0:00:00i my name is jennifer occur in geneva
0:00:03and i'm a coauthor of the manuscript entitled
0:00:06expansion of guidance for the day eight initiation does a power paradigm comedy
0:00:11to avoid a mysterious
0:00:14although symptoms of schizophrenia can be treated affectively with and i psychotic medication
0:00:20for any hearing stupor scrap treatment is a well recognized problem
0:00:24continuous and a psychotic their be is essential for achieving sistine symptom control
0:00:31and for reducing the risk of relax and we hospitalisation
0:00:35long acting intractable in a sec a text
0:00:37provide a sustained release profile resulting in their pewter concentrations over several weeks
0:00:44as a weapon eating the need for daily dosing
0:00:47how dare don't comedy is a once monthly long acting intractable formulation of how paragon
0:00:54approved in several countries for the treatment of schizophrenia in adults
0:00:59after intra muscular administration of two initiation does is given one week apart in the
0:01:05results right muscle
0:01:06how appeared on comedy is administered monthly
0:01:09and the child joint or video must so
0:01:12the recommended initiation regimen is two hundred thirty four milligrams and a one
0:01:18corresponding to a hundred and fifty milligrams of power paragon
0:01:22followed by one hundred and fifty six milligrams and eight
0:01:26corresponding to one hundred milligrams a power paradigm
0:01:30previously of the powder don't comedy label indicated that the date eight injection could be
0:01:36administered within plus or minus two days of date eight to avoid in ms jokes
0:01:42without a clinically significant impact on how a parrot on plasma concentrations
0:01:47them i don't we results presented here provide support for a more flexible initiation schedule
0:01:54but they plus or minus board a dosing window for administration of the second dose
0:02:00that is
0:02:01the second injection can occur between day four and a twelve
0:02:06to avoid in missed day eight injection
0:02:09this is been approved by the food and drug administration
0:02:13and the how appeared on comedy label
0:02:15has been updated accordingly
0:02:18in our article we report results of the analysis that form the basis for this
0:02:23label update
0:02:25the analysis included model based simulations
0:02:29used to evaluate the potential the fax
0:02:31of the day eight missed reducing window expansion
0:02:35on power paradigm has not exposures
0:02:38and potential implications for the safety and efficacy profile
0:02:43no additional clinical trials were conducted which highlights the usefulness of model based approaches
0:02:49and historical population five go kinetic model
0:02:53was used to check whether it could appropriately predict exposures from various initiation regiments
0:03:00here we can see that simulated profiles obtained using the model we're similar to those
0:03:06obtained into pell appeared on comedy clinical studies
0:03:10therefore the historical model is a suitable tool
0:03:14for predicting exposures with other initiation regiments
0:03:19if we hear on the left shows the comparison of model based approach actions
0:03:23person is observed data with power paired on comedy one hundred and fifty milligram equivalence
0:03:29on day one
0:03:30followed by one hundred milligram equivalence and eight
0:03:34the peak here on the right
0:03:36shows a comparison with the dose of one hundred and fifty milligram equivalent on both
0:03:40days one in and eight
0:03:45in this figure from left to right
0:03:47we see dosing a one hundred and fifty milligram equivalent and a one followed by
0:03:52one hundred milligram equivalents on days for
0:03:55eight and twelve
0:03:56compared with the same with the maximum initiation regimen of one hundred and fifty milligram
0:04:01equivalents i'm days one and eight
0:04:05and one iteration of the second initiation does on day for eight or twelve
0:04:10produced plasma exposures
0:04:12not exceeding the exposure observed with the maximum initiation regiment
0:04:18this maximum initiation regimen has previously been found to be generally well tolerated
0:04:24with the cp profile similar to those of one hundred fifty milligram equivalence
0:04:29until one and one hundred milligrams equivalence and eight
0:04:34in conclusion our data from model based simulations suggest that an expansion at that a
0:04:41eight ms toast window for power parent on how much say
0:04:44two plus or minus four days appears to have minimal a fax
0:04:49i'm class not how apparent concentrations
0:04:52it would not pose efficacy or safety concerns during the initiation phase
0:04:57impatience for home use of the expanded window is necessary to avoid a missed dose
0:05:04we hope that this wider miss dosing window will support more practical clinical initiation of
0:05:09power paired on comedy in the hospital setting particularly and those situations where the duration
0:05:15of hospital stay will be short
0:05:17thank you for your interest