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. 2007 Jun;9(2):215–226. doi: 10.31887/DCNS.2007.9.2/jbobes

Table I. Quality of life in clinical trials with antipsychotic drugs. AMI, amisulpride; CAPS, conventional antipsychotics; CLZP, clozapine; HAL, haloperidol; FLU, flupenthixol; LA-RISP, long-acting risperidone; MLDL, Munich Quality of Life Dimensions; OLZ, olanzapine (OLZ-L, olanzapine 5±2.5 mg/d, OLZ-M, olanzapine 10±2.5 mg/d; OLZ-H, olanzapine 15±2.5 mg/d); PSYCH-BASE, Psychiatric Status You Currently Have-Baseline version; QLS, Qualtiy of Life Scale; QOLI, Quality of Life Interview; QUET, quetiapine; RISP, risperidone; SF-36, Short-Form 36; SIP, Sickness Impact Profile; SQLQ, Sevilla Quality of Life Questionnaire; SWN, Subjective Well-Being under Neuroleptic Treatment; UC, usual care; WHOQOL-BREF, World Health Organization Quality of Life [Brief] (continued on pages 112 and 113).

Author, year Country Antipsychotic drug Design Patients Instruments Results
Carrière et al, 200014 France Amisulpiride (400-1200 mg/d) Haloperidol (10-30 mg/d) 4-month double-blind, randomized Inpatients Baseline: 199 (94 AMI, 105 HAL) 4-month:129 (70 AMI, 59 HAL) QLS AMI>HAL
Colonna et al, 200015 France Amisulpiride (200-800 mg/d) Haloperidol (5-20 mg/d) 12-month open-label, randomized Outpatients Baseline: 488 (370 AMI, 118 HAL) 12-month: 322 (253 AMI, 69 HAL) QLS AMI>HAL in QLS total score and in Intrapsychic Foundations, Interpersonal Relations and Instrumental Role domain scores
Rosenheck et al 199716, USA (multicenter) Clozapine (100-900 mg/d) Haloperidol (5-30 mg/d) 12-month open-label, randomized Treatment-resistant inpatients Baseline: 423 (205 CLZP, 218 HAL) 1-year: 178 (117 CLZP, 61 HAL) QLS CLZPglt;HAL among patients who completed their assigned treatment
Essock et al, 199617 USA (Connecticut) Clozapine Usual care 2-year open-label, randomized Treatment-resistant inpatients Baseline: 227 (138 CLZP, 89 UC) QOLI CLZP=UC
Meltzer et al, 199018 USA (Cleveland) Clozapine 6-month open-label Treatment-resistant patients Baseline: 38 QLS Significant improvement in all QLS scores
Strakowski et al, 200519 USA Olanzapine Haloperidol 1-year double-blind, randomized 195 first episode (100 OLZ,95 HAL) Sf-36 OLZ = HAL Significant improvement in5 SF-36 subscales and in the mental summary scale
Naber et al, 200520 Germany (multicenter) Olanzapine (mean dose: 162 mg/d) 26-week randomized 99 (49 OLZ, 50 CLZP) MLDL SWN OLZ = CLZP
Clozapine (mean dose: 209 mg/d) double-blind
Giner et al, 200421 Spain (multicenter) Olanzapine (mean dose: 13.5 mg/d) 12-month open label 372 SQLQ QoLI Significant improvement in both QoL scales
Revicki et al, 199922 International (11 countries) Olanzapine (5-20 mg/day) Haloperidol (5-20 mg/day) 52-week double-blind, randomized - 6 week acute phase - 46 week extension phase Baseline: 1159 (787 OLZ, 372 HAL) 6-week: 600 OLZ, 228 HAL Outpatients QLS SF-36 Acute phase: QLS: OLZ>HAL in total, Intrapsychic Foundations and Interpersonal Relation scores. SF-36: OLZ>HAL in MCS, V and MH Extension phase: QLS; OLZ>HAL in total, Intrapsychic Foundations and Instrumental Role scores SF-36: OLZ = HAL
