Evidence map›Paper›PMID 33268022›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021

Effect of Older vs Younger Age on Anthropometric and Metabolic Variables During Treatment of Psychotic Depression With Sertraline Plus Olanzapine: The STOP-PD II Study.

Alastair J Flint, Anthony J Rothschild, Ellen M Whyte, George S Alexopoulos, Benoit H Mulsant, Patricia Marino, Samprit Banerjee, Cristina D Pollari, Yiyuan Wu, Aristotle N Voineskos and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Antidepressant Augmentation of Antipsychotic Treatment in Schizophrenia: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Alastair J FlintDepartment of Psychiatry (AJF, BHM, ANV), University of Toronto, ON, Canada; Centre for Mental Health, University Health Network (AJF), Toronto, ON, Canada. Electronic address: alastair.flint@uhn.ca.
Anthony J RothschildUniversity of Massachusetts Medical School and UMass Memorial Health Care (AJR), Worcester, MA.
Ellen M WhyteDepartment of Psychiatry (EMW), UPMC Western Psychiatric Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA.
George S AlexopoulosDepartment of Psychiatry (GSA, PM, CDP, BSM)), Weill Cornell Medicine of Cornell University and New York Presbyterian Hospital, Westchester Division, NY.
Benoit H MulsantDepartment of Psychiatry (AJF, BHM, ANV), University of Toronto, ON, Canada; Centre for Addiction and Mental Health (BHM, ANV), Toronto, ON, Canada.
Patricia MarinoDepartment of Psychiatry (GSA, PM, CDP, BSM)), Weill Cornell Medicine of Cornell University and New York Presbyterian Hospital, Westchester Division, NY.
Samprit BanerjeeDepartment of Healthcare Policy and Research (SB, YW), Weill Cornell Medical College, New York, NY.
Cristina D PollariDepartment of Psychiatry (GSA, PM, CDP, BSM)), Weill Cornell Medicine of Cornell University and New York Presbyterian Hospital, Westchester Division, NY.
Yiyuan WuDepartment of Healthcare Policy and Research (SB, YW), Weill Cornell Medical College, New York, NY.
Aristotle N VoineskosDepartment of Psychiatry (AJF, BHM, ANV), University of Toronto, ON, Canada; Centre for Addiction and Mental Health (BHM, ANV), Toronto, ON, Canada.
Barnett S MeyersDepartment of Psychiatry (GSA, PM, CDP, BSM)), Weill Cornell Medicine of Cornell University and New York Presbyterian Hospital, Westchester Division, NY.
STOP-PD II Study Group
Cornell University · USCentre for Addiction and Mental Health · CAUniversity Health Network · CAUniversity of Massachusetts Chan Medical School · USUniversity of Pittsburgh · USUniversity of Toronto · CA

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Acute Pharmacotherapy of Psychotic DepressionU01MH062518 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 2002 to 2015
$5.0M
Acute Pharmacotherapy of Unipolar Psychotic DepressionU01MH062565 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHYTE, ELLEN M · 2002 to 2015
$3.0M
Acute Pharmacotherapy of Unipolar Psychotic DepressionU01MH062624 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ROTHSCHILD, ANTHONY J · 2002 to 2015
$2.9M
Acute Pharmacotherapy of Unipolar Psychotic DepressionU01MH062446 · NIMH · UNIVERSITY HEALTH NETWORK · PI FLINT, ALASTAIR J. · 2002 to 2015
$2.0M
NCATS NIH HHS UL1 TR002384NIMH NIH HHS U01 MH062446NIMH NIH HHS U01 MH062518NIMH NIH HHS U01 MH062565NIMH NIH HHS U01 MH062624
6 · The paper itself

Abstract

objectiveTo examine the effect of older versus younger age on change in anthropometric and metabolic measures during extended treatment of psychotic depression with sertraline plus olanzapine.

methodsTwo hundred and sixty-nine men and women aged 18-85 years with an episode of psychotic depression were treated with open-label sertraline plus olanzapine for up to 12 weeks. Participants who remained in remission following an 8-week stabilization phase were eligible to participate in a 36-week randomized controlled trial (RCT) that compared the efficacy and tolerability of sertraline plus olanzapine with sertraline plus placebo. Weight, waist circumference and plasma lipids, glucose, HbA1c, and insulin were measured at regular intervals during the acute, stabilization and randomized phases of the study. Linear mixed models were used to analyze the trajectories of anthropometric and metabolic measures.

resultsParticipants aged 60 years or older experienced less weight gain and less increase in cholesterol during the combined acute and stabilization phases of the study compared with those aged 18-59 years. At the acute-stabilization termination visit, mean weight in older participants was 6.5 lb. less than premorbid weight, whereas it was 17.9 lb. more than premorbid weight in younger participants. In the RCT, there was a significant interaction of treatment and age group for the trajectory of weight, but the post hoc tests that compared age groups within each treatment arm were not statistically significant. There were no clinically significant differences between younger and older participants in glycemic measures.

conclusionOlder patients with psychotic depression experienced less increase in weight and total cholesterol than their younger counterparts during acute and stabilization treatment with sertraline plus olanzapine. In the older group, weight gained during the acute and stabilization phases appeared to be partial restoration of weight lost during the index episode of depression, whereas weight gain in younger participants was not.

Indexed as

Antipsychotic AgentsSertralineAdolescentAdultAgedAged, 80 and overBenzodiazepinesDepressionDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMaleMiddle AgedOlanzapineTreatment OutcomeAntipsychotic AgentsBenzodiazepinesOlanzapineSertralineantipsychoticmetabolic effectsolanzapineolder agePsychotic depressionsertralinetreatmentweight gain

Identifiers

PMID33268022
PMCPMC8121896
OpenAlexW3103988128

What OpenQuestion holds

Textmetadata
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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.