Table 1

Methodology

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