精神分裂症治疗
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新型磁刺激治疗方案有助改善精神分裂症症状
Ke Ji Ri Bao· 2025-10-24 01:12
在北京市自然科学基金的支持下,韩云毅与中国科学院自动化所科研人员合作,深入揭示了一种新 型磁刺激——个体化加速间歇性θ波刺激改善阴性症状的神经机制,同时开展了随机对照双盲的临床研 究。研究共纳入80名以阴性症状为主的精神分裂症患者,研究人员将其随机分为真刺激组和伪刺激组。 真刺激组接受为期10天的个体化加速间歇性θ波刺激治疗,每天刺激4次,每次1800个脉冲。伪刺激组与 真刺激组做相同的治疗流程,但刺激器不产生任何磁刺激。 对比结果显示,真刺激组在治疗后的第4周,阴性症状显著减轻,其效果明显优于伪刺激组。两组 的响应率(即阴性症状缓解50%以上的人群)分别为77.5%和17.5%。真刺激组的阴性症状评分比伪刺激 组平均值降低了4.10分,效应量达到0.83,属于中等至高度的治疗效果,且疗效在3个月的随访期间仍然 显著。此外,研究还发现,真刺激组患者在接受治疗后,左侧颞中回神经活动降幅显著,且中脑与颞中 回之间的功能连接也相对减弱。这些神经活动的变化与阴性症状的改善密切相关。 从实验结果来看,该治疗方案有效改善了精神分裂症阴性症状,为精神分裂症患者提供了新的治疗 选择。 下一步,韩云毅还将计划开展更大样本量的多 ...
聚焦世界精神卫生日|上海市精神卫生中心刘登堂:依从性差是精神分裂症治疗拦路虎,长效针剂成主流治疗方向
Mei Ri Jing Ji Xin Wen· 2025-10-10 09:07
Core Insights - The theme for World Mental Health Day 2025 is "Everyone enjoys mental health services," highlighting the increasing challenges in China's mental health sector [1] - The World Health Organization (WHO) reports approximately 24 million schizophrenia patients globally, with over 8 million in China, indicating a significant public health issue [1] - Schizophrenia is increasingly recognized as a chronic brain disease rather than a functional disorder, necessitating long-term treatment strategies [1][2] Treatment Challenges - Approximately 80% of schizophrenia patients experience onset between the ages of 16 and 35, a critical period for social integration [2] - Poor medication adherence is a major challenge in treating schizophrenia, with a treatment interruption rate of 75% in China, leading to high relapse rates of 77% within one year and 90% within two years [3] - Each relapse can increase direct medical costs by four times, emphasizing the need for improved adherence strategies [3] Long-Acting Injectable Medications - The recently updated "Chinese Schizophrenia Prevention and Treatment Guidelines (2025 Edition)" emphasizes the clinical value of long-acting injectable antipsychotics, recommending their early use while respecting patient preferences [4] - Long-acting injectables can significantly reduce medication frequency and improve adherence compared to oral medications [4] - Current clinical usage of long-acting injectables in China is less than 5%, compared to 25%-30% in Europe and the U.S., indicating a substantial gap [5] Government and Healthcare Initiatives - Efforts are underway to increase the clinical use of long-acting injectables in China, including enhanced education for healthcare providers and patients, as well as the inclusion of these medications in health insurance coverage [5] - Government subsidy programs in cities like Shanghai are providing free medication support to patients, aiming to improve treatment access and adherence [5]
Teva Pharmaceutical Industries (NYSE:TEVA) Update / Briefing Transcript
2025-09-22 16:02
Teva Pharmaceutical Industries Conference Call Summary Company Overview - **Company**: Teva Pharmaceutical Industries (NYSE: TEVA) - **Focus**: Development of Elanzapin LAI for the treatment of schizophrenia Key Industry Insights - **Schizophrenia**: A complex and progressive mental illness characterized by both positive and negative symptoms, cognitive implications, and mood disturbances, significantly impacting patients' quality of life [4][10] - **Market Opportunity**: High unmet needs in schizophrenia treatment, with a significant number of patients in both the U.S. and EU, particularly favoring long-acting injectables (LAIs) [12][10] Core Product Insights - **Elanzapin LAI**: A new formulation designed to prevent Post-Injection Delirium and Sedation Syndrome (PDSS), which has been a barrier to the use of Elanzapin in LAI form [5][17] - **Clinical Data**: Over 4,000 subcutaneous injections administered with no instances of PDSS reported, demonstrating both safety and efficacy [8][26] - **Efficacy Results**: Achieved a statistically and clinically meaningful improvement in symptoms across all doses in the Solaris Phase 3 study [8][17] Competitive Landscape - **Comparison with Existing Treatments**: Elanzapin LAI is positioned as a best-in-class option alongside Uzeti, targeting patients inadequately controlled on oral medications or other LAIs [10][11] - **Market Dynamics**: Anticipated quicker utilization and broader adoption of LAIs, with Elanzapin LAI expected to fulfill a significant treatment gap [12][32] Regulatory and Development Insights - **FDA Engagement**: Ongoing positive discussions with the FDA regarding the safety and efficacy data, with confidence in a favorable label for Elanzapin LAI [26][75] - **Lifecycle Management**: Potential for expanding indications to include bipolar disorder, building a comprehensive franchise around Elanzapin [27][32] Financial Projections - **Revenue Expectations**: Projected peak revenue for the Elanzapin franchise between $1.5 billion and $2 billion, with potential for higher sales based on historical performance of oral Elanzapin [51][70] - **Market Penetration**: Anticipated strong uptake in Europe due to higher existing usage of Elanzapin and LAIs [70][51] Additional Considerations - **Patient Journey**: Understanding the complexities of the patient journey in schizophrenia treatment is crucial for effective intervention and market strategy [12][13] - **Weight Management**: Weight gain associated with Elanzapin is manageable, with strategies in place to mitigate this risk through lifestyle interventions and potential co-prescriptions [37][39] Conclusion - **Strategic Positioning**: Teva is well-positioned to address significant unmet needs in schizophrenia treatment with the launch of Elanzapin LAI, leveraging its established neuroscience legacy and robust clinical data [3][82] - **Future Outlook**: The company expresses optimism about the potential impact of Elanzapin LAI on patient care and market dynamics, with a strong commitment to advancing treatment options in the psychiatric space [82][83]
新型纳米抗体有望用于治疗精神分裂症
财联社· 2025-07-27 08:29
Core Viewpoint - A new type of injectable nanobody derived from llama antibodies has been developed, offering a potential new treatment avenue for schizophrenia with fewer side effects [1] Summary by Sections Research Findings - The new nanobody specifically activates glutamate receptors, which are key receptors in the brain associated with schizophrenia, potentially improving cognitive impairments that current treatments do not adequately address [1] - The efficacy of the nanobody has been validated in two animal models, showing significant improvement in cognitive abilities of mice with cognitive impairments, with effects lasting over a week post-injection [1] Administration and Safety - The nanobody can be administered via peripheral injection methods such as intravenous or intramuscular routes, and it is biodegradable with minimal side effects [1] Future Directions - Clinical studies are needed to confirm the effectiveness of this treatment approach, and similar therapies may be applicable to other neurological disorders [1]