Evidence map›Paper›PMID 24154666›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2014

Influence of RGS2 on sertraline treatment for social anxiety disorder.

Murray B Stein, Aparna Keshaviah, Stephen A Haddad, Michael Van Ameringen, Naomi M Simon, Mark H Pollack, Jordan W Smoller

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00282828 (Improving Outcomes in Pharmacotherapy of Social Phobia), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.8field-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.

NCT00282828 phase4completednot on this map

Improving Outcomes in Pharmacotherapy of Social Phobia

TypeinterventionalSponsorMassachusetts General HospitalRan2006 to 2011Enrolled397ConditionsSocial PhobiaArmsSertraline, Venlafaxine, Placebo, Clonazepam
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Anti-angiogenic mechanisms and serotonergic dysfunction in the Rgs2 knockout model for the study of psycho-obstetric risk.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  4. Article
  5. The Serotonin-Immune Axis in Preeclampsia.Current hypertension reports · 2021
    Review
  6. Genetics of Anxiety Disorders.Current psychiatry reports · 2019
    Review
  7. Article
  8. Article
  9. Morbid Anxiety: Identification and Treatment.Focus (American Psychiatric Publishing) · 2017
    Article
  10. Article
  11. The Genetics of Stress-Related Disorders: PTSD, Depression, and Anxiety Disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Review
  12. Review
  13. 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 5 institutions in 2 countries.

Murray B SteinDepartment of Psychiatry and Family and Preventive Medicine, University of California, San Diego, La Jolla, CA, USA.
Aparna KeshaviahDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Stephen A HaddadDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Michael Van AmeringenDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, ON, Canada.
Naomi M SimonDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Mark H PollackDepartment of Psychiatry, Rush University Medical Center, Chicago, IL, USA.
Jordan W SmollerDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USHarvard University · USMcMaster University · CARush University Medical Center · USUniversity of California, San Diego · US

Funding

Improving Outcomes in Pharmacotherapy of Social PhobiaR01MH070919 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI POLLACK, MARK H · 2005 to 2009
$1.7M
Improving Outcomes in Pharmacotherapy of Social PhobiaR01MH070501 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEIN, MURRAY B. · 2005 to 2009
$1.5M
Research and Mentoring on Integrating Psychiatric Genetics and NeuroscienceK24MH094614 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SMOLLER, JORDAN W · 2012 to 2016
$925k
NIMH NIH HHS K24 MH094614NIMH NIH HHS MH070501NIMH NIH HHS MH070919NIMH NIH HHS MH094614
6 · The paper itself

Abstract

Only a minority of patients with social anxiety disorder (SAD) has a robust therapeutic response to evidence-based serotonin reuptake inhibitor (SSRI) treatment. To help improve the personalized medicine approach to psychiatric care, we evaluated several candidate genetic predictors of SSRI response in SAD. At the start of a randomized controlled trial (NCT00282828), 346 patients with SAD at three sites received protocol-driven, open-label treatment with sertraline, up to 200. mg/d over 10 weeks. Efficacy was determined using a continuous measure of outcome (Liebowitz Social Anxiety Scale (LSAS)) and dichotomous indicators of response (LSAS ≤ 50) and remission (LSAS ≤ 30). Predictors of efficacy were examined in multivariate regression models that included eight polymorphic variants in four candidate genes (four in RGS2, two in HTR2A, one in SLC6A2, and one in SLC6A4). Adjusting for genetic ancestral cluster and non-genetic predictors of response, all four single-nucleotide polymorphisms (SNPs) in RGS2 predicted change in LSAS over time, at study-wise significance (p=0.00833), with the minor allele associated with less improvement over time. After adjusting for genetic ancestral cluster and non-genetic predictors of remission, two of the four RGS2 SNPs predicted likelihood of remission at or just below study-wise significance (p=0.025): rs4606 (AOR=0.49 (95% CI=0.27-0.90), p=0.022) and rs1819741 (AOR=0.50 (95% CI=0.28-0.92), p=0.027). Variation in RGS2, a gene previously shown to be associated with social anxiety phenotypes and serotonergic neurotransmission, may be a biomarker of the likelihood of substantially benefiting from sertraline among patients with SAD.

Indexed as

Polymorphism, Single NucleotideAdultAnxiety DisordersBiomarkers, PharmacologicalFemaleGenotyping TechniquesHumansMaleMultivariate AnalysisNorepinephrine Plasma Membrane Transport ProteinsPsychiatric Status Rating ScalesRemission InductionRGS ProteinsSelective Serotonin Reuptake InhibitorsSerotonin Plasma Membrane Transport ProteinsSertralineBiomarkers, PharmacologicalNorepinephrine Plasma Membrane Transport ProteinsRGS2 protein, humanRGS ProteinsSelective Serotonin Reuptake InhibitorsSerotonin Plasma Membrane Transport ProteinsSertralineSLC6A2 protein, humanSLC6A4 protein, human

Identifiers

PMID24154666
PMCPMC3988537
OpenAlexW1999006702

What OpenQuestion holds

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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.