Treatment continuation and factors associated with discontinuation with 3-month paliperidone palmitate in patients with schizophrenia: a post hoc analysis of post-marketing surveillance data in Japan
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March 18, 2026
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1
Paliperidone palmitate 3-month formulation (PP3M) shows high treatment continuation rates in Japanese schizophrenia patients, particularly without concomitant medications.
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2
The 12-month treatment continuation rate for PP3M was reported at 84.7%, with higher rates for patients not using concomitant medications.
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A starting dose of 175 mg of PP3M significantly increased the risk of treatment discontinuation, indicating the need for personalized dosing.
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The treatment-related mortality rate was 3.94 per 1,000 person-years, with a standardized mortality ratio of 0.95 for the total population.
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Stable concomitant medication use during PP3M treatment supports symptomatic stability and suggests the feasibility of monotherapy.