Evidence map›Paper›PMID 28555718›Full record

Trial reportJournal of the American Geriatrics Society2017

Bone Turnover with Venlafaxine Treatment in Older Adults with Depression.

Kerri S Rawson, David Dixon, Roberto Civitelli, Tim R Peterson, Benoit H Mulsant, Charles F Reynolds, Eric J Lenze

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Pharmacogenetics in Primary Headache Disorders.Frontiers in pharmacology · 2021
    Review
  4. Bone Metabolism in Patients Treated for Depression.International journal of environmental research and public health · 2020
    Article
  5. The Effect of Depression, Generalized Anxiety, and Selective Serotonin Reuptake Inhibitors on Change in Bone Metabolism in Adolescents and Emerging Adults.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    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

7 authors at 4 institutions in 2 countries.

Kerri S RawsonDepartment of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri.
David DixonDepartment of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri.
Roberto CivitelliDepartment of Pathology, School of Medicine, Washington University, St. Louis, Missouri.
Tim R PetersonDepartment of Internal Medicine, School of Medicine, Washington University, St. Louis, Missouri.
Benoit H MulsantCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Eric J LenzeDepartment of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri.
Washington University in St. Louis · USMissouri Institute of Mental Health · USUniversity of Pittsburgh · USUniversity of Toronto · CA

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
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
2/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083648 · NIMH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2009 to 2013
$2.0M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NIMH NIH HHS P30 MH090333NIMH NIH HHS R01 MH083648
6 · The paper itself

Abstract

objectivesEpidemiologic data suggest older adults receiving serotonergic antidepressants may have accelerated bone loss. We examined bone turnover marker changes and patient-level variables associated with these changes in older adults receiving protocolized antidepressant treatment.

designOpen-label, protocolized treatment study.

settingMedical centers in Pittsburgh, St Louis, and Toronto.

participantsOlder adults with major depression (N = 168). MEASUREMENTS: Serum levels of the bone resorption marker C-terminal cross-linking telopeptide of type 1 collagen (CTX) and the bone formation marker procollagen type 1 N propeptide (P1NP) were assayed before and after 12 weeks of treatment with venlafaxine. Whether CTX and P1NP changes were associated with depression remission and duration of depression and genetic polymorphisms in the serotonin transporter (5HTTLPR) and 1B receptor (HTR1B) were also examined.

resultsCTX increased and P1NP decreased during venlafaxine treatment, a profile consistent with accelerated bone loss. Two individual-level clinical variables were correlated with bone turnover; participants whose depression did not go into remission had higher CTX levels, and those with chronic depression had lower P1NP levels. HTR1B genotype predicted P1NP change, whereas 5HTTLPR genotype was unrelated to either biomarker.

conclusionBone turnover markers change with antidepressant treatment in a pattern that suggests accelerated bone loss, although the clinical significance of these changes is unclear. These data are preliminary and argue for a larger, controlled study to confirm whether antidepressants are harmful to bone metabolism and whether certain individuals might be at increased risk.

Indexed as

AgedBiomarkersBone RemodelingCollagen Type IFemaleHumansMajor Depressive DisorderMaleProcollagenSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine HydrochlorideBiomarkersCollagen Type IProcollagenSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine Hydrochlorideantidepressantbone turnoverCTXdepressionP1NP

Identifiers

PMID28555718
PMCPMC5626017
OpenAlexW2618108189

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.