Profile of blonanserin for the treatment of schizophrenia

Tomomi Tenjin, Seiya Miyamoto, Yuriko Ninomiya, Rei Kitajima, Shin Ogino, Nobumi Miyake, Noboru YamaguchiDepartment of Neuropsychiatry, St Marianna University School of Medicine, Kawasaki, Kanagawa, JapanAbstract: Blonanserin was developed as an antipsychotic drug in Japan and approved for the treat...

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Autores principales: Tenjin T, Miyamoto S, Ninomiya Y, Kitajima R, Ogino S, Miyake N, Yamaguchi N
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Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:e302a7e69eba4fb2b7c5fc3a1d82f6ed2021-12-02T01:17:32ZProfile of blonanserin for the treatment of schizophrenia1176-63281178-2021https://doaj.org/article/e302a7e69eba4fb2b7c5fc3a1d82f6ed2013-04-01T00:00:00Zhttp://www.dovepress.com/profile-of-blonanserin-for-the-treatment-of-schizophrenia-a12902https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Tomomi Tenjin, Seiya Miyamoto, Yuriko Ninomiya, Rei Kitajima, Shin Ogino, Nobumi Miyake, Noboru YamaguchiDepartment of Neuropsychiatry, St Marianna University School of Medicine, Kawasaki, Kanagawa, JapanAbstract: Blonanserin was developed as an antipsychotic drug in Japan and approved for the treatment of schizophrenia. It belongs to a series of 4-phenyl-2-(1-piperazinyl)pyridines and acts as an antagonist at dopamine D2, D3, and serotonin 5-HT2A receptors. Blonanserin has low affinity for 5-HT2C, adrenergic α1, histamine H1, and muscarinic M1 receptors, but displays relatively high affinity for 5-HT6 receptors. In several short-term double-blind clinical trials, blonanserin had equal efficacy as haloperidol and risperidone for positive symptoms in patients with chronic schizophrenia and was also superior to haloperidol for improving negative symptoms. Blonanserin is generally well tolerated and has a low propensity to cause metabolic side effects and prolactin elevation. We recently reported that blonanserin can improve some types of cognitive function associated with prefrontal cortical function in patients with first-episode and chronic schizophrenia. Taken together, these results suggest that blonanserin may be a promising candidate for a first-line antipsychotic for acute and maintenance therapy for schizophrenia. Further comparative studies are warranted to clarify the benefit/risk profile of blonanserin and its role in the treatment of schizophrenia.Keywords: blonanserin, schizophrenia, pharmacology, pharmacokinetics, efficacy, safetyTenjin TMiyamoto SNinomiya YKitajima ROgino SMiyake NYamaguchi NDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 587-594 (2013)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Tenjin T
Miyamoto S
Ninomiya Y
Kitajima R
Ogino S
Miyake N
Yamaguchi N
Profile of blonanserin for the treatment of schizophrenia
description Tomomi Tenjin, Seiya Miyamoto, Yuriko Ninomiya, Rei Kitajima, Shin Ogino, Nobumi Miyake, Noboru YamaguchiDepartment of Neuropsychiatry, St Marianna University School of Medicine, Kawasaki, Kanagawa, JapanAbstract: Blonanserin was developed as an antipsychotic drug in Japan and approved for the treatment of schizophrenia. It belongs to a series of 4-phenyl-2-(1-piperazinyl)pyridines and acts as an antagonist at dopamine D2, D3, and serotonin 5-HT2A receptors. Blonanserin has low affinity for 5-HT2C, adrenergic α1, histamine H1, and muscarinic M1 receptors, but displays relatively high affinity for 5-HT6 receptors. In several short-term double-blind clinical trials, blonanserin had equal efficacy as haloperidol and risperidone for positive symptoms in patients with chronic schizophrenia and was also superior to haloperidol for improving negative symptoms. Blonanserin is generally well tolerated and has a low propensity to cause metabolic side effects and prolactin elevation. We recently reported that blonanserin can improve some types of cognitive function associated with prefrontal cortical function in patients with first-episode and chronic schizophrenia. Taken together, these results suggest that blonanserin may be a promising candidate for a first-line antipsychotic for acute and maintenance therapy for schizophrenia. Further comparative studies are warranted to clarify the benefit/risk profile of blonanserin and its role in the treatment of schizophrenia.Keywords: blonanserin, schizophrenia, pharmacology, pharmacokinetics, efficacy, safety
format article
author Tenjin T
Miyamoto S
Ninomiya Y
Kitajima R
Ogino S
Miyake N
Yamaguchi N
author_facet Tenjin T
Miyamoto S
Ninomiya Y
Kitajima R
Ogino S
Miyake N
Yamaguchi N
author_sort Tenjin T
title Profile of blonanserin for the treatment of schizophrenia
title_short Profile of blonanserin for the treatment of schizophrenia
title_full Profile of blonanserin for the treatment of schizophrenia
title_fullStr Profile of blonanserin for the treatment of schizophrenia
title_full_unstemmed Profile of blonanserin for the treatment of schizophrenia
title_sort profile of blonanserin for the treatment of schizophrenia
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/e302a7e69eba4fb2b7c5fc3a1d82f6ed
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