American Diabetes Association; American Psychiatric Association; American Association of Clinical Endocrinologists; North American Association for the Study of Obesity. One issue with existing medications is that side effects can make adherence difficult, Koblan said. Hear details from the phase II trial of xanomeline-trospium and how it assists in the treatment of acute schizophrenia… Nov. 16, 2020 — New research into how a common parasite infection alters human behavior could help development of treatments for schizophrenia and other neurological disorders. ISM is a technological advancement that allows for the release of drugs based on in situ formulation of biodegradable matrices after the administration of a liquid carrier. Physical exam. Sunovion and PsychoGenics initiate DIAMOND phase 3 clinical studies for SEP-363856 in the treatment of adults and adolescents with schizophrenia. Treatment of early-onset schizophrenia spectrum disorders (TEOSS): rationale, design, and methods. Marlborough, MA, and Paramus, NJ: Sunovion Pharmaceuticals Inc and PsychoGenics Inc; September 27, 2019. news.sunovion.com/press-release/sunovion-and-psychogenics-initiate-diamond-phase-3-clinical-studies-sep-363856. All participants who completed the double-blind portion of ENLIGHTEN-1 were eligible to continue in an open-label, long-term safety, tolerability, and durability-of-effect study in which participants would receive olanzapine/samidorphan for an additional 12 months.33, ENLIGHTEN-2 was a multicenter, randomized, double-blind, phase 3 trial that evaluated the weight gain profile of olanzapine/samidorphan compared with olanzapine over 6 months in patients with stable schizophrenia.34 Participants with stable schizophrenia (n = 561) were randomized (1:1) to receive either olanzapine/samidorphan or olanzapine. Currently, once-monthly and trimonthly intramuscular injectable formulations of paliperidone are available.37 The manufacturer is currently conducting a phase 3 trial for a formulation of paliperidone palmitate that can be administered every 6 months. From long-lasting Injectables to a whole new drug class, here are the five most important cutting-edge treatments. Just 1% of patients in each arm reported serious AEs, and discontinuation was low at 2.5% for pimavanserin and 0% for placebo. The study had 2 primary end points: (1) percent change from baseline in body weight at 6 months, and (2) the proportion of participants with 10% or more weight gain from baseline at 6 months. Tests and screenings. Updated February 7, 2020. Leucht S, Cipriani A, Spineli L, et al. Vanover K, Dmitrienko A, Glass S, et al. Treatment of tardive dyskinesia with VMAT-2 inhibitors: a systematic review and meta-analysis of randomized controlled trials. Schizophrenia is a severe disease that affects 1% of the worldwide population and reliable, effective treatments are almost nonexistent. New Agent Approved: Lumateperone Tosylate (ITI-007), Lumateperone is a selective serotonin (5-HT) 5-HT2A receptor antagonist that received approval in December 2019 for the treatment of schizophrenia in adults. However, a greater placebo effect occurred in this trial when compared with other lumateperone trials, making the results potentially less reliable.4,27, Olanzapine/samidorphan is a combination therapy that includes a fixed dose of samidorphan (a μ-opioid receptor antagonist) and olanzapine.31 The intended purpose of this combination therapy is to help reduce the olanzapine-associated weight gain and adverse metabolic effects with samidorphan while maintaining the established therapeutic effect of olanzapine in the treatment of schizophrenia.23,31, Olanzapine/samidorphan was evaluated in two phase 3 studies. Espinoza S, Leo D, Sotnikova TD, Shahid M, Kääriäinen TM, Gainetdinov RR. Sunovion and PsychoGenics announce that SEP-363856 has received FDA Breakthrough Therapy designation for the treatment of people with schizophrenia. While there is a laundry list of antipsychotic medications for schizophrenia… Dixon L, Perkins D, Calmes C. Guideline watch (September 2009): practice guideline for the treatment of patients with schizophrenia. Metformin for weight loss and metabolic control in overweight outpatients with schizophrenia and schizoaffective disorder. Overall, the effectiveness was maintained, Koblan said. Neurons are responsible for receiving information from the outside world and conveying this information to the rest of our body. Keep discussions on topic, avoid personal attacks and threats of any