Evidence map›Paper›PMID 30509308›Full record

Trial reportBMC psychiatry2018

Early predictors of poor treatment response in patients with schizophrenia treated with atypical antipsychotics.

Yi-Lung Chen, Kun-Po Chen, Chih-Chiang Chiu, Ming-Hong Tai, For-Wey Lung

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03730857 (Early Predictors of Poor Treatment Response in Patients With Schizophrenia Treated With Atypical Antipsychotics), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT03730857 phase1completednot on this map

Early Predictors of Poor Treatment Response in Patients With Schizophrenia Treated With Atypical Antipsychotics

TypeinterventionalSponsorCalo Psychiatric CenterRan2008 to 2008Enrolled111ConditionsSchizophreniaArmsOlanzapine, risperidone, Paliperidone
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 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

5 authors at 3 institutions in 1 country.

Yi-Lung ChenDepartment of Biological Sciences, National Sun Yat-sen University, Kaohsiung, Taiwan.
Kun-Po ChenDepartment of Psychiatry, Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan.
Chih-Chiang ChiuDepartment of Psychiatry, Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan.
Ming-Hong TaiDepartment of Biological Sciences, National Sun Yat-sen University, Kaohsiung, Taiwan. mhtai@faculty.nsysu.edu.tw.
For-Wey LungCalo Psychiatric Center, No.12-200, Jinhua Rd., Xinpi Township, Pingtung County, 925, Taiwan. forwey@seed.net.tw.ORCID 0000-0002-4505-7583
National Sun Yat-sen University · TWTaipei City Hospital · TWJinwen University of Science and Technology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aims of this study were to explore the relationship between early reduction in psychotic symptoms and the ultimate response in patients with schizophrenia treated by atypical antipsychotics, and to determine the best time to switch or maitain the regimen. We also explore the possible predictors for the clinical response.

methodsOne hundred eleven inpatients with acutely exacerbated schizophrenia were randomized to give optimal therapy of olanzapine, risperidone, and paliperidone in one-week run-in period and 12 weeks' intervention. All participants were assessed using Positive and Negative Syndrome Scale (PANSS). Early Response, defined as reduction of 25% in PANSS score, was examined at weeks 1, 2, 3, 4 and 8, and these ratings were used to predict ultimate response (25% PANSS reduction) at week 12. We hypothesized that early treatment response at Week 1 or 2 could predict Week 12's treatment outcome.

resultsThe early treatment response at Week 2 had a greater negative prediction value (NPV, 93.6%) than did the response at Week 1 (NPV, 69.7%), Week 3 (NPV, 91.5%), Week 4 (NPV, 90.7%) and Week 8 (NPV, 87.2%). The positive predictive value became more acceptable (65%) until Week 4. There was no any other potential predictors, including types of antipsychotics medication and treatment dosage, were associated with ultimate response in this study.

conclusionThe treatment non-response at Week 2 optimally predicted the ultimate (Week 12) non-response, in terms of negative predictive value (NPV). These finding suggests that the revision of treatment strategy should be considered t if patients with schizophrenia was not responsive to them after 2 weeks' treatment, and for those who are responders at Week 2, another two weeks are needed to further evaluate whether they will be continuously responsive.

trial registrationNCT03730857 at ClinicalTrial.gov . Date of registration: 30/Oct/2018.

Indexed as

AdolescentAdultAgedAntipsychotic AgentsDrug Administration ScheduleDrug Therapy, CombinationFemaleHumansMaleMiddle AgedOlanzapinePaliperidone PalmitatePredictive Value of TestsPsychiatric Status Rating ScalesRisperidoneSchizophreniaAntipsychotic AgentsOlanzapinePaliperidone PalmitateRisperidoneNegative predictive valuePANSSPositive predictive valueSchizophrenia

Identifiers

PMID30509308
PMCPMC6278161
OpenAlexW2902367788

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.