Evidence map›Paper›PMID 31270774›Full record

ArticleThe patient2019

Analysis of Clinical Trial Exit Interview Data in Patients with Treatment-Resistant Depression.

Sandy Lewis, Carla Romano, Geert De Bruecker, James W Murrough, Richard Shelton, Jaskaran B Singh, Carol Jamieson

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in The patient, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

NCT01627782 phase2completednot on this map

A Double-blind, Randomized, Placebo-controlled, Parallel Group, Dose Frequency Study of Ketamine in Subjects With Treatment-resistant Depression

TypeinterventionalSponsorJanssen Research & Development, LLCRan2012 to 2013Enrolled68ConditionsMajor Depressive DisorderArmsPlacebo, Ketamine
NCT01640080 phase2completednot on this map

A Double-Blind, Double-Randomization, Placebo-Controlled Study of the Efficacy of Intravenous Esketamine in Adult Subjects With Treatment-Resistant Depression

TypeinterventionalSponsorJanssen Research & Development, LLCRan2012 to 2013Enrolled30ConditionsMajor Depressive DisorderArmsEsketamine, Placebo
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
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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

7 authors at 4 institutions in 1 country.

Sandy LewisRTI Health Solutions, 3040 East Cornwallis Road, PO Box 12194, Research Triangle Park, NC, 27709-2194, USA. slewis@rti.org.ORCID 0000-0003-0463-7482
Carla RomanoRTI Health Solutions, 3040 East Cornwallis Road, PO Box 12194, Research Triangle Park, NC, 27709-2194, USA.
Geert De BrueckerIndependent Hospital and Healthcare Professional, Ghent, Belgium.
James W MurroughIcahn School of Medicine at Mount Sinai, New York, USA.
Richard SheltonUniversity of Alabama at Birmingham School of Medicine, Birmingham, USA.
Jaskaran B SinghJanssen Research and Development, Raritan, USA.
Carol JamiesonJanssen Research and Development, Raritan, USA.
Janssen (United States) · USRTI Health Solutions · USIcahn School of Medicine at Mount Sinai · USUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical outcome assessments may not fully capture patients' perspectives of treatment benefit or tolerability. Incorporating individual exit interviews might enhance the description of the patient experience of drug effects.

objectiveThe objective of this study was to evaluate the patient treatment experience in a clinical trial of treatment-resistant depression utilizing exit interview methodology.

methodsIndividual patient interviews were conducted with subjects exiting two phase II clinical trials involving investigational agents for treatment-resistant depression. Interviews included standardized questions about patients' perceptions of health changes and interest in continued use of the investigational agent. Constant comparative analysis of blinded data was used to identify, code, and categorize the data followed by a subsequent analysis of unblinded data to evaluate any potential treatment differences.

resultsNinety subjects completed exit interviews across the two trials. Most subjects (90%, Trial 2001; 74%, Trial 2002) reported at least one health change. Most subjects rated these changes to be at least moderately important, with most being rated "very important" to "extremely important." After unblinding, participants receiving active therapy alone reported most of the positive health changes (80% of overall positive changes in Trial 2001, 89% in Trial 2002), whereas patients taking placebo alone reported the majority of negative health changes (57% in Trial 2002). Positive changes included not only anticipated changes in mood but also potential cognitive benefits such as mental alertness, improved sleep, and better concentration.

conclusionsStandardized interview data provided direct patient insight into the treatment experience from the patient perspective. Data from these interviews assisted in phase III endpoint selection by providing data on relevant concepts in the target treatment-resistant depression population receiving a new treatment, thus enabling the selection of tools to capture noted treatment effects and, by eliminating irrelevant constructs or measures, thereby reducing data "noise."

trial registrationClinicalTrials.gov NCT01640080; NCT01627782.

Indexed as

Clinical Trials, Phase II as TopicDepressive Disorder, Treatment-ResistantInterviews as TopicAdultFemaleHumansMaleMiddle AgedQualitative ResearchQuality of LifeYoung Adult

Identifiers

PMID31270774
OpenAlexW2954205900

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.