Evidence map›Paper›PMID 24562062›Full record

Trial reportPsychopharmacology2014

High baseline BDNF serum levels and early psychopathological improvement are predictive of treatment outcome in major depression.

Thorsten Mikoteit, Johannes Beck, Anne Eckert, Ulrich Hemmeter, Serge Brand, Roland Bischof, Edith Holsboer-Trachsler, Alexandra Delini-Stula

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Review
  9. The researcher's guide to selecting biomarkers in mental health studies.BioEssays : news and reviews in molecular, cellular and developmental biology · 2024
    Review
  10. Are BDNF and Stress Levels Related to Antidepressant Response?International journal of molecular sciences · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. A Load to Find Clinically Useful Biomarkers for Depression.Advances in experimental medicine and biology · 2021
    Article
  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

8 authors.

Thorsten MikoteitCenter for Affective, Stress and Sleep Disorders (ZASS), Psychiatric Clinics of the University of Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland, thorsten.mikoteit@upkbs.ch.
Johannes Beck
Anne Eckert
Ulrich Hemmeter
Serge Brand
Roland Bischof
Edith Holsboer-Trachsler
Alexandra Delini-Stula

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleMajor depressive disorder has been associated with low serum levels of brain-derived neurotrophic factor (sBDNF), which is functionally involved in neuroplasticity. Although sBDNF levels tend to normalize following psychopathological improvement with antidepressant treatment, it is unclear how closely sBDNF changes are associated with treatment outcome.

objectivesTo examine whether baseline sBDNF or early changes in sBDNF are predictive of response to therapy.

methodsTwenty-five patients with major depressive disorder underwent standardized treatment with duloxetine. Severity of depression, measured by the Hamilton Depression Rating Scale, and sBDNF were assessed at baseline, and after 1, 2, and 6 weeks of treatment. Therapy outcome after 6 weeks was defined as response (≥50 % reduction in baseline Hamilton Depression Rating score) and remission (Hamilton Depression Rating score <8). The predictive values for treatment outcome of baseline sBDNF, and early (i.e., ≤2 weeks) changes in sBDNF and Hamilton Depression Rating score were also assessed.

resultsAt baseline, sBDNF correlated with Hamilton Depression Rating scores. Treatment response was associated with a higher baseline sBDNF concentration, and a greater Hamilton Depression Rating score reduction after 1 and 2 weeks. A greater early rise in sBDNF correlated with a decreased early Hamilton Depression Rating score reduction.

conclusionsEven though higher baseline sBDNF levels are associated with more severe depression, they may reflect an increased capacity to respond to treatment. In contrast, changes in sBDNF over the full course of treatment are not associated with psychopathological improvement.

Indexed as

AdultAntidepressive AgentsBlood Chemical AnalysisBrain-Derived Neurotrophic FactorDuloxetine HydrochlorideFemaleHumansMajor Depressive DisorderMalePrognosisProspective StudiesPsychiatric Status Rating ScalesSwitzerlandThiophenesTime FactorsTreatment OutcomeAntidepressive AgentsBDNF protein, humanBrain-Derived Neurotrophic FactorDuloxetine HydrochlorideThiophenes

Identifiers

What OpenQuestion holds

Textmetadata
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.