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Studies could alter treatment for depression, schizophreniahttp://www.post-gazette.com/pg/05208/544589.stm"The results of the largest studies ever conducted of depression and schizophrenia will be released in coming months, potentially transforming the way patients are treated and shaking up some of the drug industry's most lucrative markets.
The federally funded studies are part of a six-year push by the mental-health division of the National Institutes of Health to come up with reliable scientific data on the differences between drugs and treatment strategies for the major psychiatric illnesses. The project comprises four trials, in serious depression, bipolar disorder, schizophrenia and adolescent depression.
The aim is to fill the information gap that plagues psychiatry, and hurts the quality of care given to patients. Clinical trials that companies do to get drugs approved aren't designed to provide the answers that doctors say they really need. For one, these trials don't compare one drug with another, because they are designed to show only whether a particular drug is effective against an illness. Thus, psychiatrists have little guidance on whether one drug works better than another or has fewer side effects than another.
Also, at eight to 12 weeks long, drug-company trials are too short to reveal how patients fare or what side effects crop up long-term. And, in order to stay focused on a drug's efficacy on one illness, they exclude the sickest patients and people with co-existing diseases.
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