The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Ivanov S.V.

Mental Health Research Center

Voronova E.I.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

The newer antipsychotic cariprazine (reagila): perspectives for use in different stages of schizophrenia therapy

Authors:

Ivanov S.V., Voronova E.I.

More about the authors

Read: 26490 times


To cite this article:

Ivanov SV, Voronova EI. The newer antipsychotic cariprazine (reagila): perspectives for use in different stages of schizophrenia therapy. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(9):139‑144. (In Russ.)
https://doi.org/10.17116/jnevro2021121091139

Recommended articles:
The role of immuno-inflammatory factors in the deve­lopment of nega­tive symptoms in schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):42-48
A role of transcription factors in pathogenic processes asso­ciated with schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):49-54
Cognitive impairment in patients with Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):81-90
Meta­bolic syndrome and anti­psychotic therapy of schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):165-170
Pathogenetic inte­rrelations of hypo­gonadism and depression in men. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(1):17-23
PANSS six-factor model. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):28-34
Clinical and immu­nological rela­tionships in patients with early schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):35-42
Clinical and psychopathological features of treatment-resistant schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):43-50

References:

  1. Smulevich AB. Negative Disorders in Schizophrenia. M.: MEDpress Inform Publishers; 2021. (In Russ.).
  2. Stępnicki P, Kondej M, Kaczor AA. Current Concepts and Treatments of Schizophrenia. Molecules. 2018;23(8):2087. https://doi.org/10.3390/molecules23082087
  3. Frankel JS, Schwartz TL. Brexpiprazole and cariprazine: distinguishing two new atypical antipsychotics from the original dopamine stabilizer aripiprazole. Ther Adv Psychopharmacol. 2017;7(1):29-41.  https://doi.org/10.1177/2045125316672136
  4. Stahl SM. Mechanism of action of cariprazine. CNS Spectr. 2016;21(2):123-127.  https://doi.org/10.1017/S1092852916000043
  5. Bykov YuV, Bekker RA, Morozov PV. The efficacy of cariprazine in the treatment of schizophrenia, especially with prominent or predominant negative symptoms. Psychiatry and Psychopharmacotherapy. 2018;5:27-37. (In Russ.).
  6. Citrome L. Cariprazine for acute and maintenance treatment of adults with schizophrenia: an evidence-based review and place in therapy. Neuropsychiatr Dis Treat. 2018;14:2563-2577. https://doi.org/10.2147/NDT.S159704
  7. Durgam S, Starace A, Li D, Migliore R, Ruth A, Németh G, Laszlovszky I. An evaluation of the safety and efficacy of cariprazine in patients with acute exacerbation of schizophrenia: a phase II, randomized clinical trial. Schizophr Res. 2014;152(2-3):450-457.  https://doi.org/10.1016/j.schres.2013.11.041
  8. Kane JM, Zukin S, Wang Y, Lu K, Ruth A, Nagy K, Laszlovszky I, Durgam S. Efficacy and Safety of Cariprazine in Acute Exacerbation of Schizophrenia: Results From an International, Phase III Clinical Trial. J Clin Psychopharmacol. 2015;35(4):367-373.  https://doi.org/10.1097/JCP.0000000000000346
  9. Durgam S, Cutler AJ, Lu K, Migliore R, Ruth A, Laszlovszky I, Németh G, Meltzer HY. Cariprazine in acute exacerbation of schizophrenia: a fixed-dose, phase 3, randomized, double-blind, placebo- and active-controlled trial. J Clin Psychiatry. 2015;76(12):e1574-1582. PMID: 26717533. https://doi.org/10.4088/JCP.15m09997
  10. Durgam S, Litman RE, Papadakis K, Li D, Németh G, Laszlovszky I. Cariprazine in the treatment of schizophrenia: a proof-of-concept trial. Int Clin Psychopharmacol. 2016;31(2):61-68.  https://doi.org/10.1097/YIC.0000000000000110
