Evidence map›Paper›PMID 33888067›Full record

Observational studyBMC psychiatry2021

Aripiprazole in the real-world treatment for irritability associated with autism spectrum disorder in children and adolescents in Japan: 52-week post-marketing surveillance.

Yuna Sugimoto, Kayo Yamamura, Tomoyo Takayama, Yasuhiko Fukuta, Kazuo Aoki, Katsunaka Mikami, Akemi Tomoda

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03179787 (Post-Marketing Surveillance Study of Aripiprazole in Patients With Autism), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03179787 completednot on this map

Post-Marketing Surveillance Study of Aripiprazole in Patients With Autism

TypeobservationalSponsorOtsuka Pharmaceutical Co., Ltd.Ran2017 to 2020Enrolled528ConditionsAutismArmsAripiprazole oral product
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Yuna SugimotoPharmacovigilance Department, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan. Sugimoto.Yuna@otsuka.jp.
Kayo YamamuraPharmacovigilance Department, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Tomoyo TakayamaPharmacovigilance Department, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Yasuhiko FukutaPharmacovigilance Department, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Kazuo AokiMedical Affairs Department, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Katsunaka MikamiDepartment of Psychiatry, Tokai University School of Medicine, Kanagawa, Japan.
Akemi TomodaResearch Center for Child Mental Development, University of Fukui, Fukui, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to evaluate the post-marketing safety and effectiveness of aripiprazole in treating irritability in pediatric patients (6-17 years) with autism spectrum disorder (ASD) in actual clinical sites of Japan.

methodsIn this post-marketing surveillance, patients were enrolled into the multicenter, prospective, non-interventional, observational study for 52 weeks, and were dosed with aripiprazole (1-15 mg/day) under daily clinical settings in Japan.

resultsIn 510 patients, the continuation rate of aripiprazole treatment was 84.6% at day 168 (week 24) and 78.1% at day 364 (week 52). Adverse drug reactions (ADRs) occurred in 22.7% of patients (n = 116), and the most common ADRs were somnolence (9.4%), followed by weight increased (3.3%). At week 4, the mean change from baseline in the irritability subscale score for the Aberrant Behavior Checklist Japanese version (ABC-J) was - 5.7 ± 6.8 (n = 288). Based on multiple regression analysis, comorbid attention deficit and hyperactivity did not affect the ABC-J irritability subscale score at endpoint. At week 24, the mean change from baseline for the Strengths and Difficulties Questionnaire was - 3.3 ± 4.9 (n = 215) for the total difficulties score and 0.6 ± 1.7 (n = 217) for the prosocial behavior subscale score.

conclusionsAripiprazole was well tolerated and effective in the long-term treatment of irritability associated with ASD in Japanese pediatric patients in the real-world clinical practice.

trial registrationThis surveillance was registered with Clinical Trial.gov (no. NCT03179787 ) on June 7, 2017 (retrospectively registered).

Indexed as

Antipsychotic AgentsAutism Spectrum DisorderAdolescentAripiprazoleChildHumansIrritable MoodJapanMarketingProduct Surveillance, PostmarketingProspective StudiesTreatment OutcomeAntipsychotic AgentsAripiprazoleAripiprazoleAutism spectrum disorderChildren and adolescentsIrritabilityPost-marketing surveillance

Identifiers

PMID33888067
PMCPMC8061053

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Registered trials

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.