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Aripiprazole

In Adolescents with Schizophrenia

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Abstract

  • ▲ Aripiprazole is a novel atypical antipsychotic that is approved in the US for use in adolescents with schizophrenia.

  • ▲ In adolescents with schizophrenia, oral aripiprazole 10 or 30 mg/day lead to significantly greater reductions than placebo in the Positive and Negative Syndrome Scale (PANSS) total score from baseline to 6 weeks, according to findings from a randomized, double-blind, multicenter trial (n = 302).

  • ▲ In addition, aripiprazole 10 or 30 mg/day recipients had significantly greater improvements in the PANSS positive subscale and Clinical Global Impression-Severity and -Improvement scale scores than placebo recipients, and a significantly greater improvement in the PANSS negative subscale score was seen with aripiprazole 10 mg/day than with placebo.

  • ▲ Aripiprazole was generally well tolerated in adolescents with schizophrenia, with most adverse events being of mild to moderate severity. Clinically significant weight gain (≥7% as defined by the US FDA) occurred in 4.0% of aripiprazole 10 mg/day recipients, 5.2% of aripiprazole 30 mg/day recipients, and 1% of placebo recipients. The mean weight change was significantly different in aripiprazole and placebo recipients (0, +0.2, and −0.8kg in aripiprazole 10 mg/day, aripiprazole 30 mg/day, and placebo recipients, respectively).

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Notes

  1. The use of trade names is for product identification purposes only and does not imply endorsement.

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Acknowledgments and Disclosures

The manuscript was reviewed by: A. Robb, Department of Child Psychiatry and Pediatrics, Children’s National Medical Center, Washington, DC, USA; P. Toren, Department of Child Psychiatry, Tel-Aviv Community Health Centre, Tel-Aviv University, Tel-Aviv, Israel.

During the peer review process, the manufacturer of the agent under review was offered an opportunity to comment on this article; changes based on any comments received were made on the basis of scientific and editorial merit.

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Correspondence to Mark Sanford.

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Sanford, M., Keating, G.M. Aripiprazole. Pediatr Drugs 9, 419–423 (2007). https://doi.org/10.2165/00148581-200709060-00009

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  • DOI: https://doi.org/10.2165/00148581-200709060-00009

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