Evidence map›Paper›PMID 27306192›Full record

Trial reportInternational clinical psychopharmacology2016

Ziprasidone augmentation for anxious depression.

Dawn F Ionescu, Richard C Shelton, Lee Baer, Kathryn H Meade, Michaela B Swee, Maurizio Fava, George I Papakostas

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International clinical psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmacological interventions for treatment-resistant depression in adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. 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

7 authors.

Dawn F IonescuaDepartment of Psychiatry, Massachusetts General Hospital bHarvard Medical School, Boston, Massachusetts cDepartment of Psychiatry, Office of Psychiatric Clinical Research, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Richard C Shelton
Lee Baer
Kathryn H Meade
Michaela B Swee
Maurizio Fava
George I Papakostas

Funding

1/2-Ziprasidone Augmentation of SSRIs for Treatment-Resistant Depression (TRD)R01MH081240 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PAPAKOSTAS, GEORGE I · 2008 to 2012
$1.8M
2/2-Ziprasidone Augmentation of SSRIs for Treatment-Resistant Depression (TRD)R01MH081235 · NIMH · VANDERBILT UNIVERSITY · PI SHELTON, RICHARD CHARLES · 2008 to 2012
$1.7M
Psychophysiological and Cognitive Biomarkers of Ketamine's Antidepressant EffectsK23MH107776 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI IONESCU, DAWN F. · 2016 to 2017
$216k
NIMH NIH HHS K23 MH107776NIMH NIH HHS R01 MH081235NIMH NIH HHS R01 MH081240
6 · The paper itself

Abstract

Previously, we found an anxiolytic effect of ziprasidone augmentation to escitalopram (compared with placebo augmentation) in patients with depression in an 8-week, randomized, double-blind, parallel-group, placebo-controlled trial. Here, we carried out a post-hoc analysis, comparing changes in the Hamilton Depression and Anxiety Rating Scales between patients with anxious depression versus nonanxious depression, using a moderator analysis. Hamilton Depression Rating Scales total change scores from baseline and endpoint were not significantly different (interaction term P=0.91) in patients with anxious depression on ziprasidone augmentation (n=19; -9.1±4.9) or placebo (n=19; -6.1±8.9) versus patients without anxious depression on ziprasidone (n=52; -5.5±6.7) or placebo (n=49; -2.3±4.5). There was a trend toward statistical significance (interaction term P=0.1) in favor of patients without anxious depression for a difference in Hamilton Anxiety Rating Scale total change scores from baseline to endpoint [patients with anxious depression on ziprasidone augmentation (n=19; -2.7±5.3) or placebo (n=19; -3.3±5.8) versus patients without anxious depression on ziprasidone (n=51; -3.9±6.6) or placebo (n=44; -0.9±4.7)]. Ziprasidone augmentation was equally efficacious in treating depression in patients with versus without anxious depression. However, the observed anxiolytic effect for patients with higher anxiety was not clinically significant.

Indexed as

AdolescentAdultAgedAntidepressive Agents, Second-GenerationAntipsychotic AgentsAnxietyCitalopramDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMajor Depressive DisorderMaleMiddle AgedPiperazinesThiazolesAntidepressive Agents, Second-GenerationAntipsychotic AgentsCitalopramPiperazinesThiazolesziprasidone

Identifiers

PMID27306192
PMCPMC5039050

What OpenQuestion holds

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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.