Evidence map›Paper›PMID 26011569›Full record

Trial reportPharmacopsychiatry2015

Is S-Adenosyl Methionine (SAMe) for Depression Only Effective in Males? A Re-Analysis of Data from a Randomized Clinical Trial.

J Sarris, L H Price, L L Carpenter, A R Tyrka, C H Ng, G I Papakostas, A Jaeger, M Fava, D Mischoulon

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pharmacopsychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00101452 (A Double-Blind, Placebo-Controlled Study of the Alternative Therapy S-Adenosyl-L-Methionine), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 16% 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.

NCT00101452 nacompletednot on this map

A Double-Blind, Placebo-Controlled Study of the Alternative Therapy S-Adenosyl-L-Methionine (SAMe) vs Escitalopram in Major Depressive Disorder (MDD)

TypeinterventionalSponsorMaurizio Fava, MDRan2005 to 2010Enrolled199ConditionsDepressionArmsS-adenosyl-l-methionine, Escitalopram, Placebo
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. S-adenosyl methionine (SAMe) for depression in adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Insights into the Inhibitory Mechanisms of the Covalent Drugs for DNMT3A.International journal of molecular sciences · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. [Emotional disorder: a neglected symptoms of chronic liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Review
  15. Targeting Mitochondrial Dysfunction for Bipolar Disorder.Current topics in behavioral neurosciences · 2021
    Review
  16. Article
  17. Popular Herbal and Natural Remedies Used in Psychiatry.Focus (American Psychiatric Publishing) · 2018
    Article
  18. Therapeutic Implications of Brain-Immune Interactions: Treatment in Translation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Review
  19. Inflammation Effects on Motivation and Motor Activity: Role of Dopamine.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Review
  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

9 authors at 4 institutions in 2 countries.

J SarrisThe Melbourne Clinic, Department of Psychiatry, The University of Melbourne, Richmond, Melbourne, Australia.
L H PriceMood Disorders Research Program and Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
L L CarpenterMood Disorders Research Program and Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
A R TyrkaMood Disorders Research Program and Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
C H NgThe Melbourne Clinic, Department of Psychiatry, The University of Melbourne, Richmond, Melbourne, Australia.
G I PapakostasDepression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
A JaegerDepression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
M FavaDepression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
D MischoulonDepression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Brown University · USMassachusetts General Hospital · USMelbourne Clinic · AUHarvard University · US

Funding

Placebo-Controlled Study of SAMe vs.Escitalopram in MDDR01AT001638 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI FAVA, MAURIZIO · 2004 to 2008
$2.8M
Double-Blind study of SAMe vs Escitalopram in MDDR01AT001742 · NCCIH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI PRICE, LAWRENCE H · 2004 to 2008
$1.0M
NCCIH NIH HHS R01 AT001638NCCIH NIH HHS R01AT001638NCCIH NIH HHS R01 AT001742
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine whether gender differences may have affected treatment response to S-adenosyl methionine (SAMe) in a recent failed randomized clinical trial (RCT) for adults with major depressive disorder.

methodsData from a 2-site, 12-week, double-blind RCT (n=189) assessing the efficacy of SAMe vs. placebo and a comparator selective serotonin reuptake inhibitor (escitalopram) were subjected to post-hoc analyses to evaluate effects of patient gender on treatment response.

resultsWhen assessing the efficacy outcomes within each gender separately, SAMe was superior to placebo among males (n=51), but not among females (n=62). Males showed a significant reduction of depression severity from baseline to study endpoint on the 17-item Hamilton Depression Rating Scale (4.3 point difference; p=0.034; d=0.95), while females did not show significant change. This finding emerged despite equivalence on baseline measures of depression severity between the gender groups.

conclusionRESULTS of this secondary data analysis suggest that gender might impact the antidepressant efficacy of SAMe, with greater therapeutic effect found in males. The underlying mechanism is still relatively unknown. Further work is needed to replicate this observation in independent samples.Clinicaltrials.gov identifier: NCT00101452.

Indexed as

Sex CharacteristicsAntidepressive Agents, Second-GenerationCitalopramDouble-Blind MethodFemaleHumansMajor Depressive DisorderMaleS-AdenosylmethionineAntidepressive Agents, Second-GenerationCitalopramS-Adenosylmethionine

Identifiers

PMID26011569
PMCPMC5380442
OpenAlexW373675041

What OpenQuestion holds

Textmetadata
LicenceTDM
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.