Evidence map›Paper›PMID 31098889›Full record

ArticleNeurology and therapy2019

Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia.

Afzal Javed, Holger Arthur, Logos Curtis, Lars Hansen, Sofia Pappa

Open access · goldAbstract read
In one paragraph

Article in Neurology and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
2.5field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 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 5 institutions in 3 countries.

Afzal JavedJepson House, Coventry and Warwickshire Partnership NHS Trust, Nuneaton, UK. afzal.javed@ntlworld.com.ORCID http://orcid.org/0000-0003-2518-0688
Holger ArthurNorthern Stockholm Psychiatry, Stockholm Health Care Services, Stockholm, Sweden.
Logos CurtisYoung Adult Psychiatry Unit, Geneva University Hospitals, Geneva, Switzerland.
Lars HansenEarly Intervention in Psychosis Team, Southern Health NHS Foundation Trust, Southampton, UK.
Sofia PappaWest London Mental Health Trust, London, UK.
Coventry and Warwickshire Partnership NHS Trust · GBSouthern Health NHS Foundation Trust · GBStockholm Health Care Services · SEUniversity Hospital of Geneva · CHWest London Mental Health NHS Trust · GB

Funding

Sunovion Pharmaceuticals Europe Ltd editorial assistanceSunovion Pharmaceuticals Europe Ltd Funding for consensus meeting
6 · The paper itself

Abstract

introductionLurasidone is an atypical antipsychotic that was approved in Europe in 2014 for the treatment of schizophrenia in adults aged ≥ 18 years. Clinical experience with lurasidone in Europe is currently limited, and there is therefore a need to provide practical guidance on using lurasidone for the treatment of adults with schizophrenia.

methodsA panel of European psychiatrists with extensive experience of prescribing lurasidone was convened to provide recommendations on using lurasidone to treat adults with schizophrenia.

resultsExtensive evidence from clinical trials and the panel's clinical experience suggest that lurasidone is as effective as other atypical agents, with the possible exception of clozapine. Lurasidone is associated with a lower propensity for metabolic side effects (in particular, weight gain) and hyperprolactinaemia than most other atypical antipsychotics and has a relatively benign neurocognitive side effect profile. Patients switching to lurasidone from another antipsychotic may experience weight reduction and/or improvements in the ability to focus/concentrate. Most side effects with lurasidone (such as somnolence) are transitory, easily managed and/or ameliorated by dose adjustment. Akathisia and extrapyramidal symptoms may occur in a minority of patients, but these can be managed effectively with dose adjustment, adjunctive therapy and/or psychosocial intervention.

conclusionsGiven the crucial importance of addressing the physical as well as mental healthcare needs of patients, lurasidone is a rational therapeutic choice for adults with schizophrenia, both in the acute setting and over the long term.

fundingSunovion Pharmaceuticals Europe Ltd.

Indexed as

AntipsychoticCardiometabolic side effectsLurasidoneSchizophreniaWeight gain

Identifiers

PMID31098889
PMCPMC6858892
OpenAlexW2945515278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.