Rxulti® Gains EU Approval for Treating Schizophrenia in Teens

Rxulti® Receives EU Approval for Adolescent Schizophrenia Treatment
In a significant move for adolescent mental health, the European Commission has granted approval for Rxulti® (brexpiprazole) to be used in treating schizophrenia in young patients aged 13 years and older. This marks an important extension of Rxulti's indication, as it was previously authorized solely for adults.
Positive Outcomes from Clinical Trials
The approval is based on the results of a rigorous six-week randomized, double-blind, placebo-controlled trial involving 316 adolescents. This study demonstrated that treatment with brexpiprazole improved schizophrenia symptoms significantly compared to a placebo, showing its efficacy in young patients.
With a recommended dosage of 2-4 mg/day, patients who were treated with Rxulti experienced marked improvements in their PANSS total score, which is widely used for measuring symptom severity in schizophrenia. Additionally, the drug was found to be generally well-tolerated by this younger demographic, mirroring the safety profile established in adult patients.
Expert Insight on the Approval
Andy Hodge, CEO of Otsuka Pharmaceutical Europe, expressed optimism about the approval saying, "The prognosis for adolescents with schizophrenia is less favorable than their adult counterparts due to more severe symptoms. The EC's approval allows us to provide adolescents a vital treatment option that was previously unavailable."
Johan Luthman, EVP and Head of R&D at Lundbeck, stated, "This approval is a pivotal moment for adolescents and their families. It shows our deep commitment to reducing the burden of mental illness in Europe, allowing access to a proven treatment like brexpiprazole."
Understanding Brexpiprazole: Mechanism and Development
Brexpiprazole is an atypical oral antipsychotic designed to be taken once daily. Its mechanism of action involves modulating the activity of serotonin and dopamine systems in the brain. Specifically, it combines partial agonist activity at serotonin 5-HT1A and dopamine D2 receptors, along with antagonist effects at serotonin 5-HT2A receptors.
This unique pharmacology affords brexpiprazole its efficacy while maintaining a favorable side-effect profile, which is especially crucial for younger patients who may be more susceptible to adverse effects. The drug was developed through a collaboration between Otsuka Pharmaceutical Europe and H. Lundbeck A/S, illustrating a commitment to addressing unmet medical needs in treating mental health disorders.
The Landscape of Schizophrenia
Schizophrenia is a complex and chronic mental disorder that can significantly disrupt daily life. It's characterized by symptoms such as delusions and hallucinations, which can lead to profound distress and impairments across various life domains including personal relationships and education.
Approximately 24 million people worldwide are affected by schizophrenia, emphasizing the need for effective treatment options. The condition typically manifests during late adolescence or early adulthood, making timely intervention critical.
Commitment to Innovation and Community Health
Otsuka Pharmaceutical is dedicated to innovation in healthcare, with a focus on meeting unmet medical needs through research and development in various fields, particularly mental health. The company operates under the philosophy of improving health outcomes globally.
Otsuka Europe, employing around 500 staff, concentrates on psychiatric disorders, nephrology, and immunology, among other areas. The European arm aims to contribute significantly towards mental health solutions and continues to evaluate opportunities for better treatments.
The Role of Lundbeck in Neurological Health
H. Lundbeck A/S is a biopharmaceutical company with over seven decades of expertise in neuroscience, devoted to enhancing lives affected by neurological diseases. Their commitment to tackling brain health challenges has led to continuous advancements in treatment options for conditions like schizophrenia.
With approximately 5,500 employees in 50 countries, Lundbeck emphasizes the importance of health equity and actively works towards reducing stigma associated with mental disorders.
Frequently Asked Questions
What is Rxulti® and what is its intended use?
Rxulti® (brexpiprazole) is an atypical antipsychotic approved for treating schizophrenia in adolescents aged 13 and older.
How effective is brexpiprazole for adolescents?
Clinical trials indicated that brexpiprazole significantly reduces schizophrenia symptoms compared to placebo, showing it is effective for young patients.
What are the dosing guidelines for Rxulti®?
The recommended dose for brexpiprazole is between 2-4 mg per day, adjusted based on clinical response and tolerability.
Who develops Rxulti® and what are their goals?
Rxulti® is co-developed by Otsuka Pharmaceutical and Lundbeck with the goal of innovating treatment options in mental health.
Why is the approval of Rxulti® significant?
This approval provides a much-needed treatment option for adolescents suffering from schizophrenia, addressing a critical gap in available therapies.
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