Evidence map›Paper›PMID 27538352›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2016

Impact of Prior Treatment on Remission of Late-Life Depression with Venlafaxine and Subsequent Aripiprazole or Placebo Augmentation.

Jonathan H Hsu, Benoit H Mulsant, Eric J Lenze, Jordan F Karp, Helen Lavretsky, Steven P Roose, Charles F Reynolds, Daniel M Blumberger

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pharmacological interventions for treatment-resistant depression in adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Article
  3. Article
  4. 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

8 authors at 5 institutions in 2 countries.

Jonathan H HsuCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Benoit H MulsantCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Eric J LenzeHealthy Mind Lab, Department of Psychiatry, Washington University School of Medicine.
Jordan F KarpUniversity of Pittsburgh School of Medicine, Pittsburgh, PA; VAPHS Geriatric Research, Education, and Clinical Center, Pittsburgh, PA.
Helen LavretskyDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA.
Steven P RooseColumbia University and the New York State Psychiatric Institute, New York, NY.
Charles F ReynoldsUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Daniel M BlumbergerCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Electronic address: daniel.blumberger@camh.ca.
University of Pittsburgh · USUniversity of Toronto · CACentre for Addiction and Mental Health · CANew York State Psychiatric InstituteUniversity of California, Los Angeles · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2011 to 2015
$8.3M
1/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083660 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2009 to 2013
$2.7M
2/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083648 · NIMH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2009 to 2013
$2.0M
3/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083643 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI MULSANT, BENOIT H · 2009 to 2013
$1.3M
1/3 Buprenorphine for Late-Life Treatment Resistant DepressionR34MH101371 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARP, JORDAN F · 2014 to 2016
$672k
3/3 Buprenorphine for Late-Life Treatment Resistant DepressionR34MH101365 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI BLUMBERGER, DANIEL M. · 2014 to 2016
$479k
NCATS NIH HHS UL1 TR000448NIMH NIH HHS P30 MH090333NIMH NIH HHS R01 MH083643NIMH NIH HHS R01 MH083648NIMH NIH HHS R01 MH083660NIMH NIH HHS R34 MH101365NIMH NIH HHS R34 MH101371
6 · The paper itself

Abstract

objectiveTreatment history can inform clinical decisions about subsequent treatment choices. The authors examined the impact of prior antidepressant treatment on treatment outcomes with venlafaxine only and then with augmentation with aripiprazole or placebo in depressed older adults.

methodsThe authors analyzed outcome data from a randomized, placebo-controlled clinical trial of aripiprazole augmentation in depressed older adults. The study consisted of an open-label lead-in phase with venlafaxine XR, followed by a placebo-controlled phase of aripiprazole augmentation. Treatment history was assessed with the Antidepressant Treatment History Form.

resultsDocumented prior treatment failure predicted a reduced remission rate with venlafaxine. However, aripiprazole augmentation was efficacious in those with prior treatment failure (42.6% remission with aripiprazole versus 25.8% with placebo; χ(2) = 3.87 df = 1, p = 0.049).

conclusionAripiprazole augmentation is an efficacious strategy in older depressed adults who fail to remit with two or more adequate antidepressant trials, including a course of venlafaxine.

Indexed as

AgedAntidepressive Agents, Second-GenerationAntipsychotic AgentsAripiprazoleDouble-Blind MethodDrug Therapy, CombinationFemaleHumansLate Onset DisordersMajor Depressive DisorderMaleMiddle AgedPrognosisRemission InductionTreatment OutcomeVenlafaxine HydrochlorideAntidepressive Agents, Second-GenerationAntipsychotic AgentsAripiprazoleVenlafaxine HydrochlorideantidepressantaripiprazoleaugmentationGeriatric depressionrandomized controlled trialtreatment resistancevenlafaxine

Identifiers

PMID27538352
PMCPMC5026879
OpenAlexW2346505682

What OpenQuestion holds

Textmetadata
LicenceTDM
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.