Source:http://linkedlifedata.com/resource/pubmed/id/18334909
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2 Suppl 1
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pubmed:dateCreated |
2008-4-9
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pubmed:abstractText |
Iloperidone is a mixed D2/5-HT2 antagonist in development for treatment of schizophrenia. This trial aimed to evaluate the efficacy and safety of a fixed dose of iloperidone in patients with acute exacerbations of schizophrenia. This randomized, placebo-controlled, multicenter study comprised a 1-week titration period and a 3-week double-blind maintenance period. Eligible patients (n = 593) were randomized to iloperidone 24 mg/d, ziprasidone 160 mg/d as an active control, or placebo. Primary efficacy variable was change from baseline in the Positive and Negative Syndrome Scale Total (PANSS-T) score, using a mixed-effects model repeated measures analysis. Iloperidone demonstrated significant reduction versus placebo on the PANSS-T score (P< 0.01). Significant improvement versus placebo was also demonstrated with ziprasidone (P < 0.05). Compared with ziprasidone, iloperidone was associated with lower rates of many adverse events (AEs) that are particularly troublesome with antipsychotics, including sedation, somnolence, extrapyramidal symptoms, akathisia, agitation, and restlessness; iloperidone was associated with higher rates of weight gain, tachycardia, orthostatic hypotension, dizziness, and nasal congestion as reported as an AE. Most AEs were mild to moderate. A similar amount of QT prolongation was observed with both active treatments, although no patient had a treatment-emergent postbaseline corrected QT interval of 500 msec or greater. The incidence of clinically relevant changes in laboratory parameters was comparable between iloperidone and ziprasidone. Iloperidone was associated with a low incidence of extrapyramidal symptoms. Overall, there was improvement in akathisia with iloperidone treatment. Iloperidone treatment was effective, safe, and well tolerated in patients with acute exacerbation of schizophrenia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antipsychotic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Isoxazoles,
http://linkedlifedata.com/resource/pubmed/chemical/Piperazines,
http://linkedlifedata.com/resource/pubmed/chemical/Piperidines,
http://linkedlifedata.com/resource/pubmed/chemical/Thiazoles,
http://linkedlifedata.com/resource/pubmed/chemical/iloperidone,
http://linkedlifedata.com/resource/pubmed/chemical/ziprasidone
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0271-0749
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S20-8
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pubmed:meshHeading |
pubmed-meshheading:18334909-Acute Disease,
pubmed-meshheading:18334909-Adolescent,
pubmed-meshheading:18334909-Adult,
pubmed-meshheading:18334909-Aged,
pubmed-meshheading:18334909-Antipsychotic Agents,
pubmed-meshheading:18334909-Double-Blind Method,
pubmed-meshheading:18334909-Drug Administration Schedule,
pubmed-meshheading:18334909-Female,
pubmed-meshheading:18334909-Humans,
pubmed-meshheading:18334909-Isoxazoles,
pubmed-meshheading:18334909-Male,
pubmed-meshheading:18334909-Middle Aged,
pubmed-meshheading:18334909-Piperazines,
pubmed-meshheading:18334909-Piperidines,
pubmed-meshheading:18334909-Prospective Studies,
pubmed-meshheading:18334909-Schizophrenia,
pubmed-meshheading:18334909-Thiazoles,
pubmed-meshheading:18334909-Treatment Outcome
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pubmed:year |
2008
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pubmed:articleTitle |
Four-week, double-blind, placebo- and ziprasidone-controlled trial of iloperidone in patients with acute exacerbations of schizophrenia.
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pubmed:affiliation |
University of Florida, Gainesville, FL, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study,
Clinical Trial, Phase III
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