  11. Corponi F, Serretti A, Montgomery S, Fabbri C. Cariprazine specificity profile in the treatment of acute schizophrenia: a meta-analysis and meta-regression of randomized-controlled trials. Int Clin Psychopharmacol. 2017;32(6):309-318.  https://doi.org/10.1097/YIC.0000000000000189
  12. Isjanovski V, Naumovska A, Bonevski D, Novotni A. Validation of the Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4) Among Patients with Schizophrenia. Open Access Maced J Med Sci. 2016;4(1):65-69. Epub 2016 Jan 11. PMID: 27275332; PMCID: PMC4884255. https://doi.org/10.3889/oamjms.2016.015
  13. Durgam S, Earley W, Li R, Li D, Lu K, Laszlovszky I, Fleischhacker WW, Nasrallah HA. Long-term cariprazine treatment for the prevention of relapse in patients with schizophrenia: A randomized, double-blind, placebo-controlled trial. Schizophr Res. 2016;176(2-3):264-271. Epub 2016 Jul 15. Erratum in: Schizophr Res. 2018;192:493.  https://doi.org/10.1016/j.schres.2016.06.030
  14. Durgam S, Greenberg WM, Li D, Lu K, Laszlovszky I, Nemeth G, Migliore R, Volk S. Safety and tolerability of cariprazine in the long-term treatment of schizophrenia: results from a 48-week, single-arm, open-label extension study. Psychopharmacology (Berl). 2017;234(2):199-209.  https://doi.org/10.1007/s00213-016-4450-3
  15. Cutler AJ, Durgam S, Wang Y, Migliore R, Lu K, Laszlovszky I, Németh G. Evaluation of the long-term safety and tolerability of cariprazine in patients with schizophrenia: results from a 1-year open-label study. CNS Spectr. 2018;23(1):39-50.  https://doi.org/10.1017/S1092852917000220
  16. Earley W, Guo H, Luchini R. Modified cariprazine relapse prevention clinical trial results. Schizophr Res. 2018;199:452-453.  https://doi.org/10.1016/j.schres.2018.04.016
  17. Durgam S, Earley W, Li R, Li D, Lu K, Laszlovszky I, Fleischhacker W, Nasrallah HA. Corrigendum to «Long-term cariprazine treatment for the prevention of relapse in patients with schizophrenia: A randomized, double-blind, placebo-controlled trial» [Schizophr. Res. 176 (2016) 264-271]. Schizophr Res. 2018;192:493. Epub 2017 Apr 18. Erratum for: Schizophr Res. 2016;176(2-3):264-271.  https://doi.org/10.1016/j.schres.2017.04.020
  18. Pigott TA, Carson WH, Saha AR, Torbeyns AF, Stock EG, Ingenito GG. Aripiprazole Study Group. Aripiprazole for the prevention of relapse in stabilized patients with chronic schizophrenia: a placebo-controlled 26-week study. J Clin Psychiatry. 2003;64(9):1048-1056. https://doi.org/10.4088/jcp.v64n0910
  19. Fleischhacker W, Hobart M, Ouyang J, Forbes A, Pfister S, McQuade RD, Carson WH, Sanchez R, Nyilas M, Weiller E. Efficacy and Safety of Brexpiprazole (OPC-34712) as Maintenance Treatment in Adults with Schizophrenia: a Randomized, Double-Blind, Placebo-Controlled Study. Int J Neuropsychopharmacol. 2017;20(1):11-21.  https://doi.org/10.1093/ijnp/pyw076
  20. Beasley CM Jr, Sutton VK, Hamilton SH, Walker DJ, Dossenbach M, Taylor CC, Alaka KJ, Bykowski D, Tollefson GD. Olanzapine Relapse Prevention Study Group. A double-blind, randomized, placebo-controlled trial of olanzapine in the prevention of psychotic relapse. J Clin Psychopharmacol. 2003;23(6):582-594.  https://doi.org/10.1097/01.jcp.0000095348.32154.ec
  21. Rui Q, Wang Y, Liang S, Liu Y, Wu Y, Wu Q, Nuamah I, Gopal S. Relapse prevention study of paliperidone extended-release tablets in Chinese patients with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2014;53:45-53.  https://doi.org/10.1016/j.pnpbp.2014.02.007
  22. Peuskens J, Trivedi J, Malyarov S, Brecher M, Svensson O, Miller F, Persson I, Meulien D. Prevention of schizophrenia relapse with extended release quetiapine fumarate dosed once daily: a randomized, placebo-controlled trial in clinically stable patients. Psychiatry (Edgmont). 2007;4(11):34-50. 
  23. Kane JM, Mackle M, Snow-Adami L, Zhao J, Szegedi A, Panagides J. A randomized placebo-controlled trial of asenapine for the prevention of relapse of schizophrenia after long-term treatment. J Clin Psychiatry. 2011;72(3):349-355.  https://doi.org/10.4088/JCP.10m06306
