Evidence map›Paper›PMID 20949350›Full record

Trial reportPsychopharmacology2011

Sildenafil adjunctive therapy to risperidone in the treatment of the negative symptoms of schizophrenia: a double-blind randomized placebo-controlled trial.

Shahin Akhondzadeh, Raofeh Ghayyoumi, Farzin Rezaei, Bahman Salehi, Amir-Hossein Modabbernia, Azad Maroufi, Gholam-Reza Esfandiari, Mehrangiz Naderi, Fariba Ghebleh, Mina Tabrizi and 1 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 45 citations in OpenAlex.

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  7. In the Brain of Phosphodiesterases: Potential Therapeutic Targets for Schizophrenia.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Shahin AkhondzadehPsychiatric Research Center, Roozbeh Psychiatric Hospital, Tehran University of Medical Sciences, South Kargar Street, Tehran 13337, Iran. s.akhond@neda.net
Raofeh Ghayyoumi
Farzin Rezaei
Bahman Salehi
Amir-Hossein Modabbernia
Azad Maroufi
Gholam-Reza Esfandiari
Mehrangiz Naderi
Fariba Ghebleh
Mina Tabrizi
Shams-Ali Rezazadeh
Arak University of Medical Sciences · IRKurdistan University of Medical Sciences · IRTehran University of Medical Sciences · IRAcademic Center for Education, Culture and Research · IRRoozbeh Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationalIt has been suggested that phosphodiesterase 5 inhibitors such as sildenafil may be effective in the treatment of negative symptoms of schizophrenia.

objectiveThis study was designed to investigate the effect of sildenafil added to risperidone as augmentation therapy in patients with chronic schizophrenia and prominent negative symptoms in a double-blind and randomized clinical trial.

methodsEligible participants in the study were 40 patients with chronic schizophrenia with ages ranging from 18 to 45 years. All patients were inpatients and were in the active phase of the illness and met DSM-IV-TR criteria for schizophrenia. Patients were allocated in a random fashion: 20 to risperidone (6 mg/day) plus sildenafil (75 mg/day) and 20 to risperidone (6 mg/day) plus placebo. The principal measure of outcome was Positive and Negative Syndrome Scale (PANSS).

resultsAlthough both protocols significantly decreased the score of the positive, negative, and general psychopathological symptoms over the trial period, the combination of risperidone and sildenafil showed a significant superiority over risperidone alone in decreasing negative symptoms and PANSS total scores over the 8-week trial (between-subjects factor; F = 4.77, df = 1; P = 0.03; F = 5.91, df = 1, P = 0.02 respectively).

conclusionTherapy with 75 mg/day of sildenafil was well tolerated, and no clinically important side effects were observed. The present study indicates sildenafil as a potential adjunctive treatment strategy for treatment of negative symptoms of schizophrenia. This trial is registered with the Iranian Clinical Trials Registry (IRCT1138901151556N11).

Indexed as

AdolescentAdultAntipsychotic AgentsDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMaleMiddle AgedPhosphodiesterase 5 InhibitorsPiperazinesProspective StudiesPsychiatric Status Rating ScalesPurinesRisperidoneSchizophreniaAntipsychotic AgentsPhosphodiesterase 5 InhibitorsPiperazinesPurinesRisperidoneSildenafil CitrateSulfones

Identifiers

PMID20949350
OpenAlexW2130976216

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.