EVALUATION OF THE EFFECT OF ARIPIPRAZOLE ON QUALITY OF LIFE IN PATIENTS WITH SCHIZOPHRENIA IN A PROSPECTIVE, MULTICENTRE, OPEN-LABEL STUDY
Author(s)
Bervoets C1, Constant E2, Sabbe B1, Morrens M1, Vansteelandt K3, De Patoul A4, Pitsi D4, Halkin V4, Loze JY5, Peuskens J61University Antwerp, Antwerp, Belgium, 2UC Louvain, Bruxelles, Belgium, 3KU LEUVEN, Kortenberg, Belgium, 4BMS, Bruxelles, Belgium, 5Otsuka Pharmaceutical Co., Ltd., Rueil-Malmaison, France, 6KULeuven, Leuven, Belgium
OBJECTIVES: Aripiprazole has been claimed to have a beneficial effect on cognition with an emphasis on verbal functioning in schizophrenic patients. A prospective, multicenter, open-label study of Aripiprazole was set to evaluate the effect on quality of life, in relation to illness severity and cognitive functioning of a treatment with aripiprazole in schizophrenic patients. METHODS: A total of 363 schizophrenic patients from 18 to 65 years, treated with different typical and atypical antipsychotics or had no previous treatment, were switched to aripiprazole after a 2 week washout period. Quality of life was assessed by use of the Quality of Life Enjoyment and Satisfaction Questionnaire (QLESQ) at 3 separate test moments in a 12 weeks period. At the same time, verbal cognitive function was assessed with the California Verbal Learning Test (CVLT) and the Verbal Fluency test (VF). The Clinical Global Impression-Severity (CGI-S) was assessed as well at the same visits. Statistical analysis was done using SAS 9.2 with the PROC MIXED module for mixed effects repeated measures analysis. RESULTS: A mixed models analyses on the QLESQ scores showed significant effects for CGI-S in all subscores but “ school “ ( p=0,1485) and for the verbal cognitive measures only in subscores “leisure “ for CVLT-LTFR ( p=0,0002). CONCLUSIONS: The observed difference over time in QLESQ values is dependent on the CGI-S score which contributes mostly to the prediction of the QLESQ outcome. Verbal cognitive outcome was not predictive . These findings are not in agreement with other publications reporting an independent contribution of both measures on quality of life. As the study was open-label, interpretation of the results should be approached with some caution.
Conference/Value in Health Info
2010-11, ISPOR Europe 2010, Prague, Czech Republic
Value in Health, Vol. 13, No. 7 (November 2010)
Code
PMH59
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Mental Health