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Table 3 Change From Double-blind Baseline in Safety Parameters After 12-months of Treatment With Lurasidone or Risperidone, Followed by 6-months of Open-label Treatment With Lurasidone (OC analysis)

From: Switching to Lurasidone following 12 months of treatment with Risperidone: results of a 6-month, open-label study

Parameter

LUR-LUR

RIS-LUR

Weight, kg

n = 109a

n = 66a

 DB Baseline mean (SD)

81.1 (18.25)

82.9 (18.65)

 Mean change to OL Baseline (after 12-mo DB Tx)

−1.1

+ 2.4

 Mean change from OL Baseline to Month 6-OL

−0.6

−2.9

  ≥ 7% weight increase from DB Baseline, %

12.8

13.6

  ≥ 7% weight decrease from DB Baseline, %

28.4

18.2

  ≥ 7% weight increase from OL Baseline, %

1.8

3.0

  ≥ 7% weight decrease from OL Baseline, %

6.4

19.7

Body mass index, kg/m2

n = 109

n = 66

 DB Baseline mean (SD)

27.7 (5.3)

28.8 (5.6)

 Mean change to OL Baseline (after 12-mo DB Tx)

−0.55

+ 2.1

 Mean change from OL Baseline to Month 6-OL

−0.2

−1.0

Waist circumference, cm

n = 104

n = 62

 DB Baseline mean (SD)

93.8 (14.1)

97.5 (14.3)

 Mean change to OL Baseline (after 12-mo DB Tx)

−0.4

+ 2.8

 Mean change from OL Baseline to Month 6-OL

−0.9

−1.6

Total cholesterol, mg/dL

n = 108

n = 64

 DB Baseline mean (SD)

196.4 (45.4)

188.0 (49.0)

 Median change to OL Baseline (after 12-mo DB Tx)

−8.5

−9.0

 Median change from OL Baseline to Month 6-OL

−4.0

+ 4.5

Triglycerides, mg/dL

n = 108

n = 64

 DB Baseline mean (SD)

127.5 (57.7)

125.5 (88.8)

 Median change to OL Baseline (after 12-mo DB Tx)

−13.0

+ 1.0

 Median change from OL Baseline to Month 6-OL

−4.5

−5.5

Glucose, mg/dL

n = 105

n = 63

 DB Baseline mean (SD)

95.1 (14.5)

94.6 (13.7)

 Median change to OL Baseline (after 12-mo DB Tx)

−1.0

+ 3.0

 Median change from OL Baseline to Month 6-OL

0.0

−3.0

Hemoglobin A1c, %

n = 103

n = 63

 DB Baseline mean (SD)

5.7 (0.4)

5.6 (0.4)

 Median change to OL Baseline (after 12-mo DB Tx)

0.0

0.0

 Median change from OL Baseline to Month 6-OL

0.0

0.0

Bone alkaline phosphatase, mcg/L

n = 106

n = 61

 DB Baseline mean (SD)

13.6 (5.2)

13.9 (4.3)

 Median change to OL Baseline (after 12-mo DB Tx)

−0.9

− 0.3

 Median change from OL Baseline to Month 6-OL

+ 1.5

0

N-telopeptide (urine), nmol BCE/mmol creatinine

n = 104

n = 62

 DB Baseline mean (SD)

41.2 (120.3)

37.0 (35.8)

 Median change to OL Baseline (after 12-mo DB Tx)

+ 1.5

−4.0

 Median change from OL Baseline to Month 6-OL

−1.0

+ 0.5

Osteocalcin, ng/mL

n = 104

n = 61

 DB Baseline mean (SD)

5.25 (3.38)

5.70 (4.36)

 Median change to OL Baseline (after 12-mo DB Tx)

−0.85

−1.0

 Median change from OL Baseline to Month 6-OL

0

0

Parathyroid hormone, pg/mL

n = 105

n = 61

 DB Baseline mean (SD)

38.6 (17.4)

43.2 (27.8)

 Median change to OL Baseline (after 12-mo DB Tx)

0

−2.0

 Median change from OL Baseline to Month 6-OL

+ 2.0

+ 4.0

Prolactin, ng/mL, males

n = 84

n = 43

 DB Baseline mean (SD)

7.7 (6.7)

10.2 (6.5)

 Median change to OL Baseline (after 12-mo DB Tx)

−0.6

+ 12.8

 Median change from OL Baseline to Month 6-OL

+ 0.15

−11.2

Prolactin, ng/mL, females

n = 24

n = 21

 DB Baseline mean (SD)

20.0 (24.7)

18.6 (40.8)

 Median change to OL Baseline (after 12-mo DB Tx)

−0.75

+ 35.2

 Median change from OL Baseline to Month 6-OL

+ 1.3

−30.8

Testosterone, total, ng/dL, males

n = 84

n = 42

 DB Baseline mean (SD)

498.1 (198.4)

481.3 (231.5)

 Median change to OL Baseline (after 12-mo DB Tx)

+ 24.9

−103.0

 Median change from OL Baseline to Month 6-OL

−23.5

+ 43.5

Testosterone, free, pg/mL, males

n = 84

n = 40

 DB Baseline mean (SD)

10.3 (5.5)

9.6 (6.2)

 Median change to OL Baseline (after 12-mo DB Tx)

−0.015

−1.405

 Median change from OL Baseline to Month 6-OL

−1.06

−0.095

  1. BCE bone collagen equivalent, LUR lurasidone, RIS risperidone, DB double-blind, OL open-label, SD standard deviation, OC observed case
  2. a Results presented are an observed case analysis of the number of patients available with test results at Month 18