Evidence map›Paper›PMID 25710119›Full record

Trial reportTranslational psychiatry2015

Genetic variants in combination with early partial improvement as a clinical utility predictor of treatment outcome in major depressive disorder: the result of two pooled RCTs.

M Kato, A Serretti, S Nonen, Y Takekita, M Wakeno, J Azuma, T Kinoshita

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Fibroblast Growth Factors in Depression.Frontiers in pharmacology · 2019
    Review
  7. Review
  8. Abrogated Freud-1/Cc2d1a Repression of 5-HT1A Autoreceptors Induces Fluoxetine-Resistant Anxiety/Depression-Like Behavior.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2017
    Article
  9. Early Improvement and Marriage Are Determinants of the 12-Month Treatment Outcome of Paroxetine in Outpatients with Panic Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2017
    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 3 institutions in 2 countries.

M KatoDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
A SerrettiDepartment of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.
S NonenDepartment of Pharmacy, Hyogo University of Health Sciences, Hyogo, Japan.
Y TakekitaDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.ORCID 0000000324354033
M WakenoDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
J AzumaDepartment of Pharmacy, Hyogo University of Health Sciences, Hyogo, Japan.
T KinoshitaDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Kansai Medical University · JPHyogo University of Health Sciences · JPUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacogenetics may allow for a personalized treatment, but a combination with clinical variables may further enhance prediction. In particular, in the present paper, we investigated early partial improvement (EPI) defined as 20% or more improvement by rating scales 2  weeks after treatment, in combination with selected gene variants as a predictor of treatment outcome in patients with major depressive disorder. Two randomized controlled trials with 168 Japanese depressed patients were used. A stepwise multiple linear regression model with HAM-D score change at week 6 as the dependent variable and genotypes, EPI, baseline HAM-D score, age and sex as independent variables was performed in paroxetine, fluvoxamine and milnacipran, respectively, to estimate the prediction of HAM-D change at week 6. In the paroxetine sample, only EPI (P<0.001) was significantly associated with HAM-D change (n=81, R(2)=0.25, P<0.001). In the fluvoxamine sample, 5-HTTLPR La/Lg, S (P=0.029), FGF2 rs1449683C/T (P=0.013) and EPI (P=0.003) were associated with HAM-D change (n=42, R(2)=0.43, P<0.001). In the milnacipran sample, HTR-1A-1019C/G (P=0.001), ADRA2A-1297C/G (P=0.028) and EPI (P<0.001) were associated with outcome (n=45, R(2)=0.71, P<0.001). EPI in combination with genetic variants could be a useful predictor of treatment outcome and could strengthen the practical use of pharmacogenetic data in clinical practice.

Indexed as

Age FactorsAntidepressive AgentsAntidepressive Agents, Second-GenerationCyclopropanesFemaleFibroblast Growth FactorsFluvoxamineHumansJapanMajor Depressive DisorderMaleMiddle AgedMilnacipranParoxetinePsychiatric Status Rating ScalesReceptors, Adrenergic, alpha-2ADRA2A protein, humanAntidepressive AgentsAntidepressive Agents, Second-GenerationCyclopropanesFGF20 protein, humanFibroblast Growth FactorsFluvoxamineHTR1A protein, humanMilnacipranParoxetineReceptors, Adrenergic, alpha-2Receptor, Serotonin, 5-HT1ASerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID25710119
PMCPMC4445755
OpenAlexW2009158850

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.