Evidence map›Paper›PMID 21192149›Full record

Trial reportJournal of clinical psychopharmacology2011

Effects of the cannabinoid-1 receptor antagonist rimonabant on psychiatric symptoms in overweight people with schizophrenia: a randomized, double-blind, pilot study.

Deanna L Kelly, David A Gorelick, Robert R Conley, Douglas L Boggs, Jared Linthicum, Fang Liu, Stephanie Feldman, M Patricia Ball, Heidi J Wehring, Robert P McMahon and 4 more

Abstract readComparative StudyControlled Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Mechanism and treatments of antipsychotic-induced weight gain.International journal of obesity (2005) · 2023
    Review
  7. Review
  8. A novel allosteric modulator of the cannabinoid CBNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  9. Effects of combined 5-HTPsychopharmacology · 2020
    Article
  10. Review
  11. Review
  12. Cannabinoids and Schizophrenia: Risks and Therapeutic Potential.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2015
    Review
  13. Article
  14. Profiling the subjective effects of Δ⁹-tetrahydrocannabinol using visual analogue scales.International journal of methods in psychiatric research · 2014
    Article
  15. Rimonabant-induced depression in schizophrenia.Indian journal of psychiatry · 2014
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

14 authors at 4 institutions in 1 country.

Deanna L KellyMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD 21228, USA. dkelly@mprc.umaryland.edu
David A Gorelick
Robert R Conley
Douglas L Boggs
Jared Linthicum
Fang Liu
Stephanie Feldman
M Patricia Ball
Heidi J Wehring
Robert P McMahon
Marilyn A Huestis
Stephen J Heishman
Kimberly R Warren
Robert W Buchanan
University of Maryland, Baltimore · USNational Institute on Drug Abuse · USEli Lilly (United States) · USNational Institutes of Health · US

Funding

Tobacco Craving and Cigarette Reinforcement in Normal and Schizophrenic SmokersZIADA000558 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI HEISHMAN, STEPHEN · 2009 to 2013
$1.6M
Assessment Of A Cannabinoid Antagonist In HumansZIADA000415 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI HUESTIS, MARILYN A · 2009 to 2013
$1.1M
ASSESSMENT OF A CANNABINOID ANTAGONIST IN HUMANSZ01DA000415 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI HUESTIS, MARILYN · 1998 to 2008
$1.1M
Development Of New Pharmacologic And Biologic Treatments For Drug DependenceZIADA000240 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI HUESTIS, MARILYN A · 2009 to 2013
$894k
The Effects of the Cannabinoid-1 Receptor Antagonist Rimonabant on Weight...R34MH077839 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI BUCHANAN, ROBERT W · 2006 to 2008
$591k
Intramural NIH HHS Z01 DA000415NIMH NIH HHS R34 MH 077839NIMH NIH HHS R34 MH077839PHS HHS HSN271200599091PHS HHS P30 068580
6 · The paper itself

Abstract

Weight gain is a major adverse effect of several second-generation antipsychotic medications. Rimonabant is a cannabinoid-1 receptor antagonist that promotes weight loss in the general population. We conducted a 16-week, double-blind, placebo-controlled study of rimonabant (20 mg/d) in people with schizophrenia or schizoaffective disorder, based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria, who were clinically stable on second-generation antipsychotics. Participants had a body mass index of 27 kg/m or higher with hyperlipidemia or body mass index of 30 kg/m or higher, and no current substance abuse/dependence (except nicotine), more than weekly cannabis use, or recent depressive symptoms/suicidality. An exercise and dietary counseling group was offered weekly. Target enrollment was 60; the trial was terminated early because of withdrawal of rimonabant from the European market. Fifteen participants were randomized (7 rimonabant, 8 placebo); 5 completed in each group. Rimonabant was associated with a greater reduction in Brief Psychiatric Rating Scale total score versus placebo (mean ± SE difference, -1.9 ± 0.8, P = 0.02), driven by differences in the Brief Psychiatric Rating Scale anxiety/depression (-1.4 ± 0.35, P = 0.0004) and hostility (-0.7 ± 0.3, P = 0.02) factors. Group differences were not significant for the Calgary Depression Scale total score (P = 0.24), Scale for the Assessment of Negative Symptoms total score (P = 0.13), weight, blood pressure, or fasting lipids or glucose. Rimonabant was well tolerated with no significant adverse events. No significant weight loss, metabolic effects, or adverse psychiatric effects were associated with the cannabinoid-1 receptor antagonist rimonabant in this small sample of people with schizophrenia. The endocannabinoid system remains a promising target for pharmacotherapy of schizophrenia and obesity.

Indexed as

Schizophrenic PsychologyAdultAntipsychotic AgentsDouble-Blind MethodFemaleHumansMaleMiddle AgedOverweightPilot ProjectsPiperidinesPyrazolesReceptor, Cannabinoid, CB1RimonabantSchizophreniaAntipsychotic AgentsPiperidinesPyrazolesReceptor, Cannabinoid, CB1Rimonabant

Identifiers

PMID21192149
PMCPMC3717343
OpenAlexW2042295716

What OpenQuestion holds

Textmetadata
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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.