PMID- 27489380 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160804 LR - 20201001 IS - 1738-1088 (Print) IS - 2093-4327 (Electronic) IS - 1738-1088 (Linking) VI - 14 IP - 3 DP - 2016 Aug 31 TI - Efficacy and Tolerability of Paliperidone Extended-release in the Treatment of First-episode Psychosis: An Eight-week, Open-label, Multicenter Trial. PG - 261-9 LID - 10.9758/cpn.2016.14.3.261 [doi] AB - OBJECTIVE: We investigated the efficacy and tolerability of paliperidone extended-release (ER) tablets in patients with first-episode psychosis (n=75). METHODS: This was an 8-week, open-label, multicenter trial. The primary outcome variable was scores on the Positive and Negative Syndrome Scale (PANSS); secondary measures included the Scale for the Assessment of Negative Symptoms (SANS), the Cognitive Assessment Interview (CAI), and the Global Assessment of Functioning (GAF). To assess safety, we measured drug-related adverse events, weight, lipid-related variables, and prolactin and administered the Simpson-Angus Rating Scale (SARS), the Abnormal Involuntary Movement Scale (AIMS), the Barnes Akathisia Scale (BAS), the Arizona Sexual Experiences Scale (ASEX), and the Udvalg for Kliniske Undersogelser side effect rating scale (UKU). RESULTS: The administration of paliperidone ER resulted in significant improvement in the PANSS, SANS, CAI, and GAF scores (p<0.001) over time. This improvement was evident as early as 1 week. The most frequent adverse events were akathisia, somnolence, anxiety, and sedation, which were well tolerated. Modest increases in weight and lipid profiles were also noted. Prolactin levels were substantially increased at the endpoint in both male and female patients. CONCLUSION: These results indicate that paliperidone ER is effective and is characterized by good tolerability in the treatment of positive and negative symptoms and cognitive functioning in first-episode psychosis. FAU - Kang, Nam-In AU - Kang NI AD - Department of Psychiatry, Maeumsarang Hospital, Wanju, Korea. FAU - Koo, Bon-Hoon AU - Koo BH AD - Department of Psychiatry, Yeungnam University, Gyeongsan, Korea. FAU - Kim, Sung-Wan AU - Kim SW AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. FAU - Kim, Jong-Hoon AU - Kim JH AD - Department of Psychiatry, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Korea. FAU - Nam, Beomwoo AU - Nam B AD - Department of Psychiatry, Konkuk University School of Medicine, Cheongju, Korea. FAU - Lee, Bong-Ju AU - Lee BJ AD - Department of Psychiatry, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. FAU - Lee, Sang-Hyuk AU - Lee SH AD - Department of Psychiatry, CHA Bundang Medical Center, CHA University, Seongnam, Korea. FAU - Lee, Seung Jae AU - Lee SJ AD - Department of Psychiatry, Kyoungpook National University School of Medicine, Daegu, Korea. FAU - Lee, Seung-Hwan AU - Lee SH AD - Department of Psychiatry, Inje University Ilsan Paik Hospital, Goyang, Korea. FAU - Jung, Myung Hun AU - Jung MH AD - Department of Psychiatry, Hallym University Sacred Heart Hospital, Anyang, Korea. FAU - Hahn, Sang Woo AU - Hahn SW AD - Department of Psychiatry, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. FAU - Chung, Young-Chul AU - Chung YC AD - Department of Psychiatry, Chonbuk National University Hospital, Jeonju, Korea. AD - Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea. LA - eng PT - Journal Article PL - Korea (South) TA - Clin Psychopharmacol Neurosci JT - Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology JID - 101207332 PMC - PMC4977821 OTO - NOTNLM OT - Efficacy OT - First-episode psychosis OT - Paliperidone extended-release OT - Tolerability EDAT- 2016/08/05 06:00 MHDA- 2016/08/05 06:01 PMCR- 2016/08/01 CRDT- 2016/08/05 06:00 PHST- 2015/11/26 00:00 [received] PHST- 2016/01/03 00:00 [revised] PHST- 2016/01/04 00:00 [accepted] PHST- 2016/08/05 06:00 [entrez] PHST- 2016/08/05 06:00 [pubmed] PHST- 2016/08/05 06:01 [medline] PHST- 2016/08/01 00:00 [pmc-release] AID - cpn.2016.14.3.261 [pii] AID - cpn-14-261 [pii] AID - 10.9758/cpn.2016.14.3.261 [doi] PST - ppublish SO - Clin Psychopharmacol Neurosci. 2016 Aug 31;14(3):261-9. doi: 10.9758/cpn.2016.14.3.261.