  24. Arato M, O’Connor R, Meltzer HY. ZEUS Study Group. A 1-year, double-blind, placebo-controlled trial of ziprasidone 40, 80 and 160 mg/day in chronic schizophrenia: the Ziprasidone Extended Use in Schizophrenia (ZEUS) study. Int Clin Psychopharmacol. 2002;17(5):207-215.  https://doi.org/10.1097/00004850-200209000-00001
  25. Tandon R, Cucchiaro J, Phillips D, Hernandez D, Mao Y, Pikalov A, Loebel A. A double-blind, placebo-controlled, randomized withdrawal study of lurasidone for the maintenance of efficacy in patients with schizophrenia. J Psychopharmacol. 2016;30(1):69-77.  https://doi.org/10.1177/0269881115620460
  26. Németh G, Laszlovszky I, Czobor P, Szalai E, Szatmári B, Harsányi J, Barabássy Á, Debelle M, Durgam S, Bitter I, Marder S, Fleischhacker W. Cariprazine versus risperidone monotherapy for treatment of predominant negative symptoms in patients with schizophrenia: a randomised, double-blind, controlled trial. Lancet. 2017;389(10074):1103-1113. https://doi.org/10.1016/S0140-6736(17)30060-0
  27. Fleischhacker W, Galderisi S, Laszlovszky I, Szatmári B, Barabássy Á, Acsai K, Szalai E, Harsányi J, Earley W, Patel M, Németh G. The efficacy of cariprazine in negative symptoms of schizophrenia: Post hoc analyses of PANSS individual items and PANSS-derived factors. Eur Psychiatry. 2019;58:1-9.  https://doi.org/10.1016/j.eurpsy.2019.01.015
  28. Smulevich AB, Ivanov SV, Yakhin KK, Voronova EI, Kharkova GS, Skurygina EI, Konohova MV, Beybalaeva TZ, Katok AA. Cariprazine in schizophrenia with predominantly negative symptoms: early effects of therapy (observational study). Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2020;120(12):67-72. (In Russ.). https://doi.org/10.17116/jnevro202012012167
  29. Rancans E, Dombi ZB, Mátrai P, Barabássy Á, Sebe B, Skrivele I, Németh G. The effectiveness and safety of cariprazine in schizophrenia patients with negative symptoms and insufficient effectiveness of previous antipsychotic therapy: an observational study. Int Clin Psychopharmacol. 2021;36(3):154-161.  https://doi.org/10.1097/YIC.0000000000000351
  30. Solmi M, Murru A, Pacchiarotti I, Undurraga J, Veronese N, Fornaro M, Stubbs B, Monaco F, Vieta E, Seeman MV, Correll CU, Carvalho AF. Safety, tolerability, and risks associated with first- and second-generation antipsychotics: a state-of-the-art clinical review. Ther Clin Risk Manag. 2017;13:757-777.  https://doi.org/10.2147/TCRM.S117321
  31. Citrome L. The ABC’s of dopamine receptor partial agonists — aripiprazole, brexpiprazole and cariprazine: the 15-min challenge to sort these agents out. Int J Clin Pract. 2015;69(11):1211-1220. https://doi.org/10.1111/ijcp.12752
  32. Corponi F, Fabbri C, Bitter I, Montgomery S, Vieta E, Kasper S, Pallanti S, Serretti A. Novel antipsychotics specificity profile: A clinically oriented review of lurasidone, brexpiprazole, cariprazine and lumateperone. Eur Neuropsychopharmacol. 2019;29(9):971-985.  https://doi.org/10.1016/j.euroneuro.2019.06.008
  33. Demyttenaere K, Detraux J, Racagni G, Vansteelandt K. Medication-Induced Akathisia with Newly Approved Antipsychotics in Patients with a Severe Mental Illness: A Systematic Review and Meta-Analysis. CNS Drugs. 2019;33(6):549-566.  https://doi.org/10.1007/s40263-019-00625-3
  34. Pillinger T, McCutcheon RA, Vano L, Mizuno Y, Arumuham A, Hindley G, Beck K, Natesan S, Efthimiou O, Cipriani A, Howes OD. Comparative effects of 18 antipsychotics on metabolic function in patients with schizophrenia, predictors of metabolic dysregulation, and association with psychopathology: a systematic review and network meta-analysis. Lancet Psychiatry. 2020;7(1):64-77.  https://doi.org/10.1016/S2215-0366(19)30416-X
  35. Mosolov SN, Yaltonskaya PA. Algorithm for the Treatment of Primary Negative Symptoms in Schizophrenia. Sovrem ter psih rasstrojstv. 2020;2:2-10. (In Russ.). https://doi.org/10.21265/PSYPH.2020.26.17.001

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.