Evidence map›Paper›PMID 20643177›Full record

Trial reportProgress in neuro-psychopharmacology & biological psychiatry2010

Serum brain-derived neurotrophic factor predicts responses to escitalopram in chronic posttraumatic stress disorder.

William Berger, Akhil Mehra, Maryann Lenoci, Thomas J Metzler, Christian Otte, Gary Tarasovsky, Synthia H Mellon, Owen M Wolkowitz, Charles R Marmar, Thomas C Neylan

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Progress in neuro-psychopharmacology & biological psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 34% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. The Role of Tryptophan Metabolites in Neuropsychiatric Disorders.International journal of molecular sciences · 2022
    Review
  9. Article
  10. Article
  11. A Clinician's Guide to PTSD Biomarkers and Their Potential Future Use.Focus (American Psychiatric Publishing) · 2018
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
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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 3 countries.

William BergerDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Akhil Mehra
Maryann Lenoci
Thomas J Metzler
Christian Otte
Gary Tarasovsky
Synthia H Mellon
Owen M Wolkowitz
Charles R Marmar
Thomas C Neylan
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

Neuroendocrine Regulation of Sleep in PTSDR01MH073978 · NIMH · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI NEYLAN, THOMAS C · 2005 to 2008
$1.8M
SLEEP AND AROUSAL DISTURBANCES IN PTSDR29MH057157 · NIMH · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI NEYLAN, THOMAS C · 1998 to 2002
$325k
NIMH NIH HHS MH057157NIMH NIH HHS R01 MH073978
6 · The paper itself

Abstract

introductionSome studies have found that antidepressants increase serum brain-derived neurotrophic factor (BDNF) levels in patients with major depression and the expression of BDNF mRNA in limbic structures of rats.

objectivesThis study addressed whether the SSRI escitalopram increases serum BDNF levels in subjects with PTSD and whether BDNF levels are associated with treatment response.

methodsMedically healthy male subjects (N=16) with chronic PTSD completed a 12 week open-label trial of flexible dose (5-20 mg/day) escitalopram monotherapy. BDNF levels were obtained at baseline, and at weeks 4, 8 and 12.

resultsPTSD symptoms significantly declined over the course of the 12 week escitalopram treatment. Despite a substantial improvement in PTSD symptoms, there was virtually no change in BDNF levels over time. Nevertheless, mean BDNF levels across the trial were strongly correlated with the slope of PTSD symptoms over the 12 weeks (r=0.58, p=0.018). Lower mean BDNF was associated with a greater decrease in PTSD symptoms over the course of the trial.

conclusionsPTSD subjects with low BDNF levels demonstrated the largest treatment response from an agent with putative neurotrophic effects.

Indexed as

AdultAntidepressive Agents, Second-GenerationBrain-Derived Neurotrophic FactorChronic DiseaseCitalopramDose-Response Relationship, DrugEnzyme-Linked Immunosorbent AssayHumansLinear ModelsMaleMiddle AgedPredictive Value of TestsPsychiatric Status Rating ScalesStress Disorders, Post-TraumaticTime FactorsTreatment OutcomeAntidepressive Agents, Second-Generationbrain-derived growth factorBrain-Derived Neurotrophic FactorCitalopram

Identifiers

PMID20643177
PMCPMC2939182
OpenAlexW2159096484

What OpenQuestion holds

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LicenceTDM
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.