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[VIRTUAL] Beneficial Effects of Chronic Lurasidone Treatment in StressBased Models of Psychiatric Disorder () - Mar 7, 2021 - Abstract #CINP2021CINP_120; As adjunctive therapy, lurasidone, bupropione, and olanzapine/fluoxetine combination were superior to placebo. In summary, our studies provide new insights on the mechanism of action of lurasidone in the context of stress-related dysfunction, suggesting that it may promote adaptive mechanisms that are crucial for the ability to modulate different pathological domains associated with psychiatric disorders.
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Journal: Major depressive disorder with mixed features and treatment response to lurasidone: A symptom network model. (Pubmed Central) - Mar 6, 2021 Specific manic symptoms were found to be linked to sleep disturbance (characterized as a "bridge" symptom), which in turn linked the manic and depressive symptom clusters. The presence (vs. absence) of the specific manic symptoms we identified moderated the antidepressant and antimanic effects of lurasidone in the treatment of MDD with mixed (subthreshold hypomanic) features.
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Enrollment open, Trial initiation date: A Study of Lurasidone Compared With Placebo for the Treatment of Bipolar I Depression (clinicaltrials.gov) - Feb 10, 2021 P3, N=362, Recruiting, While still investigational, the preliminary evidence presented here gives reason to hope that lurasidone could possibly be an effective option in Tourette syndrome, warranting further investigation of its potential benefits in neurodevelopmental conditions. Not yet recruiting --> Recruiting | Initiation date: Jun 2020 --> Dec 2020
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Clinical, Journal: Up-to-date Expert Opinion on the safety of recently developed antipsychotics. (Pubmed Central) - Jan 28, 2021 Qualitative synthesis followed an electronic search made inquiring of the following databases: MEDLINE, Embase, PsycINFO, and the Cochrane Library from inception until March 2020, combining free terms and MESH headings for the topics of TGA and recently developed and/or marketed antipsychotics as following: ((safety OR adverse events OR side effects) AND ((brexpiprazole OR cariprazine OR inhaled loxapine OR lumateperone (ITI-007) OR lurasidone OR pimavanserin OR roluperidone (MIN-101) OR transdermal patch asenapine))...Overall, newer antipsychotics display a good safety profile, with a well-demonstrated lower metabolic liability compared to second-generation antipsychotics. Furthermore, TGA appear to specifically target negative symptomatology and improving cognitive domains.
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Journal: Lurasidone Improves Psychopathology and Cognition in Treatment-Resistant Schizophrenia. (Pubmed Central) - Jan 14, 2021 In addition, this study demonstrated that 80 mg/d lurasidone, an effective and tolerable dose for non-TRS patients, was also effective in TRS patients but required longer duration of treatment. Direct comparison of lurasidone with clozapine in TRS patients is indicated.
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Journal: Asenapine and iloperidone decrease the expression of major cytochrome P450 enzymes CYP1A2 and CYP3A4 in human hepatocytes. A significance for drug-drug interactions during combined therapy. (Pubmed Central) - Jan 12, 2021 Lurasidone did not affect the expression and activity of any of the investigated human CYP enzymes. The presented findings may have clinical implications for the prediction of potential drug-drug interactions involving the asenapine-induced inhibition of metabolism of CYP1A2 substrates (e.g. caffeine, theophylline, melatonin, tricyclic antidepressants, phenacetin, propranolol) and iloperidone-induced inhibition of CYP3A4 substrates (e.g. antidepressants, benzodiazepines, atorvastatin, macrolide antibiotics, calcium channel antagonists).
- |||||||||| risperidone / Generic mfg., lurasidone oral / Generic mfg., ziprasidone / Generic mfg.
[VIRTUAL] Incidence of suicidal related behaviors among the PTSD population using antipsychotics () - Dec 26, 2020 - Abstract #ASHP2020ASHP_3366; The results of this study suggest that certain antipsychotics may put individuals within the PTSD population at an increased risk of SRBs, and that careful consideration may need to be taken when prescribed. We hope our study provides a critical gateway into the relationship of certain antipsychotics and suicide risk.
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Clinical, Journal: Association of C-reactive protein and metabolic risk with cognitive effects of lurasidone in patients with schizophrenia. (Pubmed Central) - Dec 22, 2020 We hope our study provides a critical gateway into the relationship of certain antipsychotics and suicide risk. Findings of this post-hoc analysis based on a placebo-controlled trial in patients with schizophrenia suggest that baseline CRP level combined with measures of metabolic risk significantly moderated the improvement in cognitive performance associated with lurasidone 160 mg/day (vs. placebo) treatment. Our findings underscore the importance of maintaining a low metabolic risk profile in patients with schizophrenia.
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Clinical, Journal: Comparison of Lurasidone Versus Quetiapine for the Treatment of Delirium in Critically Ill Patients. (Pubmed Central) - Dec 19, 2020 Additionally, the incidence of QTc prolongation between agents does not appear to be different. Future randomized trials should evaluate dose escalation schemes and a larger proportion of patients to evaluate differences in mortality, efficacy, and life-threatening arrhythmias associated with atypical antipsychotic use.
