hello my name is jennifer courage leave a and i one of the co authors
of the manuscript entitled long-term tyler ability of once monthly intractable how apparent on comedy
and subjects with recently diagnosed schizophrenia
ambitions for schizophrenia the first five to ten years of illness
is a critical period for f active intervention
to prevent deterioration optimize outcomes
however patients are often on adherence with their entire psychotic medication
the use of long acting intractable in a psychotic agents may be inappropriate option for
these patients
well i think intractable agents removed think need to remember to take the only medication
and their long half lives provide a wide window for missed doses before plasma levels
becomes sub therapeutic
however the use of these agents may pose taller ability concerns for clinicians impatience
well patience early in their illness are often responsive to in a psychotic treatment
they may be sensitive to adverse the fax
such as extra parental symptoms we king grill action related to fax and situation
in this manuscript my co investigators and i examine this issue in a post hoc
analysis of an international trial of the long acting intractable and a psychotic
however paired on comedy
in this study six hundred and forty five subjects received continuous treatment with power paired
on comedy
in this flowchart
we see that two hundred and sixteen were categorized as having a recently diagnosed schizophrenia
meaning that their diagnosis was within the last five years
four hundred and twenty nine had a longer duration of diagnosis and the referred to
as the chronic illness subgroup
in both groups the mean monthly dose was a hundred and nine milligrams
and the continuous mean exposure to tell appeared on comedy was three hundred and thirty
four days and the recently diagnosed and three hundred and nine days in the chronic
illness group we examined all reported adverse events as well as the measures of extra
criminal sometimes glucose
pro locked in and body weight in the two subgroups
first we examined the percentages of subjects in each subgroup reported any adverse event
from the time of the first injection to the completion that specific time points
and found that during the month following the first injection
thirty one point five percent of recently diagnosed and forty two point seven percent of
those in the chronic illness subgroup reported in adverse to that in general the instance
rate at these intervals suggested that adverse events
were less likely in the recently diagnosed some group and in the chronically ill subgroup
in our assessment of individual adverse events
those occurring at a two percent or greater margin between their recently diagnosed and chronic
illness sub groups were identified
we then determine the relative risks and ninety five percent confidence intervals for these events
events considered potentially significant between groups
where those in which the ninety five percent confidence interval
did not include one
using these criteria nasal fair and right is what's a potentially significant event
reported in were chronically ill
then recently diagnosed subjects
i one six nine twelve and point
influenza and a manner we have we're potentially significant and that's reported in more recently
diagnosed then chronically ill subjects and point
this figure illustrates these data at the overall study and points with the exception of
meat so there and right is that occurred in more chronically ill then recently diagnosed
subjects
and influenza and in mandarin that occurred in more recently diagnosed and chronically ill subjects
there were no other events considered potentially significant between the sub groups
we then examined rates if any extra parameter symptom events and found the used to
be numerically lower in the recently diagnosed subgroup at each time period
with these ranging from two point three percent to nine point three percent in the
recently diagnosed subgroup and from five point eight percent just twelve point six percent and
the chronically ill subgroup
in evaluation of specific individual actual parameter all symptom related prefer terms
we found as summarised in this next table that to occur at e two percent
or greater margin between groups
among the specific preferred terms
not specific extra parameter disorder
as reported right more recently diagnosed subjects and i feature which reported by more chronically
ill subjects
we changes and glucose related measures appeared similar between the sub groups
in our assessment of changes from baseline in perl acton levels
we found i summarised in this table that there were increases in both sexes in
both subgroups
reader increases observed in females than and males and each subgroup also reluctant levels were
higher in females with early illness compared females with more chronic illness in analysis of
potentially prolonged and related events
we found a summarised in this next table
that the rates of pearl action related events was seven point nine percent and those
with a more recent diagnosis
and three point five percent in those with more chronic illness
to summarize we found in this post hoc analysis of a multi face study that
the long term taller ability of pell appear don't comedy was generally similar in recently
diagnosed schizophrenia subjects
and in those with more chronic illness
with the exception of temporal action related measures
we hope that these findings will be useful to help guide clinicians and the management
of patients
early in the course of their illness