total score (primary end point) improved significantly over the 6-month treatment period (mean [standard deviation] change from baseline to end of treatment, -27.2 [18.30]; P Conclusion: Long-term treatment with PP1M was efficacious, and no new safety concerns were identified in Chinese patients with schizophrenia. Overall, the results were comparable with observations from previous studies. Keywords: Chinese, long-acting injectables, open-label, paliperidone palmitate, PANSS, schizophrenia
Introduction Sustained symptomatic remission and prevention of relapses are key components of the pharmacotherapy of schizophrenia that positively impact treatment outcomes. (1-3) Medication nonadherence is regarded as the strongest determinant [...]