Evidence map›Paper›PMID 31818135›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2020

Protocol for Clozapine Rechallenge in a Case of Clozapine-Induced Myocarditis.

G Shivakumar, N Thomas, M Sollychin, A Takács, S Kolamunna, P Melgar, F Connally, C Neil, C Bousman, M Jayaram and 1 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Clozapine-induced myocarditis and subsequent rechallenge: a narrative literature review and case report.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2023
    Article
  7. Review
  8. Review
  9. Article
  10. Successful clozapine rechallenge after myopericarditis: a case report.International clinical psychopharmacology · 2022
    Article
  11. A Slow, Cautious, and Successful Clozapine Rechallenge After Myocarditis.The primary care companion for CNS disorders · 2022
    Article
  12. Re: Protocol for Clozapine Rechallenge in a Case of Clozapine-induced Myocarditis.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021
    Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

G ShivakumarAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
N ThomasAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.ORCID 0000-0001-6876-1015
M SollychinAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
A TakácsAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
S KolamunnaAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
P MelgarAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
F ConnallyAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
C NeilWestern Health, Department of Cardiology, University of Melbourne, Victoria, Australia.
C BousmanDepartment of Medical Genetics, University of Calgary, Alberta, Canada.
M JayaramMelbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne and Melbourne Health, Western Centre for Health, Research & Education, St Albans, Victoria, Australia.
C PantelisAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, Victoria, Australia.
Western Health · AUThe University of Melbourne · AUUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProtocol for clozapine rechallenge in patients with a history of clozapine-induced myocarditis.

methodClozapine-related cardiovascular adverse effects including myocarditis and cardiomyopathy have limited its widespread use in treatment-resistant schizophrenia. Here, we present a case of clozapine-induced myocarditis and successful cautious rechallenge. Ms. AA, a young female patient with severe psychosis developed myocarditis during her initial clozapine titration phase, which was thus discontinued. Subsequent response to other medications was poor, and she remained significantly disabled. We reviewed blood-based biomarkers identified during the emergence of her index episode of myocarditis and developed a successful clozapine rechallenge protocol, based on careful monitoring of changes in these indices and a very slow clozapine re-titration. RESULTS AND

conclusionsThis protocol may have utility in the management of patients with a history of clozapine-induced myocarditis.

Indexed as

Antipsychotic AgentsClozapineMyocarditisPsychotic DisordersSchizophreniaFemaleHumansAntipsychotic AgentsClozapineclozapinemyocarditisrechallengeschizophrenia

Identifiers

PMID31818135
PMCPMC7298578
OpenAlexW2995355912

What OpenQuestion holds

Textmetadata
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.