Evidence map›Paper›PMID 25372846›Full record

Trial reportJAMA psychiatry2015

Antipsychotic treatment and functional connectivity of the striatum in first-episode schizophrenia.

Deepak K Sarpal, Delbert G Robinson, Todd Lencz, Miklos Argyelan, Toshikazu Ikuta, Katherine Karlsgodt, Juan A Gallego, John M Kane, Philip R Szeszko, Anil K Malhotra

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JAMA psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04671836 (Lorazepam Effects on Neuroimaging Measures), which is not on this map. Cited by 171 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
171citing papers in PubMed, 3 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.

NCT04671836 early_phase1withdrawnnot on this mapstarted 2022, after this paper: background citation

Lorazepam Effects on Neuroimaging Measures: A Pilot Study

TypeinterventionalSponsorNorthwell HealthRan2022 to 2022Enrolled0ConditionsLorazepam, NeuroimagingArmsLorazepam 1Mg Tablet, Placebo
3 · Its place in the literature

Who cites it

171 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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111 more citing papers are in PubMed but not listed here.

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.

Deepak K SarpalDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York.
Delbert G RobinsonDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York3Department of Psychiatry, Hofstra North Shore-Long Is.
Todd LenczDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York3Department of Psychiatry, Hofstra North Shore-Long Is.
Miklos ArgyelanDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York.
Toshikazu IkutaSchool of Applied Sciences, Department of Communication Sciences and Disorders, University of Mississippi, University.
Katherine KarlsgodtDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York.
Juan A GallegoDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York3Department of Psychiatry, Hofstra North Shore-Long Is.
John M KaneDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York3Department of Psychiatry, Hofstra North Shore-Long Is.
Philip R SzeszkoDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York3Department of Psychiatry, Hofstra North Shore-Long Is.
Anil K MalhotraDepartment of Psychiatry, Zucker Hillside Hospital, North Shore-LIJ Health System, Glen Oaks, New York2Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York3Department of Psychiatry, Hofstra North Shore-Long Is.

Funding

Striatal D2/D3 Dopamine receptor availability in first episode schizophreniaP50MH080173 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI GREGERSEN, PETER K. · 2008 to 2012
$10.4M
Trials Operation Unit (OPERATIONS CORE)P30MH090590 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CORRELL, CHRISTOPH U · 2010 to 2014
$7.9M
PREVENTING MORBIDITY IN FIRST EPISODE SCHIZOPHRENIAR01MH060004 · NIMH · LONG ISLAND JEWISH MEDICAL CENTER · PI ROBINSON, DELBERT G · 1998 to 2008
$5.2M
Diffusion Tensor Imaging in First-Episode SchizophreniaR01MH076995 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SZESZKO, PHILIP R · 2007 to 2010
$1.2M
NIMH NIH HHS P30 MH090590NIMH NIH HHS P30MH090590NIMH NIH HHS P50 MH080173NIMH NIH HHS P50MH080173NIMH NIH HHS R01 MH060004NIMH NIH HHS R01MH060004NIMH NIH HHS R01 MH076995NIMH NIH HHS R01MH076995
6 · The paper itself

Abstract

importancePrevious evidence has implicated corticostriatal abnormalities in the pathophysiology of psychosis. Although the striatum is the primary target of all efficacious antipsychotics, the relationship between its functional connectivity and symptomatic reduction remains unknown.

objectiveTo explore the longitudinal effect of treatment with second-generation antipsychotics on functional connectivity of the striatum during the resting state in patients experiencing a first episode of psychosis. DESIGN, SETTING, AND

participantsThis prospective controlled study took place at a clinical research center and included 24 patients with first-episode psychosis and 24 healthy participants matched for age, sex, education, and handedness. Medications were administered in a double-blind randomized manner.

interventionsPatients were scanned at baseline and after 12 weeks of treatment with either risperidone or aripiprazole. Their symptoms were evaluated with the Brief Psychiatric Rating Scale at baseline and follow-up. Healthy participants were scanned twice within a 12-week interval. MAIN OUTCOMES AND MEASURES: Functional connectivity of striatal regions was examined via functional magnetic resonance imaging using a seed-based approach. Changes in functional connectivity of these seeds were compared with reductions in ratings of psychotic symptoms.

resultsPatients had a median exposure of 1 day to antipsychotic medication prior to being scanned (mean [SD] = 4.5 [6.1]). Eleven patients were treated with aripiprazole and 13 patients were treated with risperidone. As psychosis improved, we observed an increase in functional connectivity between striatal seed regions and the anterior cingulate, dorsolateral prefrontal cortex, and limbic regions such as the hippocampus and anterior insula (P < .05, corrected for multiple comparisons). Conversely, a negative relationship was observed between reduction in psychosis and functional connectivity of striatal regions with structures within the parietal lobe (P < .05, corrected for multiple comparisons). CONCLUSIONS AND RELEVANCE: Our results indicated that corticostriatal functional dysconnectivity in psychosis is a state-dependent phenomenon. Increased functional connectivity of the striatum with prefrontal and limbic regions may be a biomarker for improvement in symptoms associated with antipsychotic treatment.

Indexed as

Neural PathwaysPsychotic DisordersAdultAntipsychotic AgentsAripiprazoleBrief Psychiatric Rating ScaleCerebral CortexConnectomeCorpus StriatumDrug MonitoringEpisode of CareFemaleHumansMagnetic Resonance ImagingMalePiperazinesAntipsychotic AgentsAripiprazolePiperazinesQuinolonesRisperidone

Identifiers

PMID25372846
PMCPMC4286512

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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.