Paliperidone ER: a review of the clinical trial data
Philip G Janicak1, Elizabeth A Winans2,31Department of Psychiatry, Rush University Medical Center, Chicago, IL, USA; 2Previously Employed by Scientific Affairs, Ortho-McNeil Janssen, LLC, Chicago, IL, USA; 3Department of Pharmacy Practice, University of Missouri Kansas City, MO, USAAbstract: Paliper...
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2007-01-01
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| Series: | Neuropsychiatric Disease and Treatment |
| Online Access: | http://www.dovepress.com/paliperidone-er-a-review-of-the-clinical-trial-data-a965 |
| _version_ | 1818894465041956864 |
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| author | Philip G Janicak Elizabeth A Winans |
| author_facet | Philip G Janicak Elizabeth A Winans |
| author_sort | Philip G Janicak |
| collection | DOAJ |
| description | Philip G Janicak1, Elizabeth A Winans2,31Department of Psychiatry, Rush University Medical Center, Chicago, IL, USA; 2Previously Employed by Scientific Affairs, Ortho-McNeil Janssen, LLC, Chicago, IL, USA; 3Department of Pharmacy Practice, University of Missouri Kansas City, MO, USAAbstract: Paliperidone extended-release tablet (paliperidone ER; INVEGATM) is an oral antipsychotic for the treatment of schizophrenia. The recommended dose range is 3–12 mg per day. Paliperidone ER utilizes the OROS® delivery system, which allows for once-daily dosing. Its pharmacokinetic profile results in a more stable serum concentration. Paliperidone is 9-hydroxyrisperidone, the chief active metabolite of risperidone. It undergoes limited hepatic metabolism, thereby minimizing the risks of hepatic drug–drug and drug–disease interactions. Three 6-week trials in patients with acute schizophrenia reported that paliperidone ER was effective, well tolerated, and produced clinically meaningful improvements in personal and social functioning compared with placebo. Post-hoc analysis of these trials in various populations, including recently diagnosed, elderly and more severely ill patients, those with sleep disturbances and those with predominant negative symptoms demonstrated improvement as well. Paliperidone ER was also significantly better than placebo in the prevention of symptom recurrence in a 6-month maintenance study. The most common clinically relevant adverse events associated with paliperidone ER were extrapyramidal symptoms, tachycardia and somnolence. The incidence of Parkinsonism, akathisia and use of anticholinergic medications increased in a dose-related manner. Further, modest QTc interval prolongation was observed but did not produce clinical symptoms. Similar to risperidone, paliperidone ER is associated with increases in serum prolactin levels. Overall, paliperidone ER was effective, well tolerated and provides a new treatment option for patients with schizophrenia.Keywords: paliperidone, extended-release, antipsychotic, schizophrenia |
| first_indexed | 2024-12-19T18:28:55Z |
| format | Article |
| id | doaj.art-aa571f618d154d3f9c9faa4de25e763c |
| institution | Directory Open Access Journal |
| issn | 1176-6328 1178-2021 |
| language | English |
| last_indexed | 2024-12-19T18:28:55Z |
| publishDate | 2007-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj.art-aa571f618d154d3f9c9faa4de25e763c2022-12-21T20:10:47ZengDove Medical PressNeuropsychiatric Disease and Treatment1176-63281178-20212007-01-012007Issue 6869883Paliperidone ER: a review of the clinical trial dataPhilip G JanicakElizabeth A WinansPhilip G Janicak1, Elizabeth A Winans2,31Department of Psychiatry, Rush University Medical Center, Chicago, IL, USA; 2Previously Employed by Scientific Affairs, Ortho-McNeil Janssen, LLC, Chicago, IL, USA; 3Department of Pharmacy Practice, University of Missouri Kansas City, MO, USAAbstract: Paliperidone extended-release tablet (paliperidone ER; INVEGATM) is an oral antipsychotic for the treatment of schizophrenia. The recommended dose range is 3–12 mg per day. Paliperidone ER utilizes the OROS® delivery system, which allows for once-daily dosing. Its pharmacokinetic profile results in a more stable serum concentration. Paliperidone is 9-hydroxyrisperidone, the chief active metabolite of risperidone. It undergoes limited hepatic metabolism, thereby minimizing the risks of hepatic drug–drug and drug–disease interactions. Three 6-week trials in patients with acute schizophrenia reported that paliperidone ER was effective, well tolerated, and produced clinically meaningful improvements in personal and social functioning compared with placebo. Post-hoc analysis of these trials in various populations, including recently diagnosed, elderly and more severely ill patients, those with sleep disturbances and those with predominant negative symptoms demonstrated improvement as well. Paliperidone ER was also significantly better than placebo in the prevention of symptom recurrence in a 6-month maintenance study. The most common clinically relevant adverse events associated with paliperidone ER were extrapyramidal symptoms, tachycardia and somnolence. The incidence of Parkinsonism, akathisia and use of anticholinergic medications increased in a dose-related manner. Further, modest QTc interval prolongation was observed but did not produce clinical symptoms. Similar to risperidone, paliperidone ER is associated with increases in serum prolactin levels. Overall, paliperidone ER was effective, well tolerated and provides a new treatment option for patients with schizophrenia.Keywords: paliperidone, extended-release, antipsychotic, schizophreniahttp://www.dovepress.com/paliperidone-er-a-review-of-the-clinical-trial-data-a965 |
| spellingShingle | Philip G Janicak Elizabeth A Winans Paliperidone ER: a review of the clinical trial data Neuropsychiatric Disease and Treatment |
| title | Paliperidone ER: a review of the clinical trial data |
| title_full | Paliperidone ER: a review of the clinical trial data |
| title_fullStr | Paliperidone ER: a review of the clinical trial data |
| title_full_unstemmed | Paliperidone ER: a review of the clinical trial data |
| title_short | Paliperidone ER: a review of the clinical trial data |
| title_sort | paliperidone er a review of the clinical trial data |
| url | http://www.dovepress.com/paliperidone-er-a-review-of-the-clinical-trial-data-a965 |
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