Evidence map›Paper›PMID 21950727›Full record

Trial reportAlcoholism, clinical and experimental research2012

A double-blind, placebo-controlled trial to assess the efficacy of quetiapine fumarate XR in very heavy-drinking alcohol-dependent patients.

Raye Z Litten, Joanne B Fertig, Daniel E Falk, Megan L Ryan, Margaret E Mattson, Joseph F Collins, Cristin Murtaugh, Domenic Ciraulo, Alan I Green, Bankole Johnson and 8 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00498628 (A Phase 2, Double-Blind, Placebo Controlled Trial to Assess the Efficacy of Quetiapine Fumarate Extended Release for the Treatment of Alcohol Dependence in Very Heavy Drinkers.), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
4.7field-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.

NCT00498628 phase2completednot on this map

A Phase 2, Double-Blind, Placebo Controlled Trial to Assess the Efficacy of Quetiapine Fumarate Extended Release for the Treatment of Alcohol Dependence in Very Heavy Drinkers.

TypeinterventionalSponsorNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Ran2007 to 2010Enrolled224ConditionsAlcoholism, Alcohol AbuseArmsQuetiapine fumarate, Placebo
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

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  12. Developing and validating a human laboratory model to screen medications for smoking cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2012
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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

18 authors at 8 institutions in 1 country.

Raye Z LittenDivision of Treatment and Recovery Research, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892, USA.
Joanne B Fertig
Daniel E Falk
Megan L Ryan
Margaret E Mattson
Joseph F Collins
Cristin Murtaugh
Domenic Ciraulo
Alan I Green
Bankole Johnson
Helen Pettinati
Robert Swift
Maryam Afshar
Mary F Brunette
Nassima A-D Tiouririne
Kyle Kampman
Robert Stout
NCIG 001 Study Group
Brown University · USNational Institute on Alcohol Abuse and Alcoholism · USTreatment Research Institute · USVA Maryland Health Care System · USBoston University · USDartmouth Psychiatric Research Center · USUniversity of Pennsylvania · USUniversity of Virginia · US

Funding

Intramural NIH HHS Z99 AA999999
6 · The paper itself

Abstract

backgroundDespite advances in developing medications to treat alcohol dependence, few such medications have been approved by the Food and Drug Administration. Identified molecular targets are encouraging and can lead to the development and testing of new compounds. Atypical antipsychotic medications have been explored with varying results. Prior research suggests that the antipsychotic quetiapine may be beneficial in an alcohol-dependent population of very heavy drinkers.

methodsIn this double-blind, placebo-controlled trial, 224 alcohol-dependent patients who reported very heavy drinking were recruited across 5 clinical sites. Patients received either quetiapine or placebo and Medical Management behavioral intervention. Patients were stratified on gender, clinical site, and reduction in drinking prior to randomization.

resultsNo differences between the quetiapine and placebo groups were detected in the primary outcome, percentage heavy-drinking days, or other drinking outcomes. Quetiapine significantly reduced depressive symptoms and improved sleep but had no effect on other nondrinking outcomes. Results from a subgroup analysis suggest that patients who reduced their drinking prior to randomization had significantly better drinking outcomes during the maintenance phase (p < 0.0001). No significant interactions, however, were observed between reducer status and treatment group. Finally, quetiapine was generally well tolerated. Statistically significant adverse events that were more common with quetiapine versus placebo include dizziness (14 vs. 4%), dry mouth (32 vs. 9%), dyspepsia (13 vs. 2%), increased appetite (11 vs. 1%), sedation (15 vs. 3%), and somnolence (34 vs. 9%).

conclusionsThis multisite clinical trial showed no efficacy for quetiapine compared with placebo at reducing alcohol consumption in heavy-drinking alcohol-dependent patients.

Indexed as

AdolescentAdultAlcohol DrinkingAlcoholismAntipsychotic AgentsAnxietyDelayed-Action PreparationsDepressionDibenzothiazepinesDouble-Blind MethodFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesQuality of LifeAntipsychotic AgentsDelayed-Action PreparationsDibenzothiazepinesQuetiapine Fumarate

Identifiers

PMID21950727
PMCPMC3248956
OpenAlexW2110504918

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.