Cariprazine in the management of negative symptoms of schizophrenia: state of the art and future perspectives

Author:

Correll Christoph U123ORCID,Demyttenaere Koen4ORCID,Fagiolini Andrea5ORCID,Hajak Göran6ORCID,Pallanti Stefano7ORCID,Racagni Giorgio8ORCID,Singh Swaran9ORCID

Affiliation:

1. Department of Psychiatry Research, The Zucker Hillside Hospital, 75–59 263rd Street Glen Oaks, NY 11004, USA

2. Department of Psychiatry & Molecular Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA

3. Department of Child & Adolescent Psychiatry, Charité Universitätsmedizin Berlin, Berlin, Germany

4. University Psychiatric Center KU Leuven, Campus Gasthuisberg & University of Leuven, Psychiatry Research Group, Department of Neurosciences, Faculty of Medicine, Herestraat 49, Leuven 3000, Belgium

5. Department of Molecular Medicine, University of Siena School of Medicine, Siena 53100, Italy

6. Department of Psychiatry, Psychosomatic Medicine & Psychotherapy, Sozialstiftung Bamberg, St.-Getreustrasse 18, Bamberg 96049, Germany

7. Istituto di Neuroscienze via Lamarmora 24, Firenze, Italy

8. Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Via G. Balzaretti 9, Milano 20123, Italy

9. Mental Health & Wellbeing, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK

Abstract

In schizophrenia, dopaminergic hyperactivity in the mesolimbic regions, or possibly even selectively so in the dorsal striatum, seems to cause the emergence of psychotic symptoms, whereas dopaminergic hypoactivity in cortical regions underlies the negative symptoms and cognitive deficits. Managing the negative symptoms is a major current challenge in the treatment of schizophrenia with a dearth of novel modalities to address this clinical issue. Cariprazine is a novel second-generation antipsychotic that specifically targets the D3 receptor mainly associated to negative symptoms. The review summarizes the main issues regarding negative symptom management and the role of cariprazine treatment.

Publisher

Future Medicine Ltd

Subject

Neurology (clinical),Neurology

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