Evidence map›Paper›PMID 34366678›Full record

ArticleInternational journal of general medicine2021

Impact of Lurasidone and Other Antipsychotics on Body Weight: Real-World, Retrospective, Comparative Study of 15,323 Adults with Schizophrenia.

Ilena Pochiero, Fabrizio Calisti, Alessandro Comandini, Alessandra Del Vecchio, Isabella Costamagna, Maria Teresa Rosignoli, Agnese Cattaneo, Sasikiran Nunna, Ilaria Peduto, Franca Heiman and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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

13 authors at 3 institutions in 4 countries.

Ilena PochieroAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Fabrizio CalistiAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Alessandro ComandiniAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Alessandra Del VecchioAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Isabella CostamagnaAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Maria Teresa RosignoliAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Agnese CattaneoAngelini Regulatory, Research & Development, Angelini Pharma S.p.A., Rome, Italy.
Sasikiran NunnaIQVIA, Plymouth Meeting, PA, USA.
Ilaria PedutoIQVIA Solutions Italy S.r.l., RWS, Milan, Italy.
Franca HeimanIQVIA Solutions Italy S.r.l., RWS, Milan, Italy.
Hsiu-Ching ChangIQVIA, Plymouth Meeting, PA, USA.
Chi-Chang ChenIQVIA, Plymouth Meeting, PA, USA.ORCID 0000-0002-7065-9607
Christoph CorrellDepartment of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany.
Angelini Pharma (Italy) · ITIQVIA (United States) · USNorthwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary objectives were to describe weight changes following initiation of lurasidone versus other antipsychotics and estimate the risk of clinically relevant (≥7%) weight changes. PATIENTS AND

methodsThis retrospective, longitudinal comparative cohort study was based on electronic medical records (EMRs) of United States (US) adult patients with schizophrenia who were prescribed lurasidone or other antipsychotics as monotherapy between 1 April 2013 and 30 June 2019.

resultsOverall, the study included 15,323 patients with a diagnosis of schizophrenia; 6.1% of patients received lurasidone, 60.4% received antipsychotics associated with a medium-high risk of weight gain (clozapine, olanzapine, quetiapine, risperidone, paliperidone) and 33.5% received antipsychotics with a low risk of weight gain (aripiprazole, first-generation antipsychotics, ziprasidone). Lurasidone was associated with the smallest proportion of patients experiencing clinically relevant weight gain and the greatest proportion of patients with clinically relevant weight loss. The risk of clinically relevant weight gain was numerically higher with all antipsychotics versus lurasidone and was statistically significant for olanzapine (hazard ratio [HR]=1.541; 95% confidence interval [CI]=1.121; 2.119; p=0.0078) versus lurasidone. The likelihood of ≥7% weight loss was significantly greater with lurasidone versus all antipsychotics (p<0.05), except ziprasidone.

conclusionThis real-world study suggests that lurasidone has a lower risk of clinically relevant weight gain and a higher likelihood of clinically relevant weight loss than other commonly used antipsychotics.

Indexed as

real world clinical trialsretrospective studiesweight gain

Identifiers

PMID34366678
PMCPMC8336993
OpenAlexW3192812708

What OpenQuestion holds

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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.