Safety of sertindole versus risperidone in schizophrenia: principal results of the sertindole cohort prospective study (SCoP).
Acta Psychiatr Scand
; 122(5): 345-55, 2010 Nov.
Article
em En
| MEDLINE
| ID: mdl-20384598
ABSTRACT
OBJECTIVE:
To explore whether sertindole increases all-cause mortality or cardiac events requiring hospitalization, compared with risperidone.METHOD:
Multinational randomized, open-label, parallel-group study, with blinded classification of outcomes, in 9858 patients with schizophrenia.RESULTS:
After 14147 person-years, there was no effect of treatment on overall mortality (sertindole 64, risperidone 61 deaths, Hazard Ratio (HR) = 1.12 (90% CI 0.83, 1.50)) or cardiac events requiring hospitalization [sertindole 10, risperidone 6, HR = 1.73 (95% CI 0.63, 4.78)] Of these, four were considered arrhythmia-related (three sertindole, one risperidone). Cardiac mortality was higher with sertindole (Independent Safety Committee (ISC) 31 vs. 12, HR=2.84 (95% CI 1.45, 5.55), P = 0.0022; Investigators 17 vs. 8, HR=2.13 (95% CI 0.91, 4.98), P = 0.081). There was no significant difference in completed suicide, but fewer sertindole recipients attempted suicide (ISC 68 vs. 78, HR=0.93 (95% CI 0.66, 1.29), P = 0.65; Investigators 43 vs. 65, HR=0.67 (95% CI 0.45, 0.99), P = 0.044).CONCLUSION:
Sertindole did not increase all-cause mortality, but cardiac mortality was higher and suicide attempts may be lower with sertindole.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Esquizofrenia
/
Antipsicóticos
/
Risperidona
/
Imidazóis
/
Indóis
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article