Schizophrenia
Conditions
Keywords
schizophrenia, lurasidone, antipsychotics, metabolic syndrome, switch
Brief summary
The aim of this study is observation, in an Italian real-world setting, of metabolic effects in patients with schizophrenia who will switch from any mono-therapy or poly-therapy antipsychotic regimen to monotherapy with lurasidone or to one of the other four most used atypical antipsychotics.
Detailed description
The aim of this study is the observation, in psychiatric Italian real-world settings, of metabolic effects, effectiveness, side effects and therapeutic adherence in patients with schizophrenia who switched, for any reason (efficacy, safety, metabolic problems, therapeutic adherence or patient's request), from any mono-therapy or poly-therapy antipsychotic regimen to monotherapy with lurasidone or with one of the four most used atypical antipsychotics in Italy (aripiprazole, olanzapine, quetiapine, risperidone). Patient's past medical and psychiatric history of the last 12 months will be also evaluated.
Interventions
DRUGLurasidone
Patients are treated with dosages according clinical practice
DRUGaripiprazole, olanzapine, quetiapine or risperidone
Patients are treated with dosages according clinical practice
Sponsors
Aziende Chimiche Riunite Angelini Francesco S.p.A
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with a diagnosis of schizophrenia according to DSM-5. * Patients who gave their written consent for participation in the study and for personal data processing and willing to comply with all study procedures. * Male and female patients ≥ of 18 years old at baseline. * Patients treated or in treatment with any typical or atypical antipsychotic monotherapy or polytherapy. * Patients switched from the pre-existing therapy to lurasidone, aripiprazole, olanzapine, quetiapine or risperidone in monotherapy within the preceding 2 weeks. The date of the switch is considered as baseline.
Exclusion criteria
* Female patients who are pregnant or lactating * Patients fulfilling DSM-5 criteria for diagnosis of bipolar disorder and/or dementia. * Amphetamines and/or Opiates abuse or dependence , as defined by DSM-5 criteria. * Patients with no history of antipsychotics use. * Patients recruited in another study as follows: * currently enrolled in any pharmacological or non-pharmacological, interventional or observational study: * who participated in the last 30 days to any observational or no-profit interventional study; * who participated in the last 12 months to any interventional commercially sponsored study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the metabolic parameters | 4 weeks | Change in metabolic syndrome in 3 of 5 parameters: 1. Arterial hypertension defined as. systolic pressure ≥ 130 mmHg and/or diastolic pressure ≥85 mmHg or treatment for hypertension. 2. Waist Circumference ≥ 90 cm in men or ≥ 80 cm in women. 3. Fasting Plasma Glucose ≥5.6 mmol/l and/or known treatment for hyperglycemia. 4. Triglycerides ≥1.7 mmol/l or medication for elevated triglycerides. 5. HDL Cholesterol ≤ 1.0 mmol/l in men and ≤1.3 mmol/l for women or taking medication. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Retrospective investigation of the metabolic effects of switches to any atypical antipsychotic occurred in the previous 12 months | 12 months before baseline (switch to any atypical antipsychotics) | Change in metabolic syndrome in 3 of 5 parameters: 1. Arterial hypertension defined as. systolic pressure ≥ 130 mmHg and/or diastolic pressure ≥85 mmHg or treatment for hypertension. 2. Waist Circumference ≥ 90 cm in men or ≥ 80 cm in women. 3. Fasting Plasma Glucose ≥5.6 mmol/l and/or known treatment for hyperglycemia. 4. Triglycerides ≥1.7 mmol/l or medication for elevated triglycerides. 5. HDL Cholesterol ≤ 1.0 mmol/l in men and ≤1.3 mmol/l for women or taking medication. |
Countries
Italy
Outcome results
None listed