Evidence map›Paper›PMID 34626144›Full record

Trial reportPsychiatry and clinical neurosciences2022

Discontinuation and remission rates and social functioning in patients with schizophrenia receiving second-generation antipsychotics: 52-week evaluation of JUMPs, a randomized, open-label study.

Jun Ishigooka, Kazuyuki Nakagome, Tetsuro Ohmori, Nakao Iwata, Ken Inada, Jun-Ichi Iga, Taro Kishi, Kiyoshi Fujita, Yuka Kikuchi, Toshiaki Shichijo and 9 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry and clinical neurosciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. 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

19 authors at 15 institutions in 2 countries.

Jun IshigookaDepartment of Psychiatry, Tokyo Women's Medical University, School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0547-2843
Kazuyuki NakagomeDepartment of Psychiatry, National Center of Neurology and Psychiatry, Tokyo, Japan.
Tetsuro OhmoriDepartment of Psychiatry, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Nakao IwataDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake-shi, Japan.
Ken InