Table 3.
Short term phase II trial (6 weeks)44 | ||||
---|---|---|---|---|
|
||||
Lurasidone 80 mg/day (n = 90) | Placebo (n = 90) | |||
EPS (%) | NA | NA | ||
Akathisia (%) | 8.9 | 3.3 | ||
Mean changes from baseline | ||||
QTc prolongation ± SD (msec) | −1.2 ± 17.3 | +0.9 ± 16.7 | ||
Weight gain (kg)* | +0.9 | +0.5 | ||
Total cholesterol (mg/dL) | −10.1 ± NA | −7.1 ± NA | ||
Triglycerides (mg/dL) | −24.4 | −31.7 ± NA | ||
Glucose (mg/dL) | +2.9 ± NA | +3.4 ± NA | ||
Prolactin (ng/mL)* | +2.4 | −0.3 | ||
Short-term phase III efficacy and safety trials (6 weeks)45 | ||||
|
||||
Lurasidone 40 mg/day (n = 119) | Lurasidone 120 mg/day (n = 118) | Olanzapine 15 mg/day (n = 122) | Placebo (n = 114) | |
| ||||
Parkinsonism (%) | 9.2 | 11.0 | 4.9 | 1.7 |
Tremor (%) | 1.7 | 7.6 | 5.7 | 4.3 |
Dystonia (%) | 3.4 | 7.6 | 0.8 | 0.9 |
Akathisia (%) | 11.8 | 22.9 | 7.4 | 0.9 |
Mean changes from baseline | ||||
QTc prolongation ± SD (msec) | +5.1 ± NA | +4.5 ± NA | +4.4 ± NA | +3.8 ± NA |
Weight gain ± SD (kg) | +1.0 ± 2.9 | +1.0 ± 2.2 | +4.1 ± 4.3 | +0.6 ± 2.7 |
Total cholesterol ± SD (mg/dL) | −8.6 ± 29.8 | −7.3 ± 25.3 | +9.6 ± 31.2 | −6.8 ± 28.7 |
Triglycerides ± SD (mg/dL) | −8.3 ± 76.2 | −5.0 ± 85.5 | 50.0 ± 115.0 | 0.1 ± 64.8 |
Glucose ± SD (mg/dL) | 0.0 ± 19.2 | +0.5 ± 20.9 | +10.3 ± 34.8 | +0.4 ± 24.6 |
Prolactin ± SD (ng/L) | +2.1 ± 13.9 | +10.9 ± 28.1 | +5.0 ± 12.2 | −2.5 ± 16.9 |
Short-term phase III efficacy and safety trials (3 weeks)43 | ||||
|
||||
Lurasidone 120 mg/day (n = 150) | Ziprasidone 160 mg/day (n = 151) | |||
| ||||
EPS (%) | 3.3 | 1.3 | ||
Akathisia (%) | 3.3 | 6.6 | ||
Mean changes from baseline | ||||
QTc prolongation ± SD (msec) | +0.3 ± 19.4 | +3.3 ± 18.1 | ||
Weight gain ± SD (kg) | −0.27 ± 1.7 | −0.41 ± 3.2 | ||
Total cholesterol ± SD (mg/dL) | −6.4 ± 24.0 | −4.4 ± 30.4 | ||
Triglycerides ± SD (mg/dL) | −2.6 ± 86.6 | +22.4 ± 258.8 | ||
Glucose ± SD (mg/dL) | +4.7 ± 20.8 | +4.8 ± 25.0 | ||
Prolactin ± SD (ng/mL)* | +3.0 | +2.0 |
Note:
Only median changes were available.
Abbreviations: EPS, extrapyramidal symptoms; NA, not available.