Evidence map›Paper›PMID 29656414›Full record

Trial reportAlcoholism, clinical and experimental research2018

Add-On Memantine Treatment for Bipolar II Disorder Comorbid with Alcohol Dependence: A 12-Week Follow-Up Study.

Sheng-Yu Lee, Tzu-Yun Wang, Shiou-Lan Chen, Yun-Hsuan Chang, Po-See Chen, San-Yuan Huang, Nian-Sheng Tzeng, Liang-Jen Wang, I Hui Lee, Kao Ching Chen and 3 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Influence of combined treatment with naltrexone and memantine on alcohol drinking behaviors: a phase II randomized crossover trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. SARS-CoV-2 infection in patients with serious mental illness and possible benefits of prophylaxis with Memantine and Amantadine.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

13 authors at 8 institutions in 3 countries.

Sheng-Yu LeeDepartment of Psychiatry , Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Tzu-Yun WangDepartment of Psychiatry , College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan.
Shiou-Lan ChenDepartment of Neurology , School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Yun-Hsuan ChangDepartment of Psychology , College of Medical and Health Science, Asia University, Taichung, Taiwan.
Po-See ChenDepartment of Psychiatry , College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan.
San-Yuan HuangDepartment of Psychiatry , Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Nian-Sheng TzengDepartment of Psychiatry , Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Liang-Jen WangDepartment of Child and Adolescent Psychiatry , Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
I Hui LeeDepartment of Psychiatry , College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan.
Kao Ching ChenDepartment of Psychiatry , College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan.
Yen Kuang YangDepartment of Psychiatry , College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan.
Jau-Shyong HongLaboratory of Toxicology and Pharmacology , NIH/NIEHS, Research Triangle Park, North Carolina.
Ru-Band LuDepartment of Psychiatry , College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0001-6411-3547
National Cheng Kung University Hospital · TWTri-Service General Hospital · TWAsia University · TWChang Gung University · TWKaohsiung Medical University · TWNational Health Research Institutes · TWNational Yang Ming Chiao Tung University · TWResearch Triangle Park Foundation · US

Funding

Roles Of Brain Neuroimmune System In NeurodegenerationZIAES090082 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI HONG, JAU-SHYONG SHYONG · 2009 to 2018
$22.0M
Intramural NIH HHS ZIA ES090082
6 · The paper itself

Abstract

backgroundBipolar disorder (BD), especially BD-II, is frequently comorbid with alcohol dependence. Because BD-II and alcohol dependence are neurodegenerative disorders, agents with anti-inflammatory and neurotrophic effects might provide effective therapy. We investigated whether add-on memantine to regular valproic acid treatment ameliorated clinical symptoms, reduced alcohol use, and cytokine levels, and increased plasma brain-derived neurotrophic factor (BDNF) in BD-II patients with comorbid alcohol dependence.

methodsIn a single-arm 12-week clinical trial, BD-II patients with comorbid alcohol dependence (n = 45) undergoing regular valproic acid treatments were given add-on memantine (5 mg/d). Symptom severity, alcohol use, cytokine (plasma tumor necrosis factor-α and C-reactive protein [CRP], transforming growth factor-β1 [TGF-β1], interleukin-8 [IL-8], IL-10), and plasma BDNF levels were regularly assessed.

resultsMean within-group decreases in Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS) scores, alcohol use, CRP, BDNF, and IL-8 levels were significantly different from baseline after 12 weeks of treatment. We found no significant correlation between alcohol use levels and changes in HDRS or YMRS scores. The correlation between reduced alcohol use and reduced TGF-β1 level was significant (B = 0.003, p = 0.019).

conclusionsBD-II comorbid with alcohol dependence might benefit from add-on memantine treatment, which significantly reduced clinical severity, alcohol use, and plasma cytokine levels, and increased BDNF levels.

Indexed as

Alcohol DrinkingAlcoholismAntimanic AgentsBipolar DisorderBrain-Derived Neurotrophic FactorComorbidityCytokinesDiagnosis, Dual (Psychiatry)Dopamine AgentsDrug Therapy, CombinationFollow-Up StudiesHumansMemantineTaiwanTreatment OutcomeValproic AcidAntimanic AgentsBrain-Derived Neurotrophic FactorCytokinesDopamine AgentsMemantineValproic AcidAlcohol DependenceBDNFBipolar II DisorderCytokinesMemantine

Identifiers

PMID29656414
PMCPMC6473794
OpenAlexW2800662890

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.