Evidence map›Paper›PMID 28382557›Full record

ReviewAdvances in therapy2017

Long-Acting Injectable Antipsychotics in Schizophrenia: Literature Review and Practical Perspective, with a Focus on Aripiprazole Once-Monthly.

Enrico Biagi, Enrico Capuzzi, Fabrizia Colmegna, Alessandra Mascarini, Giulia Brambilla, Alessandra Ornaghi, Jacopo Santambrogio, Massimo Clerici

Abstract readComparative StudyReview
In one paragraph

Review in Advances in therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
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  11. Review
  12. 10-Year Trends in Healthcare Spending among Patients with Schizophrenia in Alberta, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022
    Article
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  16. Article
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  18. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Enrico BiagiDepartment of Mental Health, ASST-Monza Ospedale San Gerardo, Monza, Italy.
Enrico CapuzziDepartment of Mental Health, ASST-Monza Ospedale San Gerardo, Monza, Italy.
Fabrizia ColmegnaDepartment of Mental Health, ASST-Monza Ospedale San Gerardo, Monza, Italy.
Alessandra MascariniDepartment of Mental Health, ASST-Monza Ospedale San Gerardo, Monza, Italy.
Giulia BrambillaDepartment of Medicine and Surgery, School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.
Alessandra OrnaghiDepartment of Mental Health, ASST-Monza Ospedale San Gerardo, Monza, Italy.
Jacopo SantambrogioDepartment of Medicine and Surgery, School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.
Massimo ClericiDepartment of Mental Health, ASST-Monza Ospedale San Gerardo, Monza, Italy. massimo.clerici@unimib.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevention of relapse is a major challenge in schizophrenia, a disease characterized by poor adherence to antipsychotic medication leading to multiple rehospitalizations and a substantial burden-of-care.

methodsWe narratively review published clinical data from the development of long-acting injectable (LAI) formulations of antipsychotic drugs and examine the comparative effectiveness of oral versus LAIs in schizophrenia, with a focus on the second-generation LAI antipsychotic aripiprazole. Evidence is presented from studies with naturalistic/pragmatic as well as explanatory trial designs, supported by the clinical experience of the authors.

resultsLAI formulations of antipsychotic drugs offer advantages over oral medications and there is good evidence for their use as a first-choice treatment and in younger patients. Key phase III studies have shown aripiprazole once-monthly 400 mg (AOM 400) to be effective and well tolerated, with high rates of adherence and low rates of impending relapse. In a recent randomized trial with a "naturalistic" study design more representative of routine clinical practice, AOM 400 was well tolerated and had significantly greater effectiveness than paliperidone LAI overall and in younger patients aged ≤35 years.

conclusionResults across the "full spectrum" of efficacy in traditional clinical trials as well as those encompassing the concept of effectiveness in a more naturalistic setting of real-life clinical practice support the use of AOM 400 as a valid long-term treatment option in schizophrenia overall, as well as earlier in the treatment course, and not solely in situations of poor adherence or when oral antipsychotics have failed.

Indexed as

Administration, OralInjectionsAdultAgedAged, 80 and overAntipsychotic AgentsAripiprazoleDelayed-Action PreparationsFemaleHumansMaleMiddle AgedRecurrenceSchizophreniaAntipsychotic AgentsAripiprazoleDelayed-Action PreparationsAdherenceHospitalizationLAI antipsychoticsRelapseRemissionSchizophrenia and related psychotic disordersSecond-generation

Identifiers

PMID28382557
PMCPMC5427126

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.