Evidence map›Paper›PMID 34183088›Full record

ArticleBJPsych open2021

Protocol for a pharmacogenomic study on individualised antipsychotic drug treatment for patients with schizophrenia.

Yi Su, Hao Yu, Zhiren Wang, Sha Liu, Liansheng Zhao, Yingmei Fu, Yongfeng Yang, Bo Du, Fuquan Zhang, Xiangrong Zhang and 20 more

Abstract read
In one paragraph

Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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

30 authors.

Yi SuInstitute of Mental Health, The Sixth Hospital of Peking University, China; and Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China.ORCID https://orcid.org/0000-0003-0067-7313
Hao YuInstitute of Mental Health, The Sixth Hospital of Peking University, China; Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China; and Department of Psychiatry, Jining Medical University, China.ORCID https://orcid.org/0000-0002-9785-8489
Zhiren WangPsychiatry Research Center, Beijing HuiLongGuan Hospital, Peking University, China.
Sha LiuDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, China.
Liansheng ZhaoMental Health Center, West China Hospital, Sichuan University, China.
Yingmei FuShanghai Mental Health Center, Shanghai Jiaotong University, China.
Yongfeng YangHenan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University, China.
Bo DuHebei Mental Health Center, The Sixth People's Hospital of Hebei Province, China.
Fuquan ZhangWuxi Mental Health Center, Nanjing Medical University, China.
Xiangrong ZhangDepartment of Geriatric Psychiatry, Nanjing Brain Hospital Affiliated to Nanjing Medical University, China.
Manli HuangDepartment of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, China; and The Key Laboratory of Mental Disorder's Management of Zhejiang Province, China.
Cailan HouGuangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong province, China; and School of Medicine, South China University of Technology, Guangzhou, Guangdong province, China.
Guoping HuangDepartment of Psychiatry, Mental Health Center of Sichuan Province, China.
Zhonghua SuDepartment of Psychiatry, Jining Mental Hospital, China.
Mao PengDepartment of Neurology, Xuanwu Hospital, Capital Medical University, China.
Ran YanDepartment of Radiology, China-Japan Friendship Hospital Affiliated to the Ministry of Health of PRC, China.
Yuyanan ZhangInstitute of Mental Health, The Sixth Hospital of Peking University, China; and Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China.
Hao YanInstitute of Mental Health, The Sixth Hospital of Peking University, China; and Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China.ORCID https://orcid.org/0000-0003-0376-9037
Lifang WangInstitute of Mental Health, The Sixth Hospital of Peking University, China; and Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China.
Tianlan LuInstitute of Mental Health, The Sixth Hospital of Peking University, China; and Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China.
Fujun JiaGuangdong Mental Health Center, Guangdong General Hospital, China; and School of Medicine, South China University of Technology, Guangzhou, Guangdong province, China.
Keqing LiHebei Mental Health Center, The Sixth People's Hospital of Hebei Province, China.
Luxian LvHenan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University, China.
Hongxing WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, China.
Shunying YuShanghai Mental Health Center, Shanghai Jiaotong University, China.
Qiang WangMental Health Center, West China Hospital, Sichuan University, China.ORCID https://orcid.org/0000-0002-3849-1349
Yunlong TanHuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Peking University, China.ORCID https://orcid.org/0000-0002-3522-3912
Yong XuDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, China.ORCID https://orcid.org/0000-0001-9679-2273
Dai ZhangInstitute of Mental Health, The Sixth Hospital of Peking University, China; Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China; and Peking-Tsinghua Joint Center for Life Sciences, IDG/McGovern Institute for Brain Research, Peking University, China.
Weihua YueInstitute of Mental Health, The Sixth Hospital of Peking University, China; and Key Laboratory of Mental Health, Ministry of Health & National Clinical Research Center for Mental Disorders (Peking University), China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchizophrenia is a severe and complex psychiatric disorder that needs treatment based on extensive experience. Antipsychotic drugs have already become the cornerstone of the treatment for schizophrenia; however, the therapeutic effect is of significant variability among patients, and only around a third of patients with schizophrenia show good efficacy. Meanwhile, drug-induced metabolic syndrome and other side-effects significantly affect treatment adherence and prognosis. Therefore, strategies for drug selection are desperately needed. In this study, we will perform pharmacogenomics research and set up an individualised preferred treatment prediction model.

aimsWe aim to create a standard clinical cohort, with multidimensional index assessment of antipsychotic treatment for patients with schizophrenia.

methodThis trial is designed as a randomised clinical trial comparing treatment with different kinds of antipsychotics. A total sample of 2000 patients with schizophrenia will be recruited from in-patient units from five clinical research centres. Using a computer-generated program, the participants will be randomly assigned to four treatment groups: aripiprazole, olanzapine, quetiapine and risperidone. The primary outcomes will be measured as changes in the Positive and Negative Syndrome Scale of schizophrenia, which reflects the efficacy. Secondary outcomes include the measure of side-effects, such as metabolic syndromes. The efficacy evaluation and side-effects assessment will be performed at baseline, 2 weeks, 6 weeks and 3 months.

resultsThis trial will assess the efficacy and side effects of antipsychotics and create a standard clinical cohort with a multi-dimensional index assessment of antipsychotic treatment for schizophrenia patients.

conclusionThis study aims to set up an individualized preferred treatment prediction model through the genetic analysis of patients using different kinds of antipsychotics.

Indexed as

Antipsychoticsclinical trialdrug interactions and side-effectsgeneticsschizophrenia

Identifiers

PMID34183088
PMCPMC8269926

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Registered trials

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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.