Real-life Assessment of Aripiprazole Long-acting Injection (Abilify Maintena) Combined With Brexpiprazole (Rexulti) in Schizophrenia: a Naturalistic Non-interventional Prospective Follow-up Study
Overview
- Phase
- Not Applicable
- Intervention
- ARIPiprazole Injection [Abilify]
- Conditions
- Schizophrenia and Related Disorders
- Sponsor
- The University of Hong Kong
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Change from baseline score of the Brief Psychiatric Rating Scale-24 at 3rd and 6th months
- Status
- Recruiting
- Last Updated
- 9 months ago
Overview
Brief Summary
MainRexult study aims to carefully evaluate a cohort of patients with schizophrenia and related disorder prescribed with the combination therapy with Abilify Maintena and Rexulti on its efficacy and tolerability in a real-life clinical setting.
Detailed Description
Currently, there is no recommendation on next-step treatment strategy if the patients remain suffering from residual symptoms, have incomplete remission, or have acute exacerbation of schizophrenia whilst receiving aripiprazole long acting injection at its recommended (maximum) dose, except to switch to other second generation antipsychotics (SGA) or to clozapine if they are in their treatment-resistant course. Such practice may incur risks of full relapse and/or unnecessary side effects to the patients, in particularly to those already showed insufficient treatment response, intolerability to side effects, or non-adherence to other antipsychotics before. On the contrary, adding another SGAs to this special cohort appears to be rational. Especially, brexpiprazole might be an ideal choice for its serotonin-dopamine activity modulator property to achieve better symptom control, and at the same time retaining the benefits from the lower incidence of side effects than other SGAs. Cases reports on combination therapy with aripiprazole (oral or LAI) with brexpiprazole had demonstrated initial favorable outcomes, albeit lacking empirical evidence from randomized controlled trial or longer term follow-up study. Therefore, the current MainRexult study aims to carefully evaluate a cohort of patients with schizophrenia and related disorders prescribed with the combination therapy with Abilify Maintena and Rexulti on its efficacy and tolerability in an non-interventional, naturalistic real-life clinical setting.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age: 18- 65 years old at the time of enrollment
- •Able to read and communicate in English and/or Chinese
- •Able to give informed consent
- •Has been diagnosed to have Schizophrenia (DSM-5 or ICD-10 F20 \[except F20.81\], Schizotypal (Personality) Disorder (DSM-5 or ICD-10 F21), or Schizoaffective Disorder (DSM-5 or ICD-10 F25), (Persistent) Delusional Disorder (DSM-5 or ICD-10 F22), Schizophreniform Disorder (DSM-5 or ICD-10 F20.81), Brief Psychotic Disorder (DSM-5) or Acute and Transient Psychotic Disorder (ICD-10 F23)
- •Is receiving the combination with Abilify Maintena and brexpiprazole as treatment ≤8 weeks at the time of recruitment
Exclusion Criteria
- •Age \<18 years old
- •Unable to read English or Chinese
- •Unable to give informed consent
- •Had been diagnosed to have Intellectual Disabilities (DSM-5) or Mental Retardation (ICD-10 F70-73)
Arms & Interventions
MainRexult Group
Subjects with schizophrenia and related disorders receiving Abilify Maintena (aripiprazole 1 monthly depot) together with Rexulti (Brexpiprazole)
Intervention: ARIPiprazole Injection [Abilify]
MainRexult Group
Subjects with schizophrenia and related disorders receiving Abilify Maintena (aripiprazole 1 monthly depot) together with Rexulti (Brexpiprazole)
Intervention: Brexpiprazole
Outcomes
Primary Outcomes
Change from baseline score of the Brief Psychiatric Rating Scale-24 at 3rd and 6th months
Time Frame: 6 months
Measuring efficacy on positive and negative psychotic symptoms with a total score ranges from 24 (normal) to 168 (severe ill)
Change from basline score of the Hamilton Depression Rating Scale at 3rd and 6th months
Time Frame: 6 months
measuring depressive symptoms of the subjects with a score ranges from 0 (normal) to 62 (very severe)
Change from baseline score of the Clinical Global Impression Scale at 3rd and 6th months
Time Frame: 6 months
measuring efficacy on overall clinical improvement and severity of subjects with a score ranges from 0 (normal) to 18 (severely ill)
Change from baseline score of the Hamilton Anxiety Rating Scale at 3rd and 6th months
Time Frame: 6 months
measuring anxiety symptoms of the subjects with a score ranges from 0 (not ill) to 56 (severe)
Secondary Outcomes
- Change from baseline score of the Barnes Akathisia Rating Scale at 3rd and 6th months(6 months)
- Change from basline score of the Simpson Angus Score at 3rd and 6th months(6 months)