Pentoxifylline as an adjunctive in treatment of negative symptoms in chronic schizophrenia : A double-blind, randomized, placebo-controlled trial

© 2022 The Authors. CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd..

AIM: The aim of this study was to explore the effectiveness and safety of pentoxifylline as an adjuvant to risperidone in mitigating the negative symptoms in patients with chronic schizophrenia.

METHODS: In this randomized, placebo-controlled study, eighty outpatients with chronic schizophrenia were given risperidone for 8 weeks along with either pentoxifylline or a placebo. The positive and negative syndrome scale (PANSS) was used to assess patients at the start of the trial, as well as at 2, 4, 6, and 8 weeks. Pre- and posttreatment serum levels of cAMP, TNF-α-, and IL-6 were measured.

RESULTS: The pentoxifylline group revealed a significant effect for time-treatment interaction on PANSS-negative subscale scores (p < 0.001), PANSS general psychopathology subscale scores (p < 0.001), and PANSS total scores (p < 0.001), but not on PANSS-positive subscale scores (p = 0.169). Additionally, when compared to the placebo group, the pentoxifylline group demonstrated a statistically significant increase in cAMP serum level and a statistically significant decrease in TNF-α and IL-6 serum levels.

CONCLUSION: Pentoxifylline adjunctive therapy with risperidone for 8 weeks was found to be promising in mitigating the negative symptoms in patients with chronic schizophrenia.

TRIAL REGISTRATION NUMBER: NCT04094207.

Errataetall:

RetractionIn: CNS Neurosci Ther. 2024 Mar;30(3):e14668. - PMID 38465469

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

CNS neuroscience & therapeutics - 29(2023), 1 vom: 13. Jan., Seite 354-364

Sprache:

Englisch

Beteiligte Personen:

Abdallah, Mahmoud S [VerfasserIn]
Mosalam, Esraa M [VerfasserIn]
Hassan, Ahmed [VerfasserIn]
Ramadan, Ahmed N [VerfasserIn]
Omara-Reda, Hend [VerfasserIn]
Zidan, Abdel-Aziz A [VerfasserIn]
Samman, Waad A [VerfasserIn]
El-Berri, Eman I [VerfasserIn]

Links:

Volltext

Themen:

Antipsychotic Agents
Inflammatory cytokines
Interleukin-6
Journal Article
L6UH7ZF8HC
Negative symptoms
PANSS
Pentoxifylline
Phosphodiesterase inhibitor
Randomized Controlled Trial
Retracted Publication
Risperidone
SD6QCT3TSU
Schizophrenia
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 03.01.2023

Date Revised 11.03.2024

published: Print-Electronic

ClinicalTrials.gov: NCT04094207

RetractionIn: CNS Neurosci Ther. 2024 Mar;30(3):e14668. - PMID 38465469

Citation Status MEDLINE

doi:

10.1111/cns.14010

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM348555571