Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder

Objective: This post-hoc analysis examined the efficacy and tolerability of escitalopram in the prevention of relapse in Malaysian patients with obsessive-compulsive disorder. Participants and Methods: In Malaysia, 47 patients with obsessive-compulsive disorder were treated with open-label escitalop...

Full description

Bibliographic Details
Main Authors: Hatim, A., Gill, J.S., Jambunathan, S.T., Yen, T.H., Ariff, M., Lemming, O.M., Azhar, M.Z.
Format: Article
Language:English
Published: 2008
Subjects:
Online Access:http://eprints.um.edu.my/10983/1/Escitalopram_in_the_Treatment_of_Malaysian_Patients.pdf
_version_ 1825719945904783360
author Hatim, A.
Gill, J.S.
Jambunathan, S.T.
Yen, T.H.
Ariff, M.
Lemming, O.M.
Azhar, M.Z.
author_facet Hatim, A.
Gill, J.S.
Jambunathan, S.T.
Yen, T.H.
Ariff, M.
Lemming, O.M.
Azhar, M.Z.
author_sort Hatim, A.
collection UM
description Objective: This post-hoc analysis examined the efficacy and tolerability of escitalopram in the prevention of relapse in Malaysian patients with obsessive-compulsive disorder. Participants and Methods: In Malaysia, 47 patients with obsessive-compulsive disorder were treated with open-label escitalopram (10 mg or 20 mg/day) for 16 weeks, after which the 34 responders (Yale-Brown Obsessive Compulsive Scale total decrease score, 25) were randomised to placebo or escitalopram for 24 weeks, using a double-blind protocol. Results: The primary efficacy analysis suggested a trend in favour of escitalopram treatment with respect to time to relapse (log-rank test, p = 0.07). A higher proportion of patients relapsed after placebo treatment (5 of 14, 36) than with escitalopram treatment (2 of 20, 10) Fishers exact test, 2-sided; p = 0.10. The risk of relapse was 4-fold higher for placebo than escitalopram treatment (p = 0.09). During the double-blind period, the proportion of patients reporting treatment-emergent adverse events was comparable in the 2 groups (10% in the escitalopram group vs. 14% in the placebo group); no serious events being reported. Conclusions: This post-hoc subgroup analysis suggests that escitalopram is well tolerated in Malaysian patients with obsessive-compulsive disorder and appears to confer an advantage over placebo, in terms of time to relapse and other efficacy variables.
first_indexed 2024-03-06T05:27:29Z
format Article
id um.eprints-10983
institution Universiti Malaya
language English
last_indexed 2024-03-06T05:27:29Z
publishDate 2008
record_format dspace
spelling um.eprints-109832014-08-05T02:19:45Z http://eprints.um.edu.my/10983/ Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder Hatim, A. Gill, J.S. Jambunathan, S.T. Yen, T.H. Ariff, M. Lemming, O.M. Azhar, M.Z. BF Psychology R Medicine Objective: This post-hoc analysis examined the efficacy and tolerability of escitalopram in the prevention of relapse in Malaysian patients with obsessive-compulsive disorder. Participants and Methods: In Malaysia, 47 patients with obsessive-compulsive disorder were treated with open-label escitalopram (10 mg or 20 mg/day) for 16 weeks, after which the 34 responders (Yale-Brown Obsessive Compulsive Scale total decrease score, 25) were randomised to placebo or escitalopram for 24 weeks, using a double-blind protocol. Results: The primary efficacy analysis suggested a trend in favour of escitalopram treatment with respect to time to relapse (log-rank test, p = 0.07). A higher proportion of patients relapsed after placebo treatment (5 of 14, 36) than with escitalopram treatment (2 of 20, 10) Fishers exact test, 2-sided; p = 0.10. The risk of relapse was 4-fold higher for placebo than escitalopram treatment (p = 0.09). During the double-blind period, the proportion of patients reporting treatment-emergent adverse events was comparable in the 2 groups (10% in the escitalopram group vs. 14% in the placebo group); no serious events being reported. Conclusions: This post-hoc subgroup analysis suggests that escitalopram is well tolerated in Malaysian patients with obsessive-compulsive disorder and appears to confer an advantage over placebo, in terms of time to relapse and other efficacy variables. 2008 Article PeerReviewed application/pdf en http://eprints.um.edu.my/10983/1/Escitalopram_in_the_Treatment_of_Malaysian_Patients.pdf Hatim, A. and Gill, J.S. and Jambunathan, S.T. and Yen, T.H. and Ariff, M. and Lemming, O.M. and Azhar, M.Z. (2008) Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder. Hong Kong J Psychiatry, 18. pp. 152-157. ISSN 1026-2121, http://easap.asia/journal_file/0804_V18N4-p152-7.pdf
spellingShingle BF Psychology
R Medicine
Hatim, A.
Gill, J.S.
Jambunathan, S.T.
Yen, T.H.
Ariff, M.
Lemming, O.M.
Azhar, M.Z.
Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder
title Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder
title_full Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder
title_fullStr Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder
title_full_unstemmed Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder
title_short Escitalopram in the treatment of Malaysian patients with Obsessive-compulsive disorder
title_sort escitalopram in the treatment of malaysian patients with obsessive compulsive disorder
topic BF Psychology
R Medicine
url http://eprints.um.edu.my/10983/1/Escitalopram_in_the_Treatment_of_Malaysian_Patients.pdf
work_keys_str_mv AT hatima escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder
AT gilljs escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder
AT jambunathanst escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder
AT yenth escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder
AT ariffm escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder
AT lemmingom escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder
AT azharmz escitalopraminthetreatmentofmalaysianpatientswithobsessivecompulsivedisorder