The objective of this study is to examine the efficacy and safety of sertindole compared to risperidone when administered to treatment resistant schizophrenic patients. According to the dopamine hypothesis of schizophrenia, the antipsychotic effects of neuroleptic drugs are due to blockade of dopamine D2- receptors in the mesolimbic pathway. The blocking of dopamine receptors in the nigrostriatal pathway is thought to be responsible for the appearance of extrapyramidal adverse events. Most currently available antipsychotics block the action of dopamine receptors nonselectively in both pathways. Consequently, a high incidence of extrapyramidal adverse events is seen together with the antipsychotic activity of these drugs. Sertindole (Abbott-81968), combines a selective antagonist effect on mesolimbic dopamine neurons with seratonergic antagonist effects. The compound has no significant effect at relevant doses on nigostriatal dopamine neurons in in vivo animal experiments. Sertindole might be expected to improve symptoms of schizophrenia with minimal or no neurological adverse events. Twenty subjects are expected to participate at this site, 400 in North America.

Project Start
1997-12-01
Project End
1998-11-30
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
36
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Case Western Reserve University
Department
Type
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
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