Evidence map›Paper›PMID 27481049›Full record

ArticlePsychopharmacology2016

A population approach to characterise amisulpride pharmacokinetics in older people and Alzheimer's disease.

Suzanne Reeves, Julie Bertrand, Fabrizia D'Antonio, Emma McLachlan, Akshay Nair, Stuart Brownings, Suki Greaves, Alan Smith, David Taylor, Robert Howard

Open access · hybridAbstract read
In one paragraph

Article in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 22 citations in OpenAlex.

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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

10 authors at 4 institutions in 2 countries.

Suzanne ReevesDivision of Psychiatry, University College London, London, W1T7NF, UK. suzanne.reeves@ucl.ac.uk.
Julie BertrandUMR 1137 IAME INSERM University Paris 7, France and Genetics Institute, University College London, London, UK.
Fabrizia D'AntonioDivision of Psychiatry, University College London, London, W1T7NF, UK.
Emma McLachlanDepartment of Old Age Psychiatry, Kings College London, London, UK.
Akshay NairDivision of Psychiatry, University College London, London, W1T7NF, UK.
Stuart BrowningsDepartment of Old Age Psychiatry, Kings College London, London, UK.
Suki GreavesSouth London and Maudsley NHS Foundation Trust, London, UK.
Alan SmithSouth London and Maudsley NHS Foundation Trust, London, UK.
David TaylorSouth London and Maudsley NHS Foundation Trust, London, UK.
Robert HowardDivision of Psychiatry, University College London, London, W1T7NF, UK.
King's College London · GBSouth London and Maudsley NHS Foundation Trust · GBUniversity College London · GBUniversité Paris Cité · FR

Funding

Department of HealthMedical Research Council MR/J014338/1
6 · The paper itself

Abstract

introductionCurrent prescribing guidelines for the antipsychotic amisulpride are based largely on pharmacokinetic (PK) studies in young adults, and there is a relative absence of data on older patients, who are at greatest risk of developing adverse events.

methodsThis study aimed to develop a population PK model for amisulpride specifically in older people, by combining data from a richly sampled phase 1, single (50 mg) dose study in healthy older people (n = 20, 65-79 years), with a clinical dataset obtained during off label, low-dose (25-75 mg daily) amisulpride prescribing in older people with Alzheimer's disease (AD) (n = 25, 69-92 years), as part of an observational study.

resultsAfter introducing a scaling factor based on body weight, age accounted for 20 % of the inter-individual variability in drug clearance (CL), resulting in a 54 % difference in CL between those aged 65 and those aged 85 years, and higher blood concentrations in older patients. DISCUSSION: These findings argue for the consideration of age and weight-based dose stratification to optimise amisulpride prescribing in older people, particularly in those aged 85 years and above.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAmisulprideAntipsychotic AgentsFemaleHealthy VolunteersHumansMaleSulpirideAmisulprideAntipsychotic AgentsSulpirideAgeAlzheimer’s diseaseAmisulprideAntipsychoticElderlyPopulation pharmacokinetics

Identifiers

PMID27481049
PMCPMC4989015
OpenAlexW2502762809

What OpenQuestion holds

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LicenceCC BY
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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.