PMID- 30235496 OWN - NLM STAT- MEDLINE DCOM- 20191219 LR - 20191219 IS - 1439-0795 (Electronic) IS - 0176-3679 (Linking) VI - 52 IP - 4 DP - 2019 Jul TI - Comparing Schizophrenia Patients With a Predicted High/Low Risk of Nonresponse Receiving Treatment with Ziprasidone and Haloperidol: A Randomized-Controlled Study. PG - 180-185 LID - 10.1055/a-0669-9461 [doi] AB - 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. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Schennach, Rebecca AU - Schennach R AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. AD - Schoen Clinic Roseneck, Prien am Chiemsee, Germany. FAU - Riedel, Michael AU - Riedel M AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. AD - Psychiatric Clinic Rodewisch, Rodewisch, Germany. FAU - Spellmann, Ilja AU - Spellmann I AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. AD - Psychiatric Clinic, Stuttgart, Germany. FAU - Musil, Richard AU - Musil R AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. FAU - Obermeier, Michael AU - Obermeier M AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. FAU - Jager, Markus AU - Jager M AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. AD - Psychiatric Clinic, District Hospital Kempten, Kempten, Germany. FAU - Bottlender, Roland AU - Bottlender R AD - Psychiatric Clinic, District Hospital Ludenscheid, Ludenscheid, Germany. FAU - Schmauss, Max AU - Schmauss M AD - Psychiatric Clinic, District Hospital Augsburg, Augsburg, Germany. FAU - Laux, Gerd AU - Laux G AD - Psychiatric Clinic, Inn-Salzach Hospital Wasserburg/Inn, Wasserburg, Germany. FAU - Moller, Hans-Jurgen AU - Moller HJ AD - Department of Psychiatry, Ludwig-Maximilians-University, Munich, Germany. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20180920 PL - Germany TA - Pharmacopsychiatry JT - Pharmacopsychiatry JID - 8402938 RN - 0 (Antipsychotic Agents) RN - 0 (Piperazines) RN - 0 (Thiazoles) RN - 6UKA5VEJ6X (ziprasidone) RN - J6292F8L3D (Haloperidol) SB - IM EIN - Pharmacopsychiatry. 2019 Jul;52(4):e1. PMID: 32102096 MH - Adult MH - Antipsychotic Agents/*therapeutic use MH - Double-Blind Method MH - Female MH - Haloperidol/*therapeutic use MH - Humans MH - Interpersonal Relations MH - Male MH - Middle Aged MH - Piperazines/*therapeutic use MH - Psychiatric Status Rating Scales MH - Risk Assessment MH - Schizophrenia/*drug therapy MH - Severity of Illness Index MH - Thiazoles/*therapeutic use MH - Time Factors MH - Treatment Outcome COIS- The authors report no financial conflict of interests within the context of this article. EDAT- 2018/09/21 06:00 MHDA- 2019/12/20 06:00 CRDT- 2018/09/21 06:00 PHST- 2018/09/21 06:00 [pubmed] PHST- 2019/12/20 06:00 [medline] PHST- 2018/09/21 06:00 [entrez] AID - 10.1055/a-0669-9461 [doi] PST - ppublish SO - Pharmacopsychiatry. 2019 Jul;52(4):180-185. doi: 10.1055/a-0669-9461. Epub 2018 Sep 20.