Evidence map›Paper›PMID 27271087›Full record

Trial reportPsychopharmacology2016

Efficacy and safety of asenapine in Asian patients with an acute exacerbation of schizophrenia: a multicentre, randomized, double-blind, 6-week, placebo-controlled study.

Toshihiko Kinoshita, Ya-Mei Bai, Jong-Hoon Kim, Mutsuo Miyake, Nobuyuki Oshima

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01098110 (A Multicenter, Randomized, Double-blind, Fixed-dose, 6-week Trial of the Efficacy and Safety of Asenapine Compared With Placebo in Subjects With an Acute Exacerbation of Schizophrenia), which is not on this map. Cited by 22 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 7 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.

NCT01098110 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Fixed-dose, 6-week Trial of the Efficacy and Safety of Asenapine Compared With Placebo in Subjects With an Acute Exacerbation of Schizophrenia (Phase 3)

TypeinterventionalSponsorOrganon and CoRan2010 to 2014Enrolled532ConditionsSchizophreniaArmsAsenapine 5 mg, Asenapine 10 mg, Placebo
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  16. Review
  17. Satisfaction Survey on Antipsychotic Formulations by Schizophrenia Patients in Japan.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  18. Review
  19. Article
  20. Asenapine: an atypical antipsychotic with atypical formulations.Therapeutic advances in psychopharmacology · 2021
    Review
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

5 authors.

Toshihiko KinoshitaDepartment of Neuropsychiatry, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi, Osaka, Japan. kinoshit@takii.kmu.ac.jp.
Ya-Mei BaiDepartment of Psychiatry, Taipei Veterans General Hospital (TPVGH), Taipei, Taiwan.
Jong-Hoon KimDepartment of Psychiatry, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Republic of Korea.
Mutsuo MiyakeMSD K.K., Tokyo, Japan.
Nobuyuki OshimaMSD K.K., Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleAsenapine is a second generation anti-psychotic approved in the USA in 2009 for the treatment of schizophrenia, but its efficacy has not been proven in Asian patients.

objectivesThe objectives of this study are to evaluate the efficacy and tolerability of asenapine in Asian patients experiencing an acute exacerbation of schizophrenia.

methodsIn this prospective, double-blind study, patients in Japan, Korea, and Taiwan were randomized (1:1:1) to asenapine 5 mg twice daily (bid), 10 mg bid or placebo for 6 weeks after a 3- to 7-day washout/screening period. The primary endpoint was the mean change in the positive and negative syndrome scale (PANSS) total score from baseline to day 42/treatment end.

resultsOf the 532 participants randomized, 530 received treatment. The primary endpoint was significantly greater with asenapine 5 and 10 mg bid than with placebo (-12.24 and -14.17 vs. -0.95; p < 0.0001). The results of secondary endpoints including PANSS negative subscale scores and PANSS responders at the end of treatment supported the results of the primary endpoint. There were no significant differences in the incidence of treatment-emergent adverse events reported with asenapine 5 and 10 mg bid and placebo (84.6, 80.7, and 81.6 %). There was a mean (± standard deviation) change in weight of -1.76 ± 2.45 kg for placebo, +0.42 ± 2.65 kg for asenapine 5 mg bid, and +0.81 ± 2.89 kg for asenapine 10 mg bid group.

conclusionsAsenapine was effective and generally well tolerated when used for the treatment of acute exacerbations of schizophrenia in Asian patients.

Indexed as

AdultAntipsychotic AgentsAsian PeopleBody WeightDibenzocycloheptenesDouble-Blind MethodFemaleHeterocyclic Compounds, 4 or More RingsHumansJapanMaleMiddle AgedProspective StudiesPsychiatric Status Rating ScalesRepublic of KoreaSafetyAntipsychotic AgentsasenapineDibenzocycloheptenesHeterocyclic Compounds, 4 or More RingsAsenapineEfficacySchizophreniaTolerability

Identifiers

PMID27271087
PMCPMC4917598

What OpenQuestion holds

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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.