Evidence map›Paper›PMID 23422397›Full record

Trial reportJournal of clinical psychopharmacology2013

No effect of adjunctive, repeated-dose intranasal insulin treatment on psychopathology and cognition in patients with schizophrenia.

Xiaoduo Fan, Emily Liu, Oliver Freudenreich, Paul Copeland, Douglas Hayden, Musie Ghebremichael, Bruce Cohen, Dost Ongur, Donald C Goff, David C Henderson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Intranasal insulin for improving cognitive function in multiple sclerosis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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

10 authors.

Xiaoduo FanPsychotic Disorders Program, UMass Memorial Medical Center, Worcester, MA, USA. xiaoduo.fan@umassmed.edu
Emily Liu
Oliver Freudenreich
Paul Copeland
Douglas Hayden
Musie Ghebremichael
Bruce Cohen
Dost Ongur
Donald C Goff
David C Henderson

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
Innovative Intervention Strategies for Metabolic Problems in SchizophreniaK23MH082098 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FAN, XIAODUO · 2008 to 2012
$926k
NCRR NIH HHS M01 RR001066NCRR NIH HHS M01-RR-01066NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1 RR025758-01NIMH NIH HHS 5K23MH082098NIMH NIH HHS K23 MH082098
6 · The paper itself

Abstract

objectiveThis study examined the effect of adjunctive intranasal insulin therapy on psychopathology and cognition in patients with schizophrenia.

methodsEach subject had a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnosis of schizophrenia or schizoaffective disorder and been on stable antipsychotics for at least 1 month. In an 8-week randomized, double-blind, placebo-controlled study, subjects received either intranasal insulin (40 IU 4 times per day) or placebo. Psychopathology was assessed using the Positive and Negative Syndrome Scale and the Scale for Assessment of Negative Symptoms. A neuropsychological battery was used to assess cognitive performance. The assessment for psychopathology and cognition was conducted at baseline, week 4, and week 8.

resultsA total of 45 subjects were enrolled in the study (21 in the insulin group and 24 in the placebo group). The mixed model analysis showed that there were no significant differences between the 2 groups at week 8 on various psychopathology and cognitive measures (P > 0.1).

conclusionsAdjunctive therapy with intranasal insulin did not seem to be beneficial in improving schizophrenia symptoms or cognition in the present study. The implications for future studies were discussed.

Indexed as

Administration, IntranasalAdultAntipsychotic AgentsCognitionDouble-Blind MethodFemaleFollow-Up StudiesHumansHypoglycemic AgentsInsulinMaleMiddle AgedPsychiatric Status Rating ScalesSchizophreniaSchizophrenic PsychologyTime FactorsAntipsychotic AgentsHypoglycemic AgentsInsulin

Identifiers

PMID23422397
PMCPMC5366038

What OpenQuestion holds

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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.