Evidence map›Paper›PMID 26071208›Full record

Trial reportSchizophrenia bulletin2016

Phase 2 Trial of an Alpha-7 Nicotinic Receptor Agonist (TC-5619) in Negative and Cognitive Symptoms of Schizophrenia.

David Walling, Stephen R Marder, John Kane, W Wolfgang Fleischhacker, Richard S E Keefe, David A Hosford, Chris Dvergsten, Anthony C Segreti, Jessica S Beaver, Steven M Toler and 2 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia bulletin, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing 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

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

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  5. Pharmacokinetic Limitations on Effects of an Alpha7-Nicotinic Receptor Agonist in Schizophrenia: Randomized Trial with an Extended-Release Formulation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
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  7. Review
  8. Novel drug treatments for schizophrenia.Nature reviews. Drug discovery · 2026
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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

12 authors.

David WallingCNS Network, Inc., Garden Grove, CA; davidwalling@cnstrial.com.
Stephen R MarderDesert Pacific Mental Illness Research, Education, and Clinical Center UCLA Semel Institute for Neuroscience, Los Angeles, CA;
John KaneDepartment of Psychiatry, The Zucker Hillside Hospital, Glen Oaks, NY;
W Wolfgang FleischhackerDepartment for Psychiatry and Psychotherapy, Division of Biological Psychiatry, Medical University Innsbruck, Innsbruck, Austria;
Richard S E KeefeSchizophrenia Research Group, Psychiatry & Behavioral Sciences, Division of Medical Psychology, School of Medicine, Duke University, Durham, NC;
David A HosfordDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.
Chris DvergstenDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.
Anthony C SegretiDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.
Jessica S BeaverDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.
Steven M TolerDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.
John E JettDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.
Geoffrey C DunbarDepartment of Clinical Development and Regulatory Affairs, Targacept Inc., Winston-Salem, NC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis trial was conducted to test the effects of an alpha7 nicotinic receptor full agonist, TC-5619, on negative and cognitive symptoms in subjects with schizophrenia.

methodsIn 64 sites in the United States, Russia, Ukraine, Hungary, Romania, and Serbia, 477 outpatients (18-65 years; male 62%; 55% tobacco users) with schizophrenia, treated with a new-generation antipsychotic, were randomized to 24 weeks of placebo (n = 235), TC-5619, 5mg (n = 121), or TC-5619, 50 mg (n = 121), administered orally once daily. The primary efficacy measure was the Scale for the Assessment of Negative Symptoms (SANS) composite score. Key secondary measures were the Cogstate Schizophrenia Battery (CSB) composite score and the University of California San Diego Performance-Based Skills Assessment-Brief Version (UPSA-B) total score. Secondary measures included: Positive and Negative Syndrome Scale in Schizophrenia (PANSS) total and subscale scores, SANS domain scores, CSB item scores, Clinical Global Impression-Global Improvement (CGI-I) score, CGI-Severity (CGI-S) score, and Subject Global Impression-Cognition (SGI-Cog) total score.

resultsSANS score showed no statistical benefit for TC-5619 vs placebo at week 24 (5 mg, 2-tailed P = .159; 50 mg, P = .689). Likewise, no scores of CSB, UPSA-B, PANSS, CGI-I, CGI-S, or SGI-Cog favored TC-5619 (P > .05). Sporadic statistical benefit favoring TC-5619 in some of these outcome measures were observed in tobacco users, but these benefits did not show concordance by dose, country, gender, or other relevant measures. TC-5619 was generally well tolerated.

conclusionThese results do not support a benefit of TC-5619 for negative or cognitive symptoms in schizophrenia.

Indexed as

Outcome Assessment, Health CareSeverity of Illness IndexAdultalpha7 Nicotinic Acetylcholine ReceptorBenzofuransFemaleHumansMaleMiddle AgedNicotinic AgonistsQuinuclidinesSchizophreniaYoung Adultalpha7 Nicotinic Acetylcholine ReceptorBenzofuransN-(2-(pyridin-3-ylmethyl)-1-azabicyclo(2.2.2)oct-3-yl)-1-benzofuran-2-carboxamideNicotinic AgonistsQuinuclidinescognitionnegative symptomsschizophrenia

Identifiers

PMID26071208
PMCPMC4753586

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.