Page last updated: 2024-11-03

risperidone and Arrhythmia

risperidone has been researched along with Arrhythmia in 13 studies

Risperidone: A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA.
risperidone : A member of the class of pyridopyrimidines that is 2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one carrying an additional 2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl group at position 2.

Research Excerpts

ExcerptRelevanceReference
"Results of these analyses suggest that olanzapine, as therapeutically administered to patients with schizophrenia and related psychoses, does not contribute to QTc prolongation resulting in potentially fatal ventricular arrhythmias."9.09Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis. ( Beasley, CM; Berg, PH; Czekalla, J; Dellva, MA; Grundy, S, 2001)
"Sertindole did not increase all-cause mortality, but cardiac mortality was higher and suicide attempts may be lower with sertindole."6.75Safety of sertindole versus risperidone in schizophrenia: principal results of the sertindole cohort prospective study (SCoP). ( Crocq, MA; Drici, MD; Everitt, B; Hall, GC; Lader, MH; Le Jeunne, C; Mann, RD; Mittoux, A; Moore, ND; Naber, D; Peuskens, J; Priori, S; Sturkenboom, M; Tanghøj, P; Thibaut, F; Thomas, SH; Toumi, M, 2010)
"Results of these analyses suggest that olanzapine, as therapeutically administered to patients with schizophrenia and related psychoses, does not contribute to QTc prolongation resulting in potentially fatal ventricular arrhythmias."5.09Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis. ( Beasley, CM; Berg, PH; Czekalla, J; Dellva, MA; Grundy, S, 2001)
"Patients with schizophrenia treated with clozapine, haloperidol, risperidone, or thioridazine; a control group of patients with glaucoma; and a control group of patients with psoriasis."3.71Cardiac arrest and ventricular arrhythmia in patients taking antipsychotic drugs: cohort study using administrative data. ( Bilker, WB; Glasser, DB; Hennessy, S; Kimmel, SE; Knauss, JS; Margolis, DJ; Morrison, MF; Reynolds, RF; Strom, BL, 2002)
"Sertindole did not increase all-cause mortality, but cardiac mortality was higher and suicide attempts may be lower with sertindole."2.75Safety of sertindole versus risperidone in schizophrenia: principal results of the sertindole cohort prospective study (SCoP). ( Crocq, MA; Drici, MD; Everitt, B; Hall, GC; Lader, MH; Le Jeunne, C; Mann, RD; Mittoux, A; Moore, ND; Naber, D; Peuskens, J; Priori, S; Sturkenboom, M; Tanghøj, P; Thibaut, F; Thomas, SH; Toumi, M, 2010)
"Aripiprazole has the most consistent evidence of symptom improvement; however, this improvement is small."2.53Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic Use. ( Cocker, KE; Reese, TR; Thiel, DJ, 2016)
" This is because of their efficacy in the treatment of several psychiatric disorders, ease of administration, and absence of the well-known extrapyramidal adverse effects long-attributed to the standard dopamine blocking anti-psychotic medications."2.42Atypical psychotropic medications and their adverse effects: a review for the African-American primary care physician. ( Bailey, RK, 2003)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's8 (61.54)29.6817
2010's5 (38.46)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Jia, L1
Sun, H1
Kram, BL1
Kram, SJ1
Brooks, KR1
Reese, TR1
Thiel, DJ1
Cocker, KE1
Thomas, SH1
Drici, MD1
Hall, GC1
Crocq, MA1
Everitt, B1
Lader, MH1
Le Jeunne, C1
Naber, D1
Priori, S1
Sturkenboom, M1
Thibaut, F1
Peuskens, J1
Mittoux, A1
Tanghøj, P1
Toumi, M1
Moore, ND1
Mann, RD1
Pollak, PT1
Verjee, ZH1
Lyon, AW1
Suzuki, Y1
Ono, S1
Fukui, N1
Sugai, T1
Watanabe, J1
Tsuneyama, N1
Someya, T1
Hennessy, S1
Bilker, WB1
Knauss, JS1
Margolis, DJ1
Kimmel, SE1
Reynolds, RF1
Glasser, DB1
Morrison, MF1
Strom, BL1
Bailey, RK1
Ando, K1
Sugiyama, A1
Takahara, A1
Satoh, Y1
Ishizaka, T1
Nakamura, Y1
Hashimoto, K1
Wang, PS1
Schneeweiss, S1
Setoguchi, S1
Patrick, A1
Avorn, J1
Mogun, H1
Choudhry, NK1
Brookhart, MA1
Perlis, RH1
Czekalla, J1
Beasley, CM1
Dellva, MA1
Berg, PH1
Grundy, S1
Wilton, LV1
Heeley, EL1
Pickering, RM1
Shakir, SA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Sertindole Versus Risperidone Safety Outcome Study: a Randomised, Partially-blinded, Parallel-group, Active-controlled, Post-marketing Study[NCT00856583]Phase 39,809 participants (Actual)Interventional2002-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cause-specific Mortality: Number of Participants With Cardiac Deaths - ISC

