Abstract
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▲ Aripiprazole is a novel atypical antipsychotic that is approved in the US for use in adolescents with schizophrenia.
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▲ 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).
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▲ 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.
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▲ 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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References
Gillberg C, Wahlstrom J, Forsman A, et al. Teenage psychoses: epidemiology, classification and reduced optimality in the pre-, peri-, and neonatal periods. J Child Psychol Psychiatry 1986 Jan; 27(1): 87–98
Masi G, Mucci M, Pari C. Children with schizophrenia: clinical picture and pharmacological treatment. CNS Drugs 2006; 20(10): 841–66
Lenior ME, Dingemans PMAJ, Schene AH, et al. Predictors of the early 5-year course of schizophrenia: a path analysis. Schizophr Bull 2005; 31(3): 781–91
McClellan J, Werry J. Summary of the practice parameters for the assessment and treatment of children and adolescents with schizophrenia. J Am Acad Child Adolesc Psychiatry 2000 Dec; 39(12): 1580–2
Horacek J, Bubenikova-Valesova V, Kopecek M, et al. Mechanism of action of atypical antipsychotic drugs and the neurobiology of schizophrenia. CNS Drugs 2006; 20(5): 389–409
Kumra S, Oberstar JV, Sikich L, et al. Efficacy and tolerability of second-generation antipsychotics in children and adolescents with schizophrenia. Schizophr Bull. Epub 2007 Oct 8
Toren P, Ratner S, Laor N, et al. Benefit-risk assessment of atypical antipsychotics in the treatment of schizophrenia and comorbid disorders in children and adolescents. Drug Saf 2004; 27(14): 1135–56
Bristol-Myers Squibb Company and Otsuka America Pharmaceutical Inc. Abilify® (aripiprazole) tablets prescribing information [online]. Available from URL: http://www.abilify.com [Accessed 2007 Nov 19]
Swainston Harrison T, Perry CM. Aripiprazole: a review of its use in schizophrenia and schizoaffective disorder. Drugs 2004; 64(15): 1715–36
Grunder G, Kungel M, Ebrecht M, et al. Aripiprazole: pharmacodynamics of a dopamine partial agonist for the treatment of schizophrenia. Pharmacopsychiatry 2006 Feb; 39Suppl. 1: S21–5
Findling RL, Nyilas M, Auby P, et al. Tolerability of aripiprazole in the treatment of adolescents with schizophrenia [abstract no. NR741 plus poster]. 160th Annual Meeting of the American Psychiatric Association; 2007 May 19–24; San Diego (CA)
Correll CU, Mughal T, Parikh U, et al. Insulin resistance in treatment-naive youngsters treated with novel antipsychotics [abstract no. NR654 plus poster]. American Psychiatric Association Annual Meeting; 2005 May 21–26; Atlanta (GA)
Blumer JL, Findling R, Kauffman R, et al. Pharmacokinetics, tolerability and safety of aripiprazole in children and adolescents with conduct disorder [abstract no. MPI-3]. Clin Pharmacol Ther 2002 Feb; 71: 5A
Findling RL, Auby P, Nyilas M, et al. Pharmacokinetics and tolerability of aripiprazole in children and adolescents with major psychiatric diagnoses [abstract no. NR654 plus poster]. 159th Annual Meeting of the American Psychiatric Association; 2006 May 20–25; Toronto (ON)
Mallikaarjun S, Salazar DE, Bramer SL. Pharmacokinetics, tolerability, and safety of aripiprazole following multiple oral dosing in normal healthy volunteers. J Clin Pharmacol 2004 Feb; 44(2): 179–87
Robb AS, Auby P, Nyilas M, et al. Efficacy of aripiprazole in the treatment of adolescents with schizophrenia [abstract no. NR742 plus poster]. 160th Annual Meeting of the American Psychiatric Association; 2007 May 19–24; San Diego (CA)
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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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