Hamilton et al 199823 USA (multicenter) Olanzapine (5±2.5 mg/d; 10±2.5 mg/d; 15±2.5 mg/d) Haloperidol (15±5 mg/d) Placebo 24-week double-blind, randomized, placebo controlled inpatients Data from 76 patients (16 OLZ-L, 16 OLZ-M, 22 OLZ-H, 12 HAL, 10PBO) QLS OLZ-M & OLZ-H: significant improvements on QLS total and all subscale scores OLZ-H>PBO on QLS total score OLZ-M>PBO on QLS total and all subscale scores
Montes et al, 200324 Spain (multicenter - EFESO study) Olanzapine (5-30 mg/d) Risperidone (1.5-9.5 mg/d) Haloperidol (3.8-30 mg/d) 6-month open label without randomization 182(114 OLZ, 31 RISP, HAL 37) EuroQol OLZ and RlSP>HAL on EuroQol-VAS scores
Gureje et al, 200325 Australia and New Zealand Olanzapine (10-20 mg/day) Risperidone (4-8 mg/day) 30-week double-blind, randomized Baseline: 65 (32 OLZ, 33 RISP) 30 week: 29 (17 OLZ, 12 RISP) In and outpatiens QLS SF-36 QLS: OLZ > RISP in the Intrapsychic Foundations subscale score SF-36: OLZ > RISP in the Role Emotional subscale score
Ritchie et al, 200326 UK Olanzapine (9.9 mg/d) Risperidone (1.7 mg/d) Open-label, randomized Baseline: 66 (36 OLZ, 30 RISP) End: 32 OLZ, 22 RISP WHOQOL- BREF Significant improvements in OLZ-group in physical. psychological and health satisfaction domains OLZ>RISP in the Psychological domain score
Voruganti et al, 200227 Canada Olanzapine (15-40 mg/d) Risperidone (2-8 mg/d) Quetiapine (200-800 mg/d) Naturalistic, single-blind 2-6 years Baseline: 150 (50 OLZ, 50 RISP, 50 QUET) End: 118 (44 OLZ, 43 RISP, 31 QUET) QLS Significant improvements across all groups OLZ=RlSP=QUET
Ho et al, 199928 USA (Iowa) Olanzapine (144 mg/day) Risperidone (57 mg/day) 6-month open-label Baseline: 42 (21 OLZ, 21 RISP) 6-month: 26 (13 OLZ, 13 RISP) Inpatients PSYCH-BASE OLZ = RISP
Tran et al, 199729 International (9 countries) Olanzapine (10-20 mg/d) Risperidone (4-12 mg/d) 28-week double-blind, randomized in- and outpatients Baseline: 339 (172 OLZ, 167 RISP) 28-week QLS OLZ & RISP: significant improvements on QLS total and all subscale scores OLZ>RISP on QLS interpersonal relations score
Hertling et aI 200330, Germany and Austria Risperidone (2-6 mg/d) Flupenthixol (4-12 mg/d) 24-week double-blind, randomized Baseline: 153 (77 RISP, 76 FLU) 24-week: 107 (56 RISP, 51 FLU) In and outpatients EuroQuol-VAS Significant improvement in EuroQuol-VAS in both groups; RISP=FLU
Bobes et al, 199831 Spain (multicenter) Risperidone (3-12 mg/d) 8-month open-label outpatients Baseline: 318 Month-8: 264 SF-36 At end point significant improvement in all SF-36 subscale scores and summary measures
Nasrallah et al, 200532 USA Long-acting risperidone (25, 50,75 mg/2w) Placebo 12-week, randomized, double-blind, placebo-controlled LA-RISP (93 25 mg/2w, 97 50 mg/2w, 87 75 mg/2w) PBO (92) SF-36 LA-RISP>PBO in bodily pain, general health, social functioning, role emotional and mental health At week 12 LA-RISP 25 mg/2w reached normal values in all 5F-36 scales but physical functioning
Velligan et al, 200333 USA (Texas) Quetiapine Conventional antipsychotics 6-month open-label, rater-blinded, randomized Baseline; 40 (20 QUET, 20 CAPS) 6-month: 27 (14 QUET, 13 CAPS) QLS QUET>CAPS