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 [PMID: 39564169 DOI: 10.5498/wjp.v14.i11.1735]
Corresponding Author of This Article
Jin-Dong Chen, PhD, Professor, Department of Psychiatry, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No. 139 Middle Renmin Road, Changsha 410011, Hunan Province, China. chenjindong@csu.edu.cn
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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 score
48.8 ± 15.03
Baseline BPRS factor scores
Anxiety/depression
9.8 ± 4.11
Anergia
10.2 ± 3.69
Thought disturbance
12.1 ± 4.30
Activation
6.7 ± 3.26
Hostility/suspiciousness
10.0 ± 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 score
48.8 ± 15.03
38.5 ± 13.32
32.3 ± 11.78
27.7 ± 10.08
1574
< 0.001
Anxiety/depression
9.8 ± 4.11
8.2 ± 3.46
7.1 ± 3.07
6.2 ± 2.67
638.5
< 0.001
Anergia
10.2 ± 3.69
8.4 ± 3.14
7.2 ± 2.74
6.3 ± 2.38
898.3
< 0.001
Thought disturbance
12.1 ± 4.30
9.4 ± 3.80
7.6 ± 3.33
6.4 ± 2.85
1410
< 0.001
Activation
6.7 ± 3.26
5.3 ± 2.61
4.5 ± 2.17
4.0 ± 1.74
695.5
< 0.001
Hostility/suspiciousness
10.0 ± 3.89
7.3 ± 3.17
5.8 ± 2.63
4.8 ± 2.16
1700
< 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 ADRs
443 (13.4)
656
164 (5.0)
219
15 (0.5)
16
Neurological disorders
352 (10.6)
420
127 (3.8)
159
7 (0.2)
8
Akathisia
170 (5.1)
174
66 (2.0)
68
4 (0.1)
4
Tremor
97 (2.9)
100
27 (0.8)
27
0 (0)
0
Dystonia
54 (1.6)
54
23 (0.7)
24
2 (0.1)
2
Parkinsonism
43 (1.3)
44
22 (0.7)
22
1 (0.0)
1
Investigations
74 (2.2)
85
23 (0.7)
25
3 (0.1)
3
Elevated transaminase level
6 (0.2)
6
0 (0)
0
0 (0)
0
Weight gain
34 (1.0)
34
5 (0.2)
5
0 (0)
0
Increased blood prolactin
20 (0.6)
20
12 (0.4)
12
1 (0.0)
1
Increased blood glucose
2 (0.1)
2
1 (0.0)
1
1 (0.0)
1
Decreased white blood cell count
2 (0.1)
2
1 (0.0)
1
0 (0)
0
Prolonged electrocardiogram QT
2 (0.1)
2
0 (0)
0
1 (0.0)
1
Gastrointestinal disorders
48 (1.5)
50
11 (0.3)
11
0 (0)
0
Eye disorders
8 (0.2)
10
1 (0.0)
1
0 (0)
0
Psychiatric disorders
16 (0.5)
18
4 (0.1)
5
0 (0)
0
Kidney and urinary disorders
2 (0.1)
2
4 (0.1)
4
1 (0.0)
1
Table 4 Multivariate analysis of the influencing factors of brief psychiatric rating scale score reduction in general population
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
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