Journal article
A randomized, placebo-controlled study of memantine as adjunctive treatment in patients with schizophrenia
Neuropsychopharmacology (New York, N.Y.), Vol.34(5), pp.1322-1329
04/2009
DOI: 10.1038/npp.2008.200
PMID: 19005465
Abstract
Memantine, an uncompetitive antagonist of glutamate receptors of the N-methyl-D-aspartate type is approved for the treatment of moderate to severe Alzheimer's disease. A growing body of evidence supports a link between the glutamatergic neurotransmission and schizophrenia. The purpose of this study (MEM-MD-29) was to examine the efficacy and safety of memantine as an adjunctive treatment to atypical antipsychotics in patients with persistent residual psychopathology of schizophrenia. In this double-blind, placebo-controlled study, participants were assigned to receive 20 mg/day memantine (n=70) or placebo (n=68), in addition to continuing treatment with atypical antipsychotics, for 8 weeks. The primary efficacy measure was the total score on the Positive and Negative Symptom Scale (PANSS). Secondary measures were positive and negative PANSS scores, PANSS responders, Calgary Depression Scale for Schizophrenia (CDSS), Clinical Global Impression of Severity (CGI-S), Clinical Global Impression of Improvement (CGI-I), and Brief Assessment of Cognition in Schizophrenia (BACS). Missing data were imputed using the last observation carried forward (LOCF) approach. Safety was assessed by means of physical examination, clinical laboratory evaluation, recording of adverse events (AEs), and measures of extrapyramidal symptoms. At end point, total PANSS scores did not differ between the memantine and the placebo group (p=0.570, LOCF). A similar outcome was observed for all secondary measures. The frequency of serious AEs in the memantine vs placebo group was 8.7 vs 6.0%; treatment discontinuations because of AEs occurred in 11.6 and 3.0% of patients in these groups, respectively. Memantine showed no efficacy as an adjunctive therapy in schizophrenia patients with residual psychopathology and was associated with a higher incidence of AEs than placebo.
Details
- Title: Subtitle
- A randomized, placebo-controlled study of memantine as adjunctive treatment in patients with schizophrenia
- Creators
- Jeffrey A Lieberman - Department of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY 10032, USA. jlieberman@columbia.eduKelly PapadakisJohn CsernanskyRobert LitmanJan VolavkaXinwei Daniel JiaAllyson GageMEM-MD-29 Study Group
- Contributors
- Del D Miller (Contributor) - University of Iowa, Psychiatry
- Resource Type
- Journal article
- Publication Details
- Neuropsychopharmacology (New York, N.Y.), Vol.34(5), pp.1322-1329
- Publisher
- England
- DOI
- 10.1038/npp.2008.200
- PMID
- 19005465
- ISSN
- 0893-133X
- eISSN
- 1740-634X
- Language
- English
- Date published
- 04/2009
- Academic Unit
- Psychiatry
- Record Identifier
- 9984003910502771
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