Late-Onset Neutropenia in Clozapine Users: Unrelated or Drug-Induced? A Case-Registry Analysis of Incidence, Characteristics, and Rechallenge Attempts

Though less frequent, late-onset SBD shares similar characteristics with early-onset SBD and has a comparable risk of recurrence on clozapine rechallenge. Vast majority of clozapine rechallenges are successful, including early-onset BD, suggesting they are not clozapine-induced. However, clozapine-induced BD, defined by recurrence upon rechallenge, may rarely occur even after years of treatment.

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Publication Details

Journal
Schizophrenia Bulletin
Published
2025-08-26
DOI
https://doi.org/10.1093/schbul/sbaf148
Primary Topic
Schizophrenia research and treatment
Type
article
Field-Weighted Citation Impact
0.00

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article

Late-Onset Neutropenia in Clozapine Users: Unrelated or Drug-Induced? A Case-Registry Analysis of Incidence, Characteristics, and Rechallenge Attempts

Amelia Jewell, Risha Govind, David P. Taylor, Cecilia Casetta et al.
Schizophrenia Bulletin
Schizophrenia research and treatment
article

Late-Onset Neutropenia in Clozapine Users: Unrelated or Drug-Induced? A Case-Registry Analysis of Incidence, Characteristics, and Rechallenge Attempts

Amelia Jewell, Risha Govind, David P. Taylor, Cecilia Casetta, Matthew Broadbent, Aviv Segev, Megan Pritchard, Ebenezer Oloyede, James Hunter MacCabe, Harsimran Kaur Makan
article en

Abstract

Though less frequent, late-onset SBD shares similar characteristics with early-onset SBD and has a comparable risk of recurrence on clozapine rechallenge. Vast majority of clozapine rechallenges are successful, including early-onset BD, suggesting they are not clozapine-induced. However, clozapine-induced BD, defined by recurrence upon rechallenge, may rarely occur even after years of treatment.

Schizophrenia Bulletin
Tel Aviv University (IL), King's College London (GB), South London and Maudsley NHS Foundation Trust (GB), University of Oxford (GB), NIHR Maudsley Dementia Biomedical Research Unit (GB), Shalvata Mental Health Center (IL)
Bristol-Myers Squibb, H. Lundbeck A/S
Openalex Percentile: Top 74%
Schizophrenia research and treatment
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Late-Onset Neutropenia in Clozapine Users: Unrelated or Drug-Induced? A Case-Registry Analysis of Incidence, Characteristics, and Rechallenge Attempts — Amelia Jewell, Risha Govind, et al. · Schizophrenia Bulletin (2025) | TGRS Research Map | TGRS