Evidence map›Paper›PMID 25653537›Full record

ArticleJournal of multidisciplinary healthcare2015

Role of betaine in improving the antidepressant effect of S-adenosyl-methionine in patients with mild-to-moderate depression.

Francesco Di Pierro, Rossana Orsi, Roberto Settembre

Open access · goldAbstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Francesco Di PierroScientific Department, Velleja Research, Milan, Italy.
Rossana OrsiASL TO1, Turin, Italy.
Roberto SettembreNeurosurgery Department, ASL BA, Di Venere Hospital, Bari, Italy.
Velleja Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundS-adenosyl-methionine (SAMe) is a common add-on treatment used to counteract depressive symptoms in subjects with mild-to-moderate depression, who are low responders to other antidepressant drugs. However, there is some concern about the possible impact of SAMe therapy on homocysteine levels. Betaine is known both to counteract high level of homocysteine in plasma and to increase liquor and plasma levels of SAMe, thus potentiating its effect.

aimTo evaluate the role played by betaine, administered along with SAMe, in potentiating the antidepressive role played by SAMe administered as such.

methodsThe study enrolled 46 subjects with a diagnosis of mild-to-moderate depression according to the Beck Depression Inventory Scale II. All the subjects had a suboptimal control of their symptoms. After randomization, they were treated with adjunctive treatment with either Samyr(®) (enteric-coated SAMe) or DDM Metile(®) (enteric-coated SAMe plus betaine) for 90 days.

resultsBoth treatments acted similarly in improving symptoms such as anxiety, psychomotor agitation, feelings of helplessness and worthlessness, physical efficiency, and somatization, but treatment with DDM Metile(®) determined better statistically significant results following a 90-day therapy. Tolerability and compliance were overlapping in both the treatments.

conclusionThe association of SAMe plus betaine seemed to demonstrate more effectiveness than SAMe alone when administered as an add-on therapy to subjects, affected by mild-to-moderate depression, who were low responders to conventional antidepressants.

Indexed as

BetaineDDM Metile®methyl donormild-to-moderate depressionSAMeSamyr®

Identifiers

PMID25653537
PMCPMC4303396
OpenAlexW2071630252

What OpenQuestion holds

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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.