"The analysis was based on all deaths from the WRT+30 days period using the classification performed by the ISC.~The ISC reviewed and classified those adverse events which resulted in death or hospitalisation or were possible suicide attempts and this review was blinded to exposure. The definition of cardiac death was intentionally wide; sudden or unexplained deaths were assumed to be cardiac if there was no non-cardiac explanation. To ensure consistent evaluation and classification, the ISC decided a priori to classify all instances of self harm as possible suicide." (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole31
Risperidone12

Cause-specific Mortality: Number of Participants With Cardiac Deaths - MedDRA

The analysis was based on all deaths from the WRT+30 days period using the classification based upon the Medical Dictionary for Regulatory Activities (MedDRA) terminology, that is, as reported by the investigator (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole17
Risperidone8

Cause-specific Mortality: Number of Participants With Completed Suicides - ISC

"The analysis was based on all deaths from the WRT+30 days period using the classification performed by the ISC.~The ISC reviewed and classified those adverse events which resulted in death or hospitalisation or were possible suicide attempts and this review was blinded to exposure. The definition of cardiac death was intentionally wide; sudden or unexplained deaths were assumed to be cardiac if there was no non-cardiac explanation. To ensure consistent evaluation and classification, the ISC decided a priori to classify all instances of self harm as possible suicide." (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole14
Risperidone21

Cause-specific Mortality: Number of Participants With Completed Suicides - MedDRA

The analysis was based on all deaths from the WRT+30 days period using the classification based upon MedDRA terminology, that is, as reported by the investigator (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole13
Risperidone21

Cause-specific Mortality: Number of Participants With Other Than Cardiac Deaths and Completed Suicides - ISC

"The analysis was based on all deaths from the WRT+30 days period using the classification performed by the ISC.~The ISC reviewed and classified those adverse events which resulted in death or hospitalisation or were possible suicide attempts and this review was blinded to exposure. The definition of cardiac death was intentionally wide; sudden or unexplained deaths were assumed to be cardiac if there was no non-cardiac explanation. To ensure consistent evaluation and classification, the ISC decided a priori to classify all instances of self harm as possible suicide." (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole19
Risperidone28

Cause-specific Mortality: Number of Participants With Other Than Cardiac Deaths and Completed Suicides - MedDRA

The analysis was based on all deaths from the WRT+30 days period using the classification based upon MedDRA terminology, that is, as reported by the investigator (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole34
Risperidone32

Number of Participants With Discontinuation of Treatment for Any Reason Other Than Study Closure

The analysis was based on time from start of study drug until stop of study drug for any reason other than sponsor closure of the study (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole3136
Risperidone2597

Number of Participants With Hospitalisations, Excluding Hospitalisations Related to the Primary Psychiatric Disease

The analysis was based on time from start of study drug to first hospitalisation during the WRT+30 days period (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole174
Risperidone149

Number of Participants With Suicide Attempts (Fatal and Non-fatal) - ISC

"The analysis was based on all suicides and suicide attempts from the WRT+30 days period using the classification performed by the ISC.~The ISC reviewed and classified those adverse events which resulted in death or hospitalisation or were possible suicide attempts and this review was blinded to exposure. The definition of cardiac death was intentionally wide; sudden or unexplained deaths were assumed to be cardiac if there was no non-cardiac explanation. To ensure consistent evaluation and classification, the ISC decided a priori to classify all instances of self harm as possible suicide." (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole68
Risperidone76

Number of Participants With Suicide Attempts (Fatal and Non-fatal) - MedDRA

The analysis was based on all suicides and suicide attempts from the WRT+30 days period using the classification based upon MedDRA terminology, that is, as reported by the investigator (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole43
Risperidone65

Second Primary Outcome: Number of Participants With Cardiac Events, Including Arrhythmias, Requiring Hospitalisation

Second primary endpoint: a serious adverse event where the patient was hospitalised and for which the Independent Safety Committee (ISC) classified the event as a cardiac event with documented arrhythmia. The analysis of this outcome was not performed due to low number of events. The presented analysis is a replacement analysis using all cardiac events, including arrhythmias, that required hospitalisation (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

