Evidence map›Paper›PMID 17632217›Full record

Trial reportJournal of clinical psychopharmacology2007

A double-blind, placebo-controlled pilot trial of quetiapine for the treatment of Type A and Type B alcoholism.

Kyle M Kampman, Helen M Pettinati, Kevin G Lynch, Tom Whittingham, Wayne Macfadden, Charles Dackis, Carlos Tirado, David W Oslin, Thorne Sparkman, Charles P O'Brien

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00124059 (A Double-Blind Study of Quetiapine Fumarate), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT00124059 phase3completednot on this map

A Double-Blind Study of Quetiapine Fumarate (Seroquel) for the Treatment of Type A vs.Type B Alcoholics.

TypeinterventionalSponsorUniversity of PennsylvaniaRan2003 to 2005Enrolled61ConditionsAlcoholismArmsSeroquel, Placebo
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  9. Effects of alcoholism typology on response to naltrexone in the COMBINE study.Alcoholism, clinical and experimental research · 2009
    Trial
  10. Effects of aripiprazole on subjective and physiological responses to alcohol.Alcoholism, clinical and experimental research · 2008
    Trial
  11. Trial
  12. Trial
  13. Article
  14. Review
  15. Review
  16. Article
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  19. Review
  20. Medications for alcohol use disorders: An overview.Pharmacology & therapeutics · 2018
    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

10 authors at 2 institutions in 2 countries.

Kyle M KampmanDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. kampman_k@mail.trc.upenn.edu
Helen M Pettinati
Kevin G Lynch
Tom Whittingham
Wayne Macfadden
Charles Dackis
Carlos Tirado
David W Oslin
Thorne Sparkman
Charles P O'Brien
University of Pennsylvania · USJanssen Scientific Affairs (United States)

Funding

TREATMENT STRATEGIES FOR METHODONE NONRESPONDERSP60DA005186 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI O'BRIEN, CHARLES P · 1997 to 2012
$28.1M
NIDA NIH HHS P60 DA005186
6 · The paper itself

Abstract

backgroundAtypical antipsychotics may be useful in the treatment of alcohol dependence. Human trials suggest that atypical antipsychotics may reduce alcohol craving and consumption, especially among patients with comorbid psychopathology. Therefore, these medications may be more useful for treating more severely affected alcoholics, such as patients with Type B alcoholism. Type B alcoholics are characterized by an early age of onset of problem drinking, high severity of alcohol dependence, increased psychopathology, and treatment-resistance. Quetiapine is an atypical antipsychotic with a favorable side effect profile, and may be a promising medication for the treatment of alcohol dependence, particularly Type B alcoholism.

methodsMale and female alcoholics (33 Type A and 28 Type B) were included in a 12-week, double-blind, placebo-controlled trial. After detoxification, patients were randomized to receive quetiapine (n = 29), 400 mg/d at bedtime, or placebo (n = 32). The primary outcome measure was the quantity and frequency of alcohol consumption, measured by the timeline follow back.

resultsForty-seven patients (77%) completed the trial, with no significant between-group differences in treatment retention. Nine quetiapine-treated patients (31%) maintained complete abstinence compared with 2 placebo-treated patients (6%) (chi(2) = 6.3, P = 0.012). There was a significant interaction between quetiapine and alcoholic subtype. As predicted, quetiapine- versus placebo-treated Type B alcoholics had significantly fewer days of drinking and fewer days of heavy drinking. Alcohol craving was also significantly reduced in quetiapine-treated compared with placebo-treated Type B alcoholics. Among Type A alcoholics, quetiapine provided no advantage over placebo in improving drinking outcomes.

conclusionsQuetiapine may be effective for the treatment of alcohol dependence, particularly in the more complicated Type B, early-onset alcoholics.

Indexed as

AdultAlcoholismAntipsychotic AgentsAnxietyComorbidityDepressionDibenzothiazepinesDouble-Blind MethodFemaleHumansMaleMiddle AgedPatient ComplianceQuetiapine FumarateSurvival AnalysisTemperanceAntipsychotic AgentsDibenzothiazepinesQuetiapine Fumarate

Identifiers

PMID17632217
PMCPMC3193934
OpenAlexW2032552670

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.