|
Methodology |
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| Study |
Comparators |
Doses (DDD) |
Diagnoses |
Age |
Phase/status |
N0/Nitt/N1 |
Follow-up |
Funding |
|
|
||||||||
| FIRST EPISODE |
||||||||
| Crespo-Facorro et al. [24] |
Haloperidol Olanzapine Risperidone |
5.4 mg (0.68) 15.3 mg (1.53) 4.0 mg (0.80) |
Schizophrenia and related, non-affective psychosis |
15–60 years |
Acute, first episode in- and outpatients |
172/172/165 |
6 weeks |
Independent |
| McEvoy et al. [25] |
Olanzapine Quetiapine Risperidone |
11.7 mg (1.17) 506.0 mg (1.27) 2.4 mg (0.5) |
Schizophrenia, schizoaffective- schizophreniform disorder |
16–40 years |
Acute, first episode in- and outpatients |
400/-/119 |
12 months |
AstraZeneca company |
| Robinson et al. [26] |
Olanzapine Risperidone |
11.8 mg (1.18) 3.9 mg (0.78) |
Schizophrenia, schizoaffective- schizophreniform disorder |
16–40 years |
Acute, first episode |
120/112/81 |
4 months |
Independent |
| ACUTE PHASE |
||||||||
| Chrzanowski et al. [27] |
Aripiprazole Olanzapine |
22.0 mg (1.47) 14.2 mg (1.42) |
Schizophrenia |
≥ 18 years |
Acute psychosis/chronic stable in- and outpatients |
214/214/147 |
52 weeks |
BMS/Otsuka |
| Kraus et al. [28] |
Olanzapine Risperidone |
12.4 mg (1.24) 3.4 mg (0.39) |
Psychosis; positive symptoms |
18–60 years |
Acute, inpatients |
85/-/68 |
Not defined |
Independent |
| McCue et al. [29] |
Aripiprazole Haloperidol Olanzapine Quetiapine Risperidone Ziprasidone |
21.8 mg1 (1.45) 16.0 mg 1(2.00) 19.1 mg 1(1.91) 652.5 mg1 (1.63) 5.2 mg1 (1.04) 151.2 mg1 (1.89) |
Schizophrenia, schizoaffective- schizophreniform disorder |
≥ 18 years |
Acute, inpatients |
327/319/301 |
3 weeks |
Independent |
| CHRONIC PHASE |
||||||||
| Jerrel [30] |
Olanzapine Risperidone Haloperidol Haloperidol (d) Fluphenazine (d) |
13.8 mg (1.38) 5.3 mg (1.06) 15.5 mg (1.93) 6.3 mg (1.92) 3.0 mg (0.43) |
Schizophrenia and schizoaffective disorder |
18–54 years |
Chronic, inpatients acute care |
108/-/84 |
12 months |
Independent |
| Lieberman et al. [31] |
Olanzapine Perphenazine Quetiapine Risperidone Ziprasidone |
20.1 mg (2.01) 20.8 mg (0.69) 543.4 mg (1.36) 3.9 mg (0.78) 112.8 mg (1.41) |
Schizophrenia |
18–65 years |
Chronic, not treatment resistant, in- and outpatients |
1493/1432/371 |
18 months |
Independent |
| Mullen et al. [32] |
Quetiapine Risperidone |
329.0 mg (0.82) 5.0 mg (1.00) |
Psychotic disorders2 |
> 18 years |
Outpatients |
728/-/493 |
4 months |
AstraZeneca company |
| Ritchie et al. [33] |
Olanzapine Risperidone |
9.9 mg (0.99) 1.7 mg (0.34) |
Schizophrenia |
> 60 years |
Outpatients, switch from FGAs |
66/61/52 |
switch period (mean 40 days) |
Eli Lilly company |
| Ritchie et al. [34] |
Olanzapine Risperidone |
12.4 mg (1.24) 2.0 mg (0.39) |
Schizophrenia |
> 60 years |
Outpatients, switch from FGAs |
66/61/42 |
6 months |
Eli Lilly company |
| Rosenheck et al. [35] |
Olanzapine Perphenazine Quetiapine Risperidone Ziprasidone |
Not disclosed - - - - |
Schizophrenia |
18–65 years |
Chronic, not treatment resistant, in- and outpatients |
1493/1424/363 |
18 months |
Independent |
| Stroup et al. [36] |
Olanzapine Quetiapine Risperidone Ziprasidone |
20.5 mg (2.05) 565.2 mg (1.41) 4.1 mg (0.82) 115.9 mg (1.45) |
Schizophrenia |
18–65 years |
Chronic, not treatment resistant, in- and outpatients, discontinued previous SGA because of intolerability |
444/333/88 |
18 months |
Independent |
| Stroup et al. [37] |
Olanzapine Quetiapine Risperidone |
20.7 mg (2.07) 586.1 mg (1.47) 3.7 mg (0.74) |
Schizophrenia |
18–65 years |
Chronic, not treatment resistant, in- and outpatients, discontinued Perphenazine |
115/114/37 |
18 months |
Independent |
| Swartz et al. [38] |
Olanzapine Perphenazine Quetiapine Risperidone Ziprasidone |
Not disclosed - - - - |
Schizophrenia |
18–65 years |
Chronic, not treatment resistant, in- and outpatients |
1493/985/455 |
18 months |
Independent |
| Tunis et al. [39] |
Olanzapine Risperidone Haloperidol Perphenazine |
13.5 mg (1.35) 4.9 mg (0.99) 11.0 mg (1.37) 14.2 mg (0.47) |
Schizophrenia, schizoaffective- schizophreniform disorder, ≥ 18 on the BPRS |
≥ 18 years |
Primarily outpatients |
664/-/455 |
12 months |
Eli Lilly company |
|
Abbreviations: Comparators = Antipsychotics being compared in the studies; Doses = Mean daily doses of the antipsychotics; DDD = Defined Daily Doses of the antipsychotics; Diagnoses = Diagnoses defined in inclusion criteria; Age = Age of study participants; Phase = Phase of psychotic illness of study participants: acute or chronic; Status = Status of study participants: first episode, inpatients, outpatients; N0 = Number of participants at baseline; Nitt = Number in intention to treat group (not disclosed in all studies as indicated by (-)), N1 = Number of completers; Follow-up = Duration of study follow-up; Funding = Financial support of study; BMS = Bristol-Myers Squibb; Otsuka = Otsuka America Pharmaceuticals, inc.; Independent = Study financially supported by sources independent of the pharmaceutical industry. A = Aripiprazole, FGAs = First generation antipsychotics, H = Haloperidol, O = Olanzapine, P = Perphenazine, Q = Quetiapine, R = Risperidone, Z = Ziprasidone, BPRS = the Brief Psychiatric Rating Scale, d = depot formulation. 1 Mean maximum daily dosage 2 Schizophrenia, schizophreniform -, schizoaffective -, delusional disorder, major depressive disorder with psychotic features, Alzheimer's dementia with psychotic symptoms, vascular dementia, dementia due to substance abuse | ||||||||
Johnsen and Jørgensen BMC Psychiatry 2008 8:31 doi:10.1186/1471-244X-8-31 |
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