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Quetiapine XR: Current status for the treatment of major depressive disorder

  • Chi Un Pae
  • , Manmohandeep Singh Sohi
  • , Ho Jun Seo
  • , Alessandro Serretti
  • , Ashwin A. Patkar
  • , David C. Steffens
  • , Prakash S. Masand
  • Duke University
  • Catholic University of Korea
  • University of Bologna

Research output: Contribution to journal › Review article › peer-review

45 Scopus citations

Abstract

Quetiapine fumarate extended release (XR) has been approved for treatment of schizophrenia and bipolar disorder. Quetiapine may have antidepressant effects through effects on 5-HT2A receptor, 5-HT1A receptor, dopamine receptor, glutamate receptor and norepinephrine transporter. Recently, 7 large-scale randomized, double-blind, placebo (2-studies with active comparator)-controlled clinical trials have demonstrated that quetiapine XR has clinically meaningful efficacy as monotherapy and adjunct therapy to antidepressants for the treatment of adult patients with major depressive disorder (MDD). In such clinical trials, quetiapine XR was generally well tolerated, although weight gain and changes in metabolic parameters, consistent with the known profile of quetiapine, were observed in some patients. As of December 2009, the United States Food and Drug Administration has approved quetiapine XR for the adjunct treatment of MDD. From the data of currently available clinical trials, this review provides an overview of the data and clinical implications for quetiapine XR in the treatment of MDD to enhance clinicians understanding of the use of quetiapine XR in the treatment of MDD.

Original languageEnglish
Pages (from-to)1165-1173
Number of pages9
JournalProgress in Neuro-Psychopharmacology and Biological Psychiatry
Volume34
Issue number7
DOIs
StatePublished - Oct 2010

Bibliographical note

Funding Information:
This work was supported by a grant from the Medical Research Center, Korea Science and Engineering Foundation, Republic of Korea ( R13-2002-005-04001-0 ).

Funding Information:
The impetus for the preparation of this manuscript originated from the listed authors. AstraZeneca played no role in the conceptualization, design, manuscript preparation or submission of the document. No fees or administrative charges were paid by AstraZeneca for this manuscript. We thank Kate Davenport-Slater PhD of Complete Medical Communications, who provided English editing assistance funded by AstraZeneca.

Keywords

  • Major depressive disorder
  • Quetiapine XR

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