kind. 2020. doi: 10.1176/appi.ajp.2020.19121279. Furthermore, patients with comorbid AUD are often excluded from pharmacologic trials in schizophrenia. Lumateperone (ITI-007) for the treatment of schizophrenia: placebo-controlled clinical trials and an open-label safety switching study. Patches: established and emerging transdermal treatments in psychiatry. Response to pharmacologic therapy varies widely among patients with schizophrenia, with many having a poor or partial response. New York, NY: Intra-Cellular Therapies, Inc; 2019. www.intracellulartherapies.com/docs/caplyta_pi.pdf. Schizophrenia. clinicaltrials.gov/ct2/show/NCT03230864. Share . New Formulation Approved: Asenapine Transdermal System, Asenapine transdermal system is the only transdermal medication approved for the treatment of schizophrenia, achieving approval in October 2019.24 Approval was based on efficacy data from trials with sublingual asenapine as well as a 6-week, fixed-dose, randomized, double-blind, placebo-controlled study in 616 adults with schizophrenia.24,25 Patients were randomized to a dose of asenapine 3.8 mg/24 hours, 7.6 mg/24 hours, or placebo. Efficacy and Safety of Adjunctive Pimavanserin for the Treatment of Schizophrenia (ENHANCE-1). 28, 2020 . Accessed February 14, 2020. NOV 20, 2020 7:30 AM PST. Am J Manag Care. A new set of evidence-based practice guidelines for the treatment of patients with schizophrenia has been released by the American Psychiatric Association, with the goal of reducing the significant consequences the disorder has on individuals. Cognitive effects of MIN-101 in patients with schizophrenia and negative symptoms: results from a randomized controlled trial. CPFT joins international research partnership to find new treatments for schizophrenia. News Nov 17, 2020 | Original story from the University of Leeds . A new perspective for schizophrenia: TAAR1 agonists reveal antipsychotic- and antidepressant-like activity, improve cognition and control body weight. Currently approved pharmacologic agents focus mainly on modulating dopamine, leaving patients with schizophrenia to cope with considerable residual symptoms. Genetic Associations May Lead to New Treatments for Schizophrenia. As patients with schizophrenia often have attentional and cognitive impairments during acute exacerbations, it is important for healthcare professionals to revisit target symptoms and unwanted AEs from drug treatment on multiple occasions to adjust treatment over time.12 The final version of the updated practice guidelines is expected to be released in summer 2020. All rights reserved. ENLIGHTEN-2 met both co-primary end points with patients in the olanzapine treatment group having a 57% higher mean percent weight change at 6 months compared with the olanzapine/samidorphan treatment group (6.59% olanzapine vs 4.21% olanzapine/samidorphan; P = .003).34,35 Also, patients in the olanzapine treatment group had nearly twice the risk of gaining 10% or more of their baseline body weight at 6 months compared with the olanzapine/samidorphan treatment group (29.8% olanzapine vs 17.8% olanzapine/samidorphan; P = .003).34 Similarly, patients in the olanzapine treatment group had approximately twice the risk of gaining 7% or more of their baseline body weight at 6 months compared with olanzapine/samidorphan (42.7% olanzapine vs 27.5% olanzapine/samidorphan; P = .001). Beyond that, existing medications only address one group of schizophrenia symptoms — the hallucinations, delusions and confused thoughts that doctors call "positive" symptoms. Developing a therapeutic alliance is important to the overall success of the treatment plan, particularly to address distressing symptoms of schizophrenia and unwanted AEs from pharmacotherapy. Grigg J, Worsley R, Thew C, Gurvich C, Thomas N, Kulkarni J. Antipsychotic-induced hyperprolactinemia: synthesis of world-wide guidelines and integrated recommendations for assessment, management and future research. If it proves safe and effective, Goff said that one future question will be whether it can help people who have failed to respond to standard antipsychotics. In some cases, hospitalization may be needed. He said: "There have been no breakthroughs in the treatment of schizophrenia for 50 years because it is such a complicated illness. Remington G. Tardive dyskinesia: eliminated, forgotten, or overshadowed? clinicaltrials.gov/ct2/show/NCT02694328. Solmi M, Pigato G, Kane JM, Correll CU. 17-09-2020. 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