Evidence map›Paper›PMID 38152569›Full record

ArticleTherapeutic advances in psychopharmacology2023

Preliminary data from a 4-year mirror-image and multicentre study of patients initiating paliperidone palmitate 6-monthly long-acting injectable antipsychotic: the Paliperidone 2 per Year study.

Juan Antonio García-Carmona, Alba García-Pérez, Guillermo Isidro García, Luis Alberto Forcen-Muñoz, Santiago Ovejero García, Rocío Sáez Povedano, Ana Luisa González-Galdámez, Laura Mata Iturralde, Fernando Hernández-Sánchez, Mariluz Ramirez Bonilla and 15 more

Abstract read
In one paragraph

Article in Therapeutic advances in psychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The evolution of long-acting antipsychotic treatments.Therapeutic advances in psychopharmacology · 2024
    Article
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

25 authors.

Juan Antonio García-CarmonaDepartment of Neurology, Santa Lucía University Hospital, C/Mezquita s/n 30202, Cartagena, Murcia 30202, Spain.ORCID https://orcid.org/0000-0003-3938-7698
Alba García-PérezCentre of Mental Health Molina de Segura, Molina de Segura, Murcia, Spain.
Guillermo Isidro GarcíaDepartment of Psychiatry, Marqués de Valdecilla University Hospital, Universidad de Cantabria, Santander, Spain.
Luis Alberto Forcen-MuñozCentre of Mental Health Lorca, Lorca, Murcia, Spain.
Santiago Ovejero GarcíaFundación Jiménez Díaz University Hospital, Madrid, Spain.
Rocío Sáez PovedanoDepartment of Psychiatry, General Hospital of Villarrobledo, Villarrobledo, Albacete, Spain.
Ana Luisa González-GaldámezDepartment of Psychiatry, Los Arcos-Mar Menor University Hospital, San Javier, Murcia, Spain.
Laura Mata IturraldeFundación Jiménez Díaz University Hospital, Madrid, Spain.
Fernando Hernández-SánchezCentre of Mental Health Lorca, Lorca, Murcia, Spain.
Mariluz Ramirez BonillaDepartment of Psychiatry, Marqués de Valdecilla University Hospital, Universidad de Cantabria, Santander, Spain.
Paloma Fuentes-PérezPsychiatry and Mental Health Research Group, Instituto Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain.
Claudia Ovejas-CatalánPsychiatry and Mental Health Research Group, Instituto Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain.
Paula Suárez-PinillaDepartment of Psychiatry, Marqués de Valdecilla University Hospital, Universidad de Cantabria, Santander, Spain.
Francisco Valdivia-MuñozDepartment of Psychiatry, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Blanca Fernández AbascalDepartment of Psychiatry, Marqués de Valdecilla University Hospital, Universidad de Cantabria, Santander, Spain.
Miguel Omaña ColmenaresDepartment of Psychiatry, Alcanyis General Hospital, Xátiva, Valencia, Spain.
Ángela de Lourdes Martín-PérezDepartment of Psychiatry, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
María Pilar Campos-NavarroDepartment of Psychiatry, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Enrique Baca-GarcíaFundación Jiménez Díaz University Hospital, Madrid, Spain.
Sergio Benavente-LópezDepartment Psychiatry, Infanta Elena University Hospital, Madrid, Spain.
Alberto Raya PlateroDepartment of Psychiatry, San Cecilio Clinic Hospital, Granada, Spain.
Miguel Barberán NavalónDepartment of Psychiatry, Alcanyis General Hospital, Xátiva, Valencia, Spain.
Sergio Sánchez-AlonsoFundación Jiménez Díaz University Hospital, Madrid, Spain.
Javier Vázquez-BourgonDepartment of Psychiatry, Marqués de Valdecilla University Hospital, Universidad de Cantabria, Santander, Spain.
Sofia PappaWest London National Health System (NHS) Trust, London, UK.ORCID https://orcid.org/0000-0002-6303-1547

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Paliperidone palmitate 6-monthly (PP6M) is the first long-acting antipsychotic injectable (LAI) to allow for only two medication administrations per year, though there is presently limited insight into its effectiveness and potential added value in real clinical practice conditions. Objectives: To present our ongoing study and draw its preliminary data on patient characteristics initiating PP6M and adherence during the first year of treatment. Methods: The paliperidone 2 per year (P2Y) study is a 4-year, multicentre, prospective mirror-image pragmatic study taking place at over 20 different sites in Europe. The mirror period covers 2 years either side of the PP6M LAI initiation. Retrospective data for the previous 2 years are collected for each patient from the electronic health records. Prospective data are recorded at baseline, 6, 12, 18 and 24 months of drug administration and also cover information on concomitant psychiatric medication, relapses, hospital admissions, side effects, discontinuation and its reasons. Meanwhile, here we present preliminary data from the P2Y study at basal and 6-month period (first and second PP6M administration). Results: At the point of PP6M initiation, the most frequent diagnosis was schizophrenia (69%), the clinical global impression scale mean score was 3.5 (moderately markedly ill) and the rate of previous hospital admissions per patient and year was 0.21. PP6M was initiated after a median of 3-4 years on previous treatment: 146 (73%) from paliperidone palmitate 3-monthly, 37 (19%) from paliperidone palmitate 1-monthly and 17 (9%) from other antipsychotics. The mean dose of the first PP6M was 1098.9 mg. The retention rate at 6 months and 1 year of treatment on PP6M in our cohort was 94%. Conclusion: Patient and clinician preference for LAIs with longer dosing intervals was the main reason for PP6M initiation/switching resulting in high treatment persistence. Future data are needed to evaluate the full impact of PP6M in clinical practice.

Indexed as

long-acting injectable antipsychoticspaliperidone palmitate 6-monthlyschizophrenia

Identifiers

PMID38152569
PMCPMC10752040

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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.