The European First Episode Schizophrenia Trial (EUFEST): rationale and design of the trial.

作者: W Wolfgang Fleischhacker , Ireneus PM Keet , René S Kahn , EUFEST Steering Committee

DOI: 10.1016/J.SCHRES.2005.06.004

关键词:

摘要: Abstract Background Most studies comparing second generation antipsychotics with classical neuroleptics have been conducted in more or less chronic schizophrenia patients. Such were usually highly selected samples, and generally designed financed by the manufacturer of drug tested. These other facts stimulated discussions regarding effectiveness new antipsychotics. Aims The aim European First Episode Schizophrenia Trial (EUFEST) is to compare treatment amisulpride, quetiapine, olanzapine ziprasidone a low dose haloperidol an unselected sample first episode patients minimal prior exposure Methods 500 between ages 18–40 meeting DSM-IV criteria for schizophrenia, schizoaffective disorder schizophreniform are randomly allocated one year drugs under study. primary outcome measure retention treatment, defined as time discontinuation study drug. Loss can be result insufficient clinical effect, lack tolerability acceptance. Secondary measures include changes different dimensions psychopathology, side effects, compliance, social needs, quality life, substance abuse cognitive functions. Conclusions At present, than 400 recruited randomized following countries: Austria, Belgium, Bulgaria, Czech Republic, Germany, France, Israel, Italy, Netherlands, Poland, Rumania, Spain, Sweden Switzerland: should finished end 2006 it expected that results will yield relevant information regard This effort represents independently trans-European trial.

参考文章(70)
M. Roland, D. J Torgerson, What are pragmatic trials BMJ. ,vol. 316, pp. 285- 285 ,(1998) , 10.1136/BMJ.316.7127.285
S. B. Guze, Paula J Clayton, R. L. Martin, C. R. Cloninger, Frequency and differential diagnosis of depressive syndromes in schizophrenia. The Journal of Clinical Psychiatry. ,vol. 46, pp. 9- 13 ,(1985)
Anne-Marie Bagnall, Jos Kleijnen, Maria Leitner, Ruth Lewis, Ziprasidone for schizophrenia and severe mental illness Cochrane Database of Systematic Reviews. ,vol. 2000, ,(2000) , 10.1002/14651858.CD001945
Johannes Hamann, Werner Kissling, Stefan Leucht, Christine Rummel-Kluge, New generation antipsychotics for first episode schizophrenia. Cochrane Database of Systematic Reviews. ,(2003) , 10.1002/14651858.CD004410
John B. Buse, Metabolic side effects of antipsychotics: focus on hyperglycemia and diabetes. The Journal of Clinical Psychiatry. ,vol. 63, pp. 37- 41 ,(2002)
Joaquim I Silveira da Mota Neto, Bernardo GO Soares, Mauricio Silva de Lima, Amisulpride for schizophrenia. Cochrane Database of Systematic Reviews. ,vol. 2002, ,(2002) , 10.1002/14651858.CD001357
Stanley R. Kay, Lewis A. Opler, Jean-Pierre Lindenmayer, The Positive and Negative Syndrome Scale (PANSS): rationale and standardisation. British Journal of Psychiatry. ,vol. 155, pp. 59- 67 ,(1989) , 10.1192/S0007125000291514