Evidence map›Paper›PMID 32986159›Full record

Observational studyEuropean journal of clinical pharmacology2021

Estimation of a preliminary therapeutic reference range for children and adolescents with tic disorders treated with tiapride.

Stefanie Fekete, K Egberts, T Preissler, C Wewetzer, C Mehler-Wex, M Romanos, M Gerlach

Erratum issuedOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 15% 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, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Stefanie FeketeCentre for Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Margarete-Höppel-Platz 1, 97080, Würzburg, Germany. fekete_s@ukw.de.ORCID http://orcid.org/0000-0003-1925-6228
K EgbertsCentre for Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Margarete-Höppel-Platz 1, 97080, Würzburg, Germany.
T PreisslerDepartment of Child and Adolescent Psychiatry and Psychotherapy, Kepler University Clinics GmbH, Linz, Austria.
C WewetzerClinics of the City Cologne GmbH, Clinic for Child and Adolescent Psychiatry and Psychotherapy, Cologne, Germany.
C Mehler-WexArbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie (AGNP)-Work group "Kinder- und jugendpsychiatrische Pharmakologie", 1. Vorsitzender Prof. Dr. med. M. Kölch, Kliniken für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum im Friedrichshain, Vivantes Klinikum Neukölln, Landsberger Allee 49, 10249, Berlin, Germany.
M RomanosCentre for Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Margarete-Höppel-Platz 1, 97080, Würzburg, Germany.
M GerlachCentre for Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Margarete-Höppel-Platz 1, 97080, Würzburg, Germany.
Universitätsklinikum Würzburg · DEKepler Universitätsklinikum · ATStadtwerke Köln (Germany) · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTiapride is commonly used in Europe for the treatment of tics. The aim of this study was to examine the relationship between dose and serum concentrations of tiapride and potential influential pharmacokinetic factors in children and adolescents. In addition, a preliminary therapeutic reference range for children and adolescents with tics treated with tiapride was calculated.

methodsChildren and adolescents treated with tiapride at three university hospitals and two departments of child and adolescents psychiatry in Germany and Austria were included in the study. Patient characteristics, doses, serum concentrations, and therapeutic outcome were assessed during clinical routine care using standardised measures.

resultsIn the 49 paediatric patients (83.7% male, mean age = 12.5 years), a positive correlation was found between tiapride dose (median 6.9 mg/kg, range 0.97-19.35) and serum concentration with marked inter-individual variability. The variation in dose explained 57% of the inter-patient variability in tiapride serum concentrations; age, gender, and concomitant medication did not contribute to the variability. The symptoms improved in 83.3% of the patients. 27.1% of the patients had mild or moderate ADRs. No patient suffered from severe ADRs.

conclusionsThis study shows that tiapride treatment was effective and safe in most patients with tics. Compared with the therapeutic concentration range established for adults with Chorea Huntington, our data hinted at a lower lower limit (560 ng/ml) and similar upper limit (2000 ng/ml).

Indexed as

AdolescentAge FactorsBiological Variation, PopulationChildDopamine D2 Receptor AntagonistsDose-Response Relationship, DrugFemaleHumansMaleProspective StudiesReference ValuesSeverity of Illness IndexSex FactorsTiapride HydrochlorideTic DisordersTreatment OutcomeDopamine D2 Receptor AntagonistsTiapride HydrochloridePaediatricsPharmacokineticsSerum concentrationTherapeutic drug monitoringTourette syndrome

Identifiers

PMID32986159
PMCPMC8134309
OpenAlexW3088938385

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.