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Retrospective data, Review, Journal: Update on weight-gain caused by antipsychotics: a systematic review and meta-analysis. (Pubmed Central) - Dec 18, 2020 To efficaciously and efficiently tackle the problem of AIWG in clinical practice and trials, people at high risk need to be identified by predictive tools enabling the clinician to offer tailored adjunctive therapies (medication and/or lifestyle interventions). Most importantly, weight and metabolic monitoring ought to be consequently implemented in clinical routine in the treatment of any patient with any diagnosis when antipsychotics are prescribed.
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Clinical, Review, Journal: Acceptability of Acute and Maintenance Pharmacotherapy of Bipolar Disorder: A Systematic Review of Randomized, Double-Blind, Placebo-Controlled Clinical Trials. (Pubmed Central) - Dec 17, 2020 For somnolence, pooled NNH was from 5 with carbamazepine to 23 with cariprazine in mania, 3 with quetiapine-XR 300 mg/d to 79 with lurasidone in bipolar depression, and 11 with olanzapine to -49 with aripiprazole in maintenance. All medications studied in bipolar disorder were relatively well tolerated during different phases of treatment; however, the risk for short- and long-term WG and somnolence varied widely among included psychotropics.
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[VIRTUAL] FACIAL DYSTONIA MASQUERADING AS ANGIOEDEMA () - Nov 21, 2020 - Abstract #ACAAI2020ACAAI_658; He had resolution of symptoms with no further episodes, and was discharged with follow up with his psychiatrist.Discussion We present a case of facial dystonia likely secondary to atypical antipsychotic use where tongue protrusion was initially managed as histaminergic angioedema. This case highlights the importance of identifying true angioedema in contrast to disorders mimicking angioedema.
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Clinical, Journal, HEOR: Cost of Relapse Management in Patients with Schizophrenia in Italy and Spain: Comparison Between Lurasidone and Quetiapine XR. (Pubmed Central) - Nov 14, 2020 The current study offers a promising strategy to overcome poor solubility/dissolution and be able to eliminate gelation of amorphous materials by coamorphization and complexation. The use of lurasidone (74 mg) for the treatment of patients affected with schizophrenia, compared with quetiapine XR (300 mg), would be a cost-saving strategy in the two contexts investigated assuming the National Health Service point of view.
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Enrollment open, Trial initiation date: The Safety and Effectiveness of Latuda (clinicaltrials.gov) - Nov 4, 2020 P=N/A, N=3000, Recruiting, The use of lurasidone (74 mg) for the treatment of patients affected with schizophrenia, compared with quetiapine XR (300 mg), would be a cost-saving strategy in the two contexts investigated assuming the National Health Service point of view. Not yet recruiting --> Recruiting | Initiation date: Jun 2020 --> Dec 2020
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Clinical, Journal: Switching to Lurasidone following 12 months of treatment with Risperidone: results of a 6-month, open-label study. (Pubmed Central) - Nov 3, 2020 P3 In this 6-month extension study, lurasidone treatment was generally well-tolerated and associated with minimal effects on weight, metabolic parameters, and prolactin levels. Patients who switched from risperidone to lurasidone experienced reductions in weight, metabolic parameters and prolactin levels commensurate with increases in these safety parameters experienced during the previous 12 months of treatment with risperidone.
- |||||||||| Cyclurad (cycloserine/lurasidone) / NRx Pharma, Alvogen
Trial completion date, Trial primary completion date: SBD-ASIB: NRX-101 for Maintenance of Remission From Severe Bipolar Depression in Patients With Suicidal Ideation (clinicaltrials.gov) - Nov 2, 2020 P2/3, N=72, Recruiting, Patients who switched from risperidone to lurasidone experienced reductions in weight, metabolic parameters and prolactin levels commensurate with increases in these safety parameters experienced during the previous 12 months of treatment with risperidone. Trial completion date: Dec 2020 --> Dec 2021 | Trial primary completion date: Sep 2020 --> Aug 2021
- |||||||||| Cyclurad (cycloserine/lurasidone) / NRx Pharma, Alvogen
Biomarker, Trial completion date, Trial primary completion date: NRX-GLX: NRX101 Glx Biomarker Validation Study (clinicaltrials.gov) - Oct 30, 2020 P2/3, N=24, Active, not recruiting, Trial completion date: Dec 2020 --> Dec 2021 | Trial primary completion date: Sep 2020 --> Aug 2021 Trial completion date: Feb 2020 --> Feb 2021 | Trial primary completion date: Dec 2019 --> Dec 2020
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Trial completion date, Trial primary completion date: MBD: NRX-101 for Bipolar Depression With Subacute Suicidal Ideation (clinicaltrials.gov) - Oct 30, 2020 P2/3, N=150, Not yet recruiting, Trial completion date: Feb 2020 --> Feb 2021 | Trial primary completion date: Dec 2019 --> Dec 2020 Trial completion date: Mar 2019 --> Mar 2022 | Trial primary completion date: Mar 2019 --> Mar 2022
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