Pharmacopsychiatry 2019; 52(04): 180-185
DOI: 10.1055/a-0669-9461
Original Paper
© Georg Thieme Verlag KG Stuttgart · New York

Comparing Schizophrenia Patients With a Predicted High/Low Risk of Nonresponse Receiving Treatment with Ziprasidone and Haloperidol: A Randomized-Controlled Study

Rebecca Schennach
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
5   Schoen Clinic Roseneck, Prien am Chiemsee, Germany
,
Michael Riedel
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
6   Psychiatric Clinic Rodewisch, Rodewisch, Germany
,
Ilja Spellmann
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
7   Psychiatric Clinic, Stuttgart, Germany
,
Richard Musil
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
,
Michael Obermeier
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
,
Markus Jäger
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
8   Psychiatric Clinic, District Hospital Kempten, Kempten, Germany
,
Roland Bottlender
2   Psychiatric Clinic, District Hospital Lüdenscheid, Lüdenscheid, Germany
,
Max Schmauss
3   Psychiatric Clinic, District Hospital Augsburg, Augsburg, Germany
,
Gerd Laux
4   Psychiatric Clinic, Inn-Salzach Hospital Wasserburg/Inn, Wasserburg, Germany
,
Hans-Jürgen Möller
1   Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany
› Author Affiliations
Further Information

Publication History

received 30 January 2018
revised 03 July 2018

accepted 01 August 2018

Publication Date:
20 September 2018 (online)

Abstract

Introduction The aim of this double-blind randomized study was to evaluate the response to antipsychotic treatment in schizophrenia patients with predicted high/low risk of nonresponse identified by applying a set of well-established scales and predictors of outcome and to compare efficacy between ziprasidone and haloperidol.

Methods One hundred twelve schizophrenia patients (ziprasidone: n=54; haloperidol: n=58) were rated weekly on the Positive and Negative Syndrome Scale for Schizophrenia (PANSS), the Global Assessment of Functioning Scale (GAF), the Social and Occupational Functioning Scale (SOFAS), the Simpson-Angus Scale (SAS), and Hillside Akathisia Scale (HAS).

Results Ninety-two patients (82%) were predicted to have a high risk of nonresponse. No significant difference regarding PANSS improvement in this subsample was found comparing ziprasidone and haloperidol (p=0.563). Also, for the total patient sample, no significant difference was found regarding the course of the PANSS total score, GAF (p=0.921), and SOFAS (p=0.658) between ziprasidone and haloperidol. Haloperidol resulted in higher scores on the SAS (p=0.001) and HAS (p=0.011).

Discussion An alarmingly high number of patients were at high risk of nonresponse to antipsychotic treatment.

 
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