Evidence map›Paper›PMID 32976677›Full record

Observational studyHuman psychopharmacology2021

The safety of agomelatine in standard medical practice in depressed patients: A 26-week international multicentre cohort study.

Philip Gorwood, Jacques Benichou, Nicholas Moore, Enric Álvarez Martínez, Joost Mertens, Eugenio Aguglia, Maria-Luisa Figueira, Peter Falkai, Valérie Olivier, Marine Wattez and 2 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Human psychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 54% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

12 authors at 8 institutions in 6 countries.

Philip GorwoodGHU Paris Psychiatrie et Neurosciences (CMME, Hôpital Sainte-Anne), Université de Paris & INSERM U1266, Paris, France.ORCID 0000-0003-1845-3676
Jacques BenichouCentre Hospitalier Universitaire de Rouen, Unité de Biostatistiques, Rouen, France.
Nicholas MooreBordeaux PharmacoEpi CIC Bordeaux CIC1401 INSERM U1219 Hôpital Pellegrin, Bordeaux, France.ORCID 0000-0003-1212-2817
Enric Álvarez MartínezHospital de Sant Pau, Universitat Autònoma de Barcelona, Institut de Recerca Biomedica Sant Pau, Barcelone, Spain.
Joost MertensDe Velse GGZ, Velsen-Zuid, The Netherlands.
Eugenio AgugliaClinica Psichiatrica, AOU Policlinico Vittorio-Emanuele, Catania, Italia.
Maria-Luisa FigueiraFaculty of Medicine, University of Lisbon, Lisbon, Portugal.
Peter FalkaiDepartment of Psychiatry, University of Munich, Munchen, Germany.
Valérie OlivierInstitut de Recherches Internationales Servier (IRIS), Suresnes, France.
Marine WattezInstitut de Recherches Internationales Servier (IRIS), Suresnes, France.
Françoise Picarel-BlanchotInstitut de Recherches Internationales Servier (IRIS), Suresnes, France.
Christian de BodinatInstitut de Recherches Internationales Servier (IRIS), Suresnes, France.
Servier (France) · FRInserm · FRAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITCentre Hospitalier Universitaire de Rouen · FRGGD Zuid Limburg · NLMunich University of Applied Sciences · DEUniversitat Autònoma de Barcelona · ESUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present observational cohort study documented the safety of agomelatine in current medical practice in out-patients suffering from major depressive disorder.

methodThe 6-month evolution of agomelatine-treated patients was assessed with a focus on safety (emergent adverse events, liver acceptability), severity of depression using the Clinical Global Impression Severity (CGI-S) score, and functioning measured by the Sheehan Disability Scale (SDS).

resultsA total of 8453 depressed patients from 761 centres in 6 countries were analysed (female: 67.7%; mean age: 49.1 ± 14.8 years). Adverse events reported were in accordance with the known safety profile of agomelatine. Cutaneous events were reported in 1.7% of the patients and increased hepatic transaminases values were reported in 0.9 % of the patients. The incidence of events related to suicide/self-injury was 1.0%. Two completed suicides, not related to the study drug, were reported. CGI-S total scores and SDS sub-scores improved and numbers of days lost or underproductive decreased over the treatment period.

conclusionsIn standard medical practice, agomelatine treatment was associated with a low incidence of side effects. No unexpected events were reported. A decrease in the severity of the depressive episode and improved functioning were observed. TRIAL REGISTRATION NAME: Observational cohort study to evaluate the safety of agomelatine in standard medical practice in depressed patients. A prospective, observational (non-interventional), international, multicentre cohort study. TRIAL REGISTRATION NUMBER: ISRCTN53570733.

Indexed as

AcetamidesAntidepressive AgentsCohort StudiesFemaleHumansMajor Depressive DisorderMaleMiddle AgedNaphthalenesProspective StudiesSuicideTreatment OutcomeAcetamidesagomelatineAntidepressive AgentsNaphthalenesagomelatineliver acceptabilityobservationalsafety-medical practiceskin events

Identifiers

PMID32976677
PMCPMC7816263
OpenAlexW3088340210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.