Evidence map›Paper›PMID 31597566›Full record

ArticleBMC psychiatry2019

Clozapine and desmethylclozapine: correlation with neutrophils and leucocytes counting in Mexican patients with schizophrenia.

Mayela Vaquero-Baez, Araceli Díaz-Ruíz, Luis Tristán-López, Carlos Aviña-Cervantes, Carlos Torner, Jesús Ramírez-Bermúdez, Sergio Montes, Camilo Ríos

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

8 authors at 2 institutions in 1 country.

Mayela Vaquero-BaezDoctorado en Ciencias Biologicas y de la Salud, Universidad Autonoma Metropolitana-Xochimilco, Ciudad de México, México.
Araceli Díaz-RuízDepartamento de Neuroquímica, Instituto Nacional de Neurología "Dr Manuel Velasco Suarez", Ave. Insurgentes Sur No. 3877, 14269, Ciudad de México, D.F, México.
Luis Tristán-LópezDepartamento de Neuroquímica, Instituto Nacional de Neurología "Dr Manuel Velasco Suarez", Ave. Insurgentes Sur No. 3877, 14269, Ciudad de México, D.F, México.
Carlos Aviña-CervantesDivisión de Psiquiatría, Instituto Nacional de Neurología, "Dr Manuel Velasco Suarez", Ciudad de México, México.
Carlos TornerDoctorado en Ciencias Biologicas y de la Salud, Universidad Autonoma Metropolitana-Xochimilco, Ciudad de México, México.
Jesús Ramírez-BermúdezDivisión de Psiquiatría, Instituto Nacional de Neurología, "Dr Manuel Velasco Suarez", Ciudad de México, México.
Sergio MontesDepartamento de Neuroquímica, Instituto Nacional de Neurología "Dr Manuel Velasco Suarez", Ave. Insurgentes Sur No. 3877, 14269, Ciudad de México, D.F, México.
Camilo RíosDepartamento de Neuroquímica, Instituto Nacional de Neurología "Dr Manuel Velasco Suarez", Ave. Insurgentes Sur No. 3877, 14269, Ciudad de México, D.F, México. crios@correo.xoc.uam.mx.
Instituto Nacional de Neurología y Neurocirugía · MXUniversidad Autónoma Metropolitana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of present study is to measure plasma clozapine (CLZ) and N-desmethyl clozapine (DMC) as biomarkers to correlate drug concentrations with the appearance of preclinical adverse hematic effects.

methodsA high-performance liquid chromatographic method, using a diode-array (ultraviolet) detector, was validated to obtain reliable concentrations of CLZ and DMC, its main metabolite, in plasma of 41 schizophrenic patients taking CLZ. Blood neutrophils and leucocytes counting were concurrently assessed as a proxy to subclinical adverse reactions.

resultsThe analytical method employed was linear, reproducible, and stable to measure concentrations of CLZ between 30 and 1000 ng/mL, while 12.5-560 ng/mL of the metabolite. The method allowed us to correlate CLZ plasma concentrations, the time taking CLZ and CLZ dose as determinants of neutrophils' counting with a R

conclusionThe findings of this study, demonstrate for the first time, that plasma levels of CLZ and time taking the drug are independent determinants of blood neutrophils and leucocytes, so the monitoring of plasma CLZ may be useful in the clinic practice to determine safe dosing of the drug.

Indexed as

AdultAntipsychotic AgentsChromatography, High Pressure LiquidClozapineFemaleHumansLeukocytesMaleMexicoMiddle AgedNeutrophilsSchizophreniaYoung AdultAntipsychotic AgentsClozapinenorclozapineClozapineN-desmethyl clozapineNeutrophilsTreatment-resistant schizophrenia

Identifiers

PMID31597566
PMCPMC6785871
OpenAlexW2979484804

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.