Summary
Trifluperidol, a new butyrophenone compound, was evaluated in chronic schizophrenic women under conditions of a controlled clinical trial. Within this framework significant drug effects associated with the standard drug, chlorpromazine, attested to the sensitivity of the experiment, while trifluperidol, the experimental drug, was shown to be an antipsychotic agent at least equally as effective as the standard.
The placebo group tended to deteriorate on all measures. This trend did not differ significantly from a similar trend in a group of subjects receiving neither placebo nor active treatment. The most likely explanation for this deterioration is thought to be an inadequate preliminary dry-out period, although other influences affecting all subjects adversely can not be ruled out.
The demonstration of significant drug:placebo differences was dependent in part upon the presence of the negative change in the placebo group. Failure to include a control group in the present study would have precluded the demonstration of statistically significant drug effects.
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Clark, M. L., T. S. Ray, A. Paredes, J. P. Costiloe, J. S. Chappell, J. A. Hagans, and S. Wolf: Chlorpromazine in chronic schizophrenic women: I. Experimental design and effects at maximum point of treatment. Psychopharmacologia (Berl.) 2, 107–136 (1961).
Fink, M., A. Don, T. Itil, M. A. Stallings, and J. M. C. Holden: Trifluperidol in the treatment of psychosis: Observations suggestive of antioholinergic activity at higher dosages. J. New Drugs 6, (3), 174–181 (1966).
Fox, W., I. F. Gobble, M. Clos, and E. Denison: A clinical comparison of trifluperidol, haloperidol and chlorpromazine. Curr. ther. Res. 6, 409–415 (1964).
Gallant, D. M., M. P. Bishop, E. Timmons, and C. A. Steele: Trifluperidol: A butyrophenone derivative. Amer. J. Psychiat. 120, 485–487 (1963).
Hollister, L. E., J. E. Overall, J. L. Bennett, I. Kimbell jr., and J. Shelton: Triperidol in newly admitted schizophrenics. Amer. J. Psychiat. 122, 96–98 (1965).
Modell, W., and R. W. Houde: Factors influencing clinical evaluation of drugs with special reference to the double-blind technique. J. Amer. med. Ass. 167, 2190–2198 (1958).
Pratt, J. P., M. P. Bishop, and D. M. Gallant: Comparison of haloperidol, trifluperidol, and chlorpromazine in acute schizophrenic patients. Curr. ther. Res. 6, 562–571 (1964a).
— — —: Trifluperidol and haloperidol in the treatment of acute schizophrenia. Amer. J. Psychiat. 121, 592–594 (1964b).
Tiffin, J., and E. J. Asher: The purdue peg board: Norms and studies of reliability and validity. J. appl. Psychol. 32, 234–247 (1948).
Wechsler, D.: Manual for the Wechsler adult intelligence scale (WAIS). New York: Psychological Corp. 1955.
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Triperidol®, McNeil Laboratories, Inc., Fort Washington, Pennsylvania.
From the Department of Medicine, and the Experimental Therapeutics Unit. University of Oklahoma Medical Center and Central State Griffin Memorial Hospital, Norman, Oklahoma.
Presented in part to the American College of Clinical Pharmacology and Chemotherapy, Chicago, Illinois, November 4, 1965, an abstract of which appeared in Journal of New Drugs, July–August, 1965.
This study was supported in part by grants MH-04260 and MH-11666 from the National Institute of Mental Health, United States Public Health Service, Bethesda, Maryland, and a grant in aid from the McNeil Laboratories, Inc., Fort Washington, Pennsylvania. Statistical analyses were carried out in collaboration with the Biostatistical Unit and Computer Facility, Department of Preventive Medicine and Public Health, University of Oklahoma Medical Center, Oklahoma City, Oklahoma.
The authors are indebted to Kit C. Farwell, Ph. D., and Lee Little, Ph. D., for a part of the psychological testing; to William H. Dickinson, B. A., for a part of the psychological testing and help with the statistical analysis; to Mrs. Agnes Barkett, R. N., and the Ward Staff for behavior ratings and patient care.
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Clark, M.L., Huber, W.K., Kyriakopoulos, A.A. et al. Evaluation of trifluperidol in chronic schizophrenia. Psychopharmacologia 12, 193–203 (1968). https://doi.org/10.1007/BF00403773
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DOI: https://doi.org/10.1007/BF00403773