Prospective Study
Copyright ©The Author(s) 2024.
World J Psychiatry. Nov 19, 2024; 14(11): 1735-1745
Published online Nov 19, 2024. doi: 10.5498/wjp.v14.i11.1735
Table 1 Characteristics of the patients with schizophrenia (n = 3306)
Variates
mean ± SD
Sex (male), n (%)1342 (40.6)
Age (years)34.5 ± 14.18
Height (cm)165.6 ± 7.66
Weight (kg)64.5 ± 12.44
Duration of illness (month)89.1 ± 111.09
Baseline BPRS total score48.8 ± 15.03
Baseline BPRS factor scores
    Anxiety/depression9.8 ± 4.11
    Anergia10.2 ± 3.69
    Thought disturbance12.1 ± 4.30
    Activation6.7 ± 3.26
    Hostility/suspiciousness10.0 ± 3.89
Table 2 Brief psychiatric rating scale: Total score and 5-factor model scores from the baseline to 12 weeks after initiation of blonanserin treatment (mean ± SD)
BPRS
Baseline (n = 3306)
2-4 weeks (n = 3188)
6-8 weeks (n = 2957)
12 weeks (n = 2775)
F value
P value
Total score48.8 ± 15.0338.5 ± 13.3232.3 ± 11.7827.7 ± 10.081574< 0.001
Anxiety/depression9.8 ± 4.118.2 ± 3.467.1 ± 3.076.2 ± 2.67638.5< 0.001
Anergia10.2 ± 3.698.4 ± 3.147.2 ± 2.746.3 ± 2.38898.3< 0.001
Thought disturbance12.1 ± 4.309.4 ± 3.807.6 ± 3.336.4 ± 2.851410< 0.001
Activation6.7 ± 3.265.3 ± 2.614.5 ± 2.174.0 ± 1.74695.5< 0.001
Hostility/suspiciousness10.0 ± 3.897.3 ± 3.175.8 ± 2.634.8 ± 2.161700< 0.001
Table 3 Major adverse drug reactions involving systematic and clinical manifestations
ADRs
Mild patients, n (%)
Mild cases
Moderate patients, n (%)
Moderate cases
Severe patients, n (%)
Severe cases
Total ADRs443 (13.4)656164 (5.0)21915 (0.5)16
Neurological disorders352 (10.6)420127 (3.8)1597 (0.2)8
    Akathisia170 (5.1)17466 (2.0)684 (0.1)4
    Tremor97 (2.9)10027 (0.8)270 (0)0
    Dystonia54 (1.6)5423 (0.7)242 (0.1)2
    Parkinsonism43 (1.3)4422 (0.7)221 (0.0)1
Investigations74 (2.2)8523 (0.7)253 (0.1)3
    Elevated transaminase level6 (0.2)60 (0)00 (0)0
    Weight gain34 (1.0)345 (0.2)50 (0)0
    Increased blood prolactin20 (0.6)2012 (0.4)121 (0.0)1
    Increased blood glucose2 (0.1)21 (0.0)11 (0.0)1
    Decreased white blood cell count2 (0.1)21 (0.0)10 (0)0
    Prolonged electrocardiogram QT2 (0.1)20 (0)01 (0.0)1
Gastrointestinal disorders48 (1.5)5011 (0.3)110 (0)0
Eye disorders8 (0.2)101 (0.0)10 (0)0
Psychiatric disorders16 (0.5)184 (0.1)50 (0)0
Kidney and urinary disorders2 (0.1)24 (0.1)41 (0.0)1
Table 4 Multivariate analysis of the influencing factors of brief psychiatric rating scale score reduction in general population
Characteristic
β
95%CI
P value
Current episode duration (month)-0.03-0.05 to -0.01< 0.001
Whether in acute phase
    No0.00N/AN/A
    Yes5.424.0 to 6.9< 0.001
Previous episodes-0.22-0.41 to -0.030.024
Baseline BPRS score0.510.47 to 0.56< 0.001
Mean daily dose of concomitant anti-psychiatrics1-0.01-0.01 to 0.00< 0.001
Number of types of sedative-hypnotic agents-1.22-2.00 to -0.440.002
Table 5 Multivariate analysis of the influencing factors of brief psychiatric rating scale: Score reduction in non-acute phase patients with prominent negative symptoms at baseline
Characteristic
β
95%CI
P value
Baseline blunted affect scoreN/AN/A0.061
≤ 30.00N/AN/A
≥ 42.45-0.12 to 5.01N/A
Disease duration (months)-0.02-0.04 to 0.010.217
Previous onset-0.38-0.63 to -0.130.003
Mean daily dose of concomitant anti-psychiatrics1-0.01-0.01 to 0.000.011
Baseline BPRS score0.340.27 to 0.41< 0.001
Number of types of sedative-hypnotic agents-2.53-4.17 to -0.900.003

  • Citation: Xu BY, Jin K, Wu HS, Liu XJ, Wang XJ, Sang H, Li KQ, Sun MJ, Meng HQ, Deng HL, Xun ZY, Yang XD, Zhang L, Li GJ, Zhang RL, Cai DF, Liu JH, Zhao GJ, Liu LF, Wang G, Zhao CL, Guo B, Jin SC, Huang LY, Yang FD, Zheng JM, Zhan GL, Fang MS, Meng XJ, Zhang GY, Li HM, Liu XL, Li JH, Wu B, Li HY, Chen JD. Who can benefit more from its twelve-week treatment: A prospective cohort study of blonanserin for patients with schizophrenia. World J Psychiatry 2024; 14(11): 1735-1745
  • URL: https://www.wjgnet.com/2220-3206/full/v14/i11/1735.htm
  • DOI: https://dx.doi.org/10.5498/wjp.v14.i11.1735