Evidence map›Paper›PMID 16341846›Full record

Trial reportPsychopharmacology2006

Tiagabine for posttraumatic stress disorder: effects of open-label and double-blind discontinuation treatment.

Kathryn M Connor, Jonathan R T Davidson, Richard H Weisler, Wei Zhang, Kurian Abraham

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Pharmacotherapy for post traumatic stress disorder (PTSD).The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Pharmacologic alternatives to antidepressants in posttraumatic stress disorder: a systematic review.Progress in neuro-psychopharmacology & biological psychiatry · 2009
    Pooled it
  3. Review
  4. Regional specificity and clinical correlates of cortical GABA alterations in posttraumatic stress disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Targeting memory processes with drugs to prevent or cure PTSD.Expert opinion on investigational drugs · 2012
    Review
  12. Review
  13. Review
  14. The GABA transporter 1 (SLC6A1): a novel candidate gene for anxiety disorders.Journal of neural transmission (Vienna, Austria : 1996) · 2009
    Article
  15. Article
  16. Review
  17. Glutamate and anxiety disorders.Current psychiatry reports · 2007
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Kathryn M ConnorDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, P.O. Box 3812, Durham, NC 27710, USA. conno004@mc.duke.edu
Jonathan R T Davidson
Richard H Weisler
Wei Zhang
Kurian Abraham
Duke Medical Center · USDuke University · USDuke University Hospital · USGrace (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationalePreliminary results suggest a potential benefit of agents that enhance gamma-aminobutyric acid (GABA) neurotransmission in treating posttraumatic stress disorder (PTSD).

objectivesIt is the aim of this study to evaluate the effect of a selective GABA reuptake inhibitor (SGRI), tiagabine, in patients with PTSD.

methodsTwenty-nine adult outpatients with PTSD were treated with open-label tiagabine for 12 weeks. Those who responded to treatment (i.e., demonstrated at least minimal clinical improvement) were randomly assigned to double-blind treatment with either tiagabine or matching placebo. Efficacy assessments included measures of PTSD, anxiety, depression, sleep quality, resilience, and disability. Safety evaluation included changes in vital signs and weight and treatment-emergent adverse events.

resultsIn subjects completing open-label treatment (n=19), significant improvement was observed on all outcome measures (P<0.05) and the treatment was well tolerated. Eighteen subjects responded and were randomized into the double-blind phase. Following randomization, benefits of treatment were generally upheld, but there was no greater incidence of relapse in the placebo group. However, continued treatment with tiagabine was associated with a greater trend toward likelihood of remission than if one was switched to placebo (P<0.08).

conclusionsThese findings suggest a possible role for the SGRI tiagabine in the treatment of PTSD. As the role of GABAergic drugs in PTSD is poorly defined, larger, randomized, double-blind, placebo-controlled trials are needed.

Indexed as

GABA Uptake InhibitorsAdultDouble-Blind MethodFemaleHumansMaleNipecotic AcidsStress Disorders, Post-TraumaticTiagabineGABA Uptake InhibitorsNipecotic AcidsTiagabine

Identifiers

PMID16341846
OpenAlexW2124651752

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.