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How Do Antipsychotics Work?

All antipsychotics can bind to dopamine D2 receptors; however, some of these agents also show affinity for dopamine D1 and D3 receptors.

Efficacy at different dopamine receptors

The Mechanism of Action of REAGILA

The mechanism of action for all antipsychotics, including cariprazine, is not fully known1. However, based on its receptor profile and numerous studies including in vivo preclinical studies and human PET studies, enough evidence exists to elucidate the key factors contributing to the mechanism of action of cariprazine.

How does cariprazine work?

References

  1. Adapted from Kiss, B. et al. Cariprazine (RGH-188), a dopamine D3 receptor-preferring, D3/D2 dopamine receptor antagonist-partial agonist antipsychotic candidate: In vitro and neurochemical profile. J. Pharmacol. Exp. Ther. 333, 328–340 (2010).


REAGILA in Patients With Acute Exacerbation of Schizophrenia

The advantages of initiating treatment with Cariprazine include its efficacy in short and long term, in negative symptoms, its good cardiometabolic profile, low incidences of weight gain and sedation, and convenient once-a-day dosing, with or without food.

Short-term efficacy

References

  1. Adapted from Durgam, S. et al. Cariprazine in acute exacerbation of schizophrenia: A fixed-dose, phase 3, randomized, double-blind, placebo- and active-controlled trial. J. Clin. Psychiatry 76, e1574-82 (2015).
Study 2: Change in PANSS Total Score by Week
Study 2: Change in PANSS Total Score by Week


REAGILA in the Long-Term Treatment of Schizophrenia

Long-term treatment with cariprazine has been evaluated in one clinical study of relapse prevention in patients with schizophrenia.

Long term efficacy with cariprazine

References

  1. Adapted from Durgam, S. et al. Long-term cariprazine treatment for the prevention of relapse in patients with schizophrenia: A randomized, double-blind, placebo-controlled trial. Schizophr. Res. 176, 264–271 (2016).


REAGILA Controls Negative Symptoms in Schizophrenia

Negative symptoms of schizophrenia can occur as primary symptoms that are part of the underlying pathophysiology of schizophrenia or as secondary symptoms that are associated with or caused by other factors, such as positive symptoms, affective symptoms, or medication side effects1.

REAGILA efficacy in Negative symptoms

References

  1. Adapted from Németh, G. et al. Cariprazine versus risperidone monotherapy for treatment of predominant negative symptoms in patients with schizophrenia: a randomised, double-blind, controlled trial. Lancet 389, 1103–1113 (2017).
PANSS-FSNS Change From Baseline
PANSS-FSNS Change From Baseline


Controlling Everyday Functioning with REAGILA

Negative symptom improvement must be accompanied by improved patient functioning in order for change to be considered clinically relevant in patients with schizophrenia.

The PSP scale

References

  1. Adapted from Németh, G. et al. Cariprazine versus risperidone monotherapy for treatment of predominant negative symptoms in patients with schizophrenia: a randomised, double-blind, controlled trial. Lancet 389, 1103–1113 (2017).
Change from Baseline in PSP Total Score
Change from Baseline in PSP Total Score


Neuropsychiatric Disease and Treatment

Relationship between the timing of relapse and plasma drug levels following discontinuation of cariprazine treatment in patients with schizophrenia: indirect comparison with other second-generation antipsychotics after treatment discontinuation.
Correll, CU., et al.
Neuropsychiatric Disease and Treatment 2019; 15, pp.2537–2550
“This study found that there was a delayed incidence of schizophrenia relapse following discontinuation of cariprazine treatment relative to discontinuation of treatment with the other oral antipsychotics as reported in separate studies.”

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    SAFETY AND TOLERABILITY OF REAGILASAFETY AND TOLERABILITY

    The safety and tolerability of cariprazine was evaluated in all of the clinical studies in the cariprazine development program: a short-term, phase 2 exploratorFind out more about the safety and tolerability profile of our product

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    REAGILA AND METABOLIC PARAMETERSCARIPRAZINE AND METABOLIC PARAMETERS

    Individuals with schizophrenia are more likely than members of the general population to be overweight or obese. Moreover, a large number of patients with schizIndividuals with schizophrenia are more likely than members of the general population to be overweight or obese. Moreover, a large number of patients with schiz

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