title: Previous treatment as a confounding variable in studies with novel antipsychotics: two cases of high dopamine-2 receptor occupancy with quetiapine.
abstract: Previous treatment can be a confounding variable in studies with novel antipsychotics. Quetiapine is a new antipsychotic substance with a low affinity for dopamine-2 (D2) receptors. Preliminary SPECT and PET investigations revealed only a low striatal D2 receptor occupancy rate. However, we present two cases of high striatal D2 receptor occupancy (51% and 71%) measured with 123I IBZM SPECT during quetiapine monotherapy. Both patients had previously received continuous treatment with typical neuroleptics. We present evidence that the previous antipsychotic therapy influenced D2 receptor binding of 123I IBZM during quetiapine treatment weeks after cessation of typical neuroleptics. This might be of importance for the design of clinical trials and brain imaging studies in the future.
authors.affiliation: Department of General Psychiatry, University of Vienna, Austria. johannes.tauscher@akh-wien.ac.at
authors.forename: J
authors.initials: J
authors.lastname: Tauscher
authors.forename: B
authors.initials: B
authors.lastname: Küfferle
authors.forename: S
authors.initials: S
authors.lastname: Asenbaum
authors.forename: T
authors.initials: T
authors.lastname: Brücke
authors.forename: S
authors.initials: S
authors.lastname: Kasper
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001549:Benzamides / Q000378:metabolism; D015986:Confounding Factors, Epidemiologic; D003342:Corpus Striatum / Q000000981:diagnostic imaging / Q000378:metabolism*; D003987:Dibenzothiazepines / Q000627:therapeutic use*; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D011759:Pyrrolidines / Q000378:metabolism; D000069348:Quetiapine Fumarate; D017448:Receptors, Dopamine D2 / Q000378:metabolism*; D012559:Schizophrenia / Q000188:drug therapy* / Q000378:metabolism; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D014150:Antipsychotic Agents; D001549:Benzamides; D003987:Dibenzothiazepines; D007457:Iodine Radioisotopes; D011759:Pyrrolidines; D017448:Receptors, Dopamine D2; D000069348:Quetiapine Fumarate; C055743:3-iodo-2-hydroxy-6-methoxy-N-((1-ethyl-2-pyrrolidinyl)methyl)benzamide