Evidence map›Paper›PMID 22943577›Full record

Trial reportActa psychiatrica Scandinavica2013

Metabolic effects of adjunctive aripiprazole in clozapine-treated patients with schizophrenia.

X Fan, C P C Borba, P Copeland, D Hayden, O Freudenreich, D C Goff, D C Henderson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta psychiatrica Scandinavica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 7 pooled it
3.4field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 7 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Antipsychotic combinations for schizophrenia.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Review
  13. Analysis of clinical studies on clozapine from 2012-2022.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Antipsychotic augmentation vs. monotherapy in schizophrenia: systematic review, meta-analysis and meta-regression analysis.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2017
    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

7 authors at 2 institutions in 1 country.

X FanSchizophrenia Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. xiaoduo.fan@umassmed.edu
C P C Borba
P Copeland
D Hayden
O Freudenreich
D C Goff
D C Henderson
Harvard University · USMassachusetts General Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
Aripiprazole for Clozapine Associated Medical MorbidityR01MH072635 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HENDERSON, DAVID C · 2005 to 2007
$746k
NCRR NIH HHS M01 RR001066NCRR NIH HHS M01-RR-01066NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1 RR025758-01NIMH NIH HHS 5R01MH072635NIMH NIH HHS R01 MH072635
6 · The paper itself

Abstract

objectiveThis study examined the effects of adjunctive aripiprazole therapy on metabolism in clozapine-treated patients with schizophrenia.

methodIn an 8-week randomized, double-blind, placebo-controlled study, subjects received either aripiprazole (15 mg/day) or placebo. At baseline and week 8, metabolic parameters were assessed by the frequently sampled intravenous glucose tolerance test, nuclear magnetic resonance spectroscopy and whole-body dual-energy X-ray absorptiometry (DXA).

resultsThirty subjects completed the study (16 in the aripiprazole group and 14 in the placebo group). Glucose effectiveness measured by the frequently sampled intravenous glucose tolerance test improved significantly in the aripiprazole group (0.003 ± 0.006 vs. -0.005 ± 0.007/min, P = 0.010). The aripiprazole group showed significant reductions in both plasma low-density lipoprotein (LDL) levels (-15.1 ± 19.8 vs. 4.4 ± 22.5 mg/dl, P = 0.019) and LDL particle numbers (-376 ± 632 vs. -36 ± 301 nm, P = 0.035). Further, there was a significant reduction in the lean mass (-1125 ± 1620 vs. 607 ± 1578 g, P = 0.011) measured by whole-body DXA scan in the aripiprazole group. All values were expressed as mean ± standard deviation, aripiprazole vs. placebo.

conclusionAdjunctive therapy with aripiprazole may have some metabolic benefits in clozapine-treated patients with schizophrenia.

Indexed as

Absorptiometry, PhotonAdultAntipsychotic AgentsAripiprazoleBody CompositionClozapineDouble-Blind MethodDrug Therapy, CombinationFemaleFollow-Up StudiesGlucoseGlucose Tolerance TestHumansLipoproteins, LDLMagnetic Resonance SpectroscopyMaleAntipsychotic AgentsAripiprazoleClozapineGlucoseLipoproteins, LDLPiperazinesQuinolones

Identifiers

PMID22943577
PMCPMC4327765
OpenAlexW1963099985

What OpenQuestion holds

Textmetadata
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.