Evidence map›Paper›PMID 40025389›Full record

ArticleAdvances in therapy2025

Survey on the Initiation of Aripiprazole Once-Monthly via a Two-Injection Start in Adult Patients with Schizophrenia: Experience of European Healthcare Professionals.

Andrea Fagiolini, Karolina Leopold, Sofia Pappa, William J Cottam, Joe Hickey, Olivia Rogerson, Murat Yildirim, Clodagh Beckham

Abstract read
In one paragraph

Article in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea Fagiolini *Università di Siena, Siena, Italy.ORCID 0000-0001-5827-0853
Karolina Leopold *Vivantes Hospital am Urban and Vivantes Hospital im Friedrichshain, Charite, Universitätsmedizin, Berlin, Germany.
Sofia Pappa *Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0002-6303-1547
William J CottamReal-World Evidence, OPEN Health, London, UK.ORCID 0000-0003-4045-8609
Joe HickeyReal-World Evidence, OPEN Health, London, UK.ORCID 0009-0004-2669-3447
Olivia RogersonReal-World Evidence, OPEN Health, London, UK.
Murat YildirimH. Lundbeck A/S, Valby, Denmark.ORCID 0000-0001-6192-1047
Clodagh BeckhamOtsuka Pharmaceutical Europe Ltd., 2 Windsor Dials, Arthur Road, Windsor, Berkshire, SL4 1RS, UK. CBeckham@otsuka-europe.com.ORCID 0009-0003-2351-2519

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAripiprazole once-monthly 400 mg (AOM 400) is a long-acting injectable (LAI) for the maintenance treatment of adults with schizophrenia. The AOM 400 two-injection start initiation regimen (AOM 400-TIS) is an alternative to treatment initiation with one injection of AOM 400 plus 14 days of oral aripiprazole supplementation. This survey investigated the real-world experiences of European healthcare professionals (HCPs) with AOM 400-TIS.

methodsPhysicians and nurses in Germany, Italy, and the United Kingdom who had prescribed and/or administered AOM 400-TIS ≥ 3 times to patients with schizophrenia were invited to participate in an online survey. The primary objective was to investigate HCPs' experiences and satisfaction with AOM 400-TIS. Descriptive analysis was performed on data collected between 1 February and 21 March 2024.

resultsData from 94 HCPs were analysed. Most were psychiatrists (62.8%) or psychiatric nurses (29.8%) who worked in specialist mental health clinics/centres (59.6%) or hospitals (inpatient, 36.2%; outpatient, 23.4%). Median duration in clinical practice was 21.0 years. Common reasons for initiating AOM 400-TIS were poor adherence (85.1%), relapse (59.6%), and high hospitalisation rates (48.9%). Common prescribing goals for AOM 400-TIS included improving adherence (70.2%), preventing relapses (69.1%), and improving patient quality of life (62.8%). Barriers to AOM 400-TIS were patients not wanting two injections (66.0%), tolerability concerns (30.9%), and safety concerns regarding administration of a high dose on a single day (28.7%). Key factors influencing prescription of AOM 400-TIS were prior treatment adherence (55.3%) and efficacy (48.9%). Most HCPs agreed/strongly agreed that AOM 400-TIS was easy to administer (79.8%) and had a similar safety/tolerability profile to the one-injection start regimen (69.1%), with the majority satisfied with patient outcomes with AOM 400-TIS (84.0%).

conclusionsEuropean HCPs reported that AOM 400-TIS was easy to administer, well tolerated, and improved treatment outcomes. Barriers to its use included patient reluctance and perceived safety concerns.

Indexed as

Antipsychotic AgentsAripiprazoleSchizophreniaAdultAttitude of Health PersonnelDelayed-Action PreparationsDrug Administration ScheduleEuropeFemaleHumansInjections, IntramuscularMaleMiddle AgedSurveys and QuestionnairesAntipsychotic AgentsAripiprazoleDelayed-Action PreparationsClinical practiceLong-acting injectableReal-world evidenceSurveyTreatment adherenceTreatment initiation

Identifiers

PMID40025389
PMCPMC11929703

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.