Interventionparticipants (Number)
Sertindole10
Risperidone6

Number of Participants With All-cause Mortality

The analysis was based on all deaths from the Whole Randomised Treatment (WRT)+30 days period and the Only Randomised Treatment (ORT) period, respectively (NCT00856583)
Timeframe: As study design allowed patients to continue study drug until the study was closed, many patients were followed for several years, with an overall median time period of approximately 14 months

,
Interventionparticipants (Number)
Number of deaths (WRT+30 days)Number of deaths (ORT)
Risperidone6144
Sertindole6440

Reviews

3 reviews available for risperidone and Arrhythmia

ArticleYear
Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic Use.
    American family physician, 2016, Aug-15, Volume: 94, Issue:4

    Topics: Antipsychotic Agents; Aripiprazole; Arrhythmias, Cardiac; Basal Ganglia Diseases; Behavior Therapy;

2016
Atypical psychotropic medications and their adverse effects: a review for the African-American primary care physician.
    Journal of the National Medical Association, 2003, Volume: 95, Issue:2

    Topics: Adult; Aged; Antipsychotic Agents; Arrhythmias, Cardiac; Benzodiazepines; Black or African American;

2003
Treatment of bipolar disorder: the evolving role of atypical antipsychotics.
    The American journal of managed care, 2007, Volume: 13, Issue:7 Suppl

    Topics: Antipsychotic Agents; Aripiprazole; Arrhythmias, Cardiac; Benzodiazepines; Bipolar Disorder; Diabete

2007

Trials

2 trials available for risperidone and Arrhythmia

ArticleYear
Safety of sertindole versus risperidone in schizophrenia: principal results of the sertindole cohort prospective study (SCoP).
    Acta psychiatrica Scandinavica, 2010, Volume: 122, Issue:5

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antipsychotic Agents; Arrhythmias, Cardiac; Female; Hear

2010
Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis.
    The Journal of clinical psychiatry, 2001, Volume: 62, Issue:3

    Topics: Acute Disease; Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Aged; Antipsychotic Agent

2001

Other Studies

8 other studies available for risperidone and Arrhythmia

ArticleYear
Support vector machines classification of hERG liabilities based on atom types.
    Bioorganic & medicinal chemistry, 2008, Jun-01, Volume: 16, Issue:11

    Topics: Animals; Arrhythmias, Cardiac; CHO Cells; Computer Simulation; Cricetinae; Cricetulus; Discriminant

2008
Implications of atypical antipsychotic prescribing in the intensive care unit.
    Journal of critical care, 2015, Volume: 30, Issue:4

    Topics: Adult; Aged; Antipsychotic Agents; Aripiprazole; Arrhythmias, Cardiac; Basal Ganglia Diseases; Benzo

2015
Risperidone-induced QT prolongation following overdose correlates with serum drug concentration and resolves rapidly with no evidence of altered pharmacokinetics.
    Journal of clinical pharmacology, 2011, Volume: 51, Issue:7

    Topics: Adult; Affective Disorders, Psychotic; Antipsychotic Agents; Arrhythmias, Cardiac; Drug Overdose; Fe

2011
Dose-dependent increase in the QTc interval in aripiprazole treatment after risperidone.
    Progress in neuro-psychopharmacology & biological psychiatry, 2011, Mar-30, Volume: 35, Issue:2

    Topics: Adult; Antipsychotic Agents; Aripiprazole; Arrhythmias, Cardiac; Dose-Response Relationship, Drug; E

2011
Cardiac arrest and ventricular arrhythmia in patients taking antipsychotic drugs: cohort study using administrative data.
    BMJ (Clinical research ed.), 2002, Nov-09, Volume: 325, Issue:7372

    Topics: Adult; Aged; Antipsychotic Agents; Arrhythmias, Cardiac; Clozapine; Cohort Studies; Confidence Inter

2002
Analysis of proarrhythmic potential of antipsychotics risperidone and olanzapine in anesthetized dogs.
    European journal of pharmacology, 2007, Mar-08, Volume: 558, Issue:1-3

    Topics: Action Potentials; Anesthesia; Animals; Antipsychotic Agents; Arrhythmias, Cardiac; Benzodiazepines;

2007
Ventricular arrhythmias and cerebrovascular events in the elderly using conventional and atypical antipsychotic medications.
    Journal of clinical psychopharmacology, 2007, Volume: 27, Issue:6

    Topics: Administration, Oral; Aged; Antipsychotic Agents; Aripiprazole; Arrhythmias, Cardiac; Benzodiazepine

2007
Comparative study of mortality rates and cardiac dysrhythmias in post-marketing surveillance studies of sertindole and two other atypical antipsychotic drugs, risperidone and olanzapine.
    Journal of psychopharmacology (Oxford, England), 2001, Volume: 15, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Antipsychotic Agents; Arrhythmias, Cardiac; Benzodiazepines; Cohort

2001