Evidence map›Paper›PMID 20816031›Full record

Trial reportThe Journal of clinical psychiatry2011

Treatment outcomes of patients with tardive dyskinesia and chronic schizophrenia.

Stanley N Caroff, Vicki G Davis, Del D Miller, Sonia M Davis, Robert A Rosenheck, Joseph P McEvoy, E Cabrina Campbell, Bruce L Saltz, Silvana Riggio, Miranda H Chakos and 5 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT00014001 phase4completednot on this map

Comparative Effectiveness of Antipsychotic Medications in Patients With Schizophrenia (CATIE Schizophrenia Trial)

TypeinterventionalSponsorNational Institute of Mental Health (NIMH)Ran2000 to 2004Enrolled1,600ConditionsSchizophreniaArmsperphenazine, olanzapine, quetiapine, risperidone, ziprasidone
NCT03495024 phase4recruitingnot on this mapstarted 2019, after this paper: background citation

Effect of Varenicline on Smoking Cessation in Patients With Schizophrenia: Evaluation of Antipsychotic Drug-Induced Neurological Symptoms as Correlates of Response

TypeinterventionalSponsorCorporal Michael J. Crescenz VA Medical CenterRan2019 to 2020Enrolled10ConditionsSchizophrenia, Schizoaffective Disorder, Tobacco Smoking, Tardive DyskinesiaArmsVarenicline
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Antipsychotics for schizophrenia spectrum disorders with catatonic symptoms.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Ziprasidone versus other atypical antipsychotics for schizophrenia.The Cochrane database of systematic reviews · 2009
    Pooled it
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Effect of Varenicline on Tardive Dyskinesia: A Pilot Study.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  13. Contrasting Typical and Atypical Antipsychotic Drugs.Focus (American Psychiatric Publishing) · 2021
    Article
  14. Recent Advances in the Pharmacology of Tardive Dyskinesia.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2020
    Review
  15. Overcoming barriers to effective management of tardive dyskinesia.Neuropsychiatric disease and treatment · 2019
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
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

15 authors.

Stanley N CaroffDepartment of Psychiatry, Veterans Affairs Medical Center and University of Pennsylvania School of Medicine, Philadelphia, USA. caroff@va.gov
Vicki G Davis
Del D Miller
Sonia M Davis
Robert A Rosenheck
Joseph P McEvoy
E Cabrina Campbell
Bruce L Saltz
Silvana Riggio
Miranda H Chakos
Marvin S Swartz
Richard S E Keefe
T Scott Stroup
Jeffrey A Lieberman
CATIE Investigators

Funding

PUBLIC EDUCATION CAMPAIGN ON DEPRESSION DARTN01MH090001 · NIMH · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · 1989 to 2003
$10.4M
Learning Adaptive Treatment Strategies in Mental HealthR01MH080015 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MURPHY, SUSAN A · 2007 to 2011
$2.2M
NIMH NIH HHS N01 MH090001NIMH NIH HHS R01 MH080015
6 · The paper itself

Abstract

objectiveWe compared the response to antipsychotic treatment between patients with and without tardive dyskinesia (TD) and examined the course of TD.

methodThis analysis compared 200 patients with DSM-IV-defined schizophrenia and TD and 997 patients without TD, all of whom were randomly assigned to receive one of 4 second-generation antipsychotics. The primary clinical outcome measure was time to all-cause treatment discontinuation, and the primary measure for evaluating the course of TD was change from baseline in Abnormal Involuntary Movement Scale (AIMS) score. Kaplan-Meier survival analysis and Cox proportional hazards regression models were used to compare treatment discontinuation between groups. Changes in Positive and Negative Syndrome Scale (PANSS) and neurocognitive scores were compared using mixed models and analysis of variance. Treatment differences between drugs in AIMS scores and all-cause discontinuation were examined for those with TD at baseline. Percentages of patients meeting criteria for TD postbaseline or showing changes in AIMS scores were evaluated with χ(2) tests. Data were collected from January 2001 to December 2004.

resultsTime to treatment discontinuation for any cause was not significantly different between the TD and non-TD groups (χ(2)(1) = 0.11, P = .743). Changes in PANSS scores were not significantly different (F(1,974) = 0.82, P = .366), but patients with TD showed less improvement in neurocognitive scores (F(1,359) = 6.53, P = .011). Among patients with TD, there were no significant differences between drugs in the decline in AIMS scores (F(3,151) = 0.32, P = .811); 55% met criteria for TD at 2 consecutive visits postbaseline, 76% met criteria for TD at some or all postbaseline visits, 24% did not meet criteria for TD at any subsequent visit, 32% showed a ≥ 50% decrease in AIMS score, and 7% showed a ≥ 50% increase in AIMS score.

conclusionsSchizophrenia patients with and without TD were similar in time to discontinuation of treatment for any cause and improvement in psychopathology, but differed in neurocognitive response. There were no significant differences between treatments in the course of TD, with most patients showing either persistence of or fluctuation in observable symptoms.

trial registrationclinicaltrials.gov Identifier: NCT00014001.

Indexed as

AdultAntipsychotic AgentsBenzodiazepinesChi-Square DistributionDibenzothiazepinesFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMovement DisordersOlanzapinePerphenazinePiperazinesProportional Hazards ModelsPsychiatric Status Rating ScalesAntipsychotic AgentsBenzodiazepinesDibenzothiazepinesOlanzapinePerphenazinePiperazinesQuetiapine FumarateRisperidoneThiazolesziprasidone

Identifiers

PMID20816031
PMCPMC3825701

What OpenQuestion holds

Textmetadata
LicenceTDM
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.