Evaluating movement disorders in pediatric patients receiving risperidone: a comparison of spontaneous reports and research criteria for TD
2007

Evaluating Movement Disorders in Children on Risperidone

Sample size: 668 publication 10 minutes Evidence: moderate

Author Information

Author(s): Pandina Gahan J, Bossie Cynthia A, Zhu Young, Gharabawi Georges M

Primary Institution: Ortho-McNeil Janssen Scientific Affairs, L.L.C.

Hypothesis

Do objective criteria for assessing movement disorders provide similar rates to spontaneous reports in children receiving risperidone?

Conclusion

Low-dose risperidone was associated with a low risk of tardive dyskinesia and other movement disorders in children with disruptive behavior disorders.

Supporting Evidence

  • One patient met the criteria for tardive dyskinesia after a dose reduction.
  • Mean ESRS scores were low throughout the study.
  • Two subjects reported tardive dyskinesia as an adverse event but did not meet research criteria.

Takeaway

This study looked at kids taking a medicine called risperidone and found that it didn't cause many movement problems, which is good news for their treatment.

Methodology

Data were collected from three one-year, open-label studies assessing movement disorders in children aged 4-14 years receiving risperidone.

Potential Biases

Potential bias due to reliance on spontaneous reporting for adverse events.

Limitations

The open-label design limited comparisons with other antipsychotic agents and lacked historical data on prior medication use.

Participant Demographics

Participants were predominantly male (81.9%) and white (79.8%), with a mean age of 9.4 years and a mean IQ of 64.9.

Statistical Information

P-Value

0.0002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1753-2000-1-3

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