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The British Journal of Psychiatry (2004) 184: s94-S101
© 2004 The Royal College of Psychiatrists

Retrospective analysis of risk factors in patients with treatment-emergent diabetes during clinical trials of antipsychotic medications

Patrizia Cavazzoni, MD, Nitai Mukhopadhyay, PhD, Christopher Carlson, PhD and Alan Breier, MD

Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, Indiana

John Buse, MD PhD

Division of General Medicine and Clinical Epidemiology and of Endocrinology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA

Correspondence: Dr Patrizia Cavazzoni, Lilly Research Laboratories, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN 46285, USA. Tel: (317) 433 9485; fax: (317) 276 8682; e-mail: p_cavazzoni{at}lilly.com

Declaration of interest The study was sponsored by Eli Lilly and Company.

Aims In this retrospective analysis, we assessed the short-term risk of treatment-emergent diabetes (TED) among patients with schizophrenia during clinical trials of antipsychotic medications.

Method From a non-diabetic cohort of patients with schizophrenia (n=5013), the relationship between baseline non-fasting glucose measurement, presence at baseline of risk factors for diabetes, weight gain and therapy assignment on the risk of treatment-emergent diabetes were assessed.

Results At the baseline assessment, about a third of patients identified with TED during treatment had non-fasting glucose levels over 7.8 mmol/l and two-thirds had multiple diabetes risk factors. Both baseline non-fasting glucose level and the presence of multiple pre-existing diabetes risk factors appeared to have a major impact on the risk of developing diabetes.

Conclusions Overall, risk factors for diabetes in patients with schizophrenia overlap those in the general population. The results also suggest that many patients identified with TED might have had pre-existing glycaemic abnormalities or a high baseline burden of diabetes risk factors.




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Introduction
The British Journal of Psychiatry, April 1, 2004; 184(47): s53 - s54.
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