Current
research programs include:
Development of long-term
delivery systems to increase medication adherence
The Stanley Center for Experimental Therapeutics
is a national leader in creating and advocating for the use of long-term
delivery systems to help people with schizophrenia remain on medication.
Noncompliance with medication is the major reason for poor clinical
outcome in schizophrenia today and up to 80% of people with schizophrenia
are not able to take their medication as prescribed. There are many
reasons for poor compliance, including difficulties with access
to medication, side effects and poor insight into the illness and
the consequences of not taking medicine. Most people can achieve
periods of remission on medicine. However, difficulties arise when
periods off medicine lead to relapse, poor judgment and further
decline. During these periods of relapse, patients' decisions are
clouded by psychosis and often do not reflect their own best interests.
Long-term delivery systems are designed to increase patient autonomy
by allowing people to make their own treatment choices while they
are well, rather than during periods of relapse.
Surgically
implantable annual drug delivery systems
Initial work has focused on creation of a prototype
formulation that delivers haloperidol for up to 14 months in animals.
A small disc is placed under the skin and dissolves slowly to release
medicine. Future studies will extend this approach to additional
medications as well as seeking approval for phase I clinical trails
aimed at demonstrating safe use in humans.
Long-term
oral formulations
The Stanley Center for Experimental Therapeutics
participates in a collaborative effort through the Nanotechnology
Institute to create long-term oral delivery systems. The goal
of these studies is to create a 2-week pill as an alternative
to depot injections.
Animal
Models of Brain abnormalities in Schizophrenia
The Stanley Center for Experimental Therapeutics
is also dedicated to understanding the neural basis for brain
abnormalities in schizophrenia in an effort to improve future
treatments. One approach to achieve this goal is through the use
of animal models.
People with schizophrenia are thought to have
abnormal brain responses following auditory stimuli (sound). Although
it is not known how this abnormal brain activity is related to
symptoms, it provides a method to study neuronal abnormalities
in people with the illness. Although the complex symptoms of schizophrenia
cannot be modeled in animals, abnormal neural activity following
auditory stimuli can be recreated in mice in order to study the
underlying biology of this phenomenon. These patterns of neural
activity in response to noise are called sensory processing. In
order to examine the neural basis of abnormal sensory processing
in schizophrenia, we are studying the genetics and cellular biology
of sensory processing in mice that share schizophrenia-like patterns
of neural activity following auditory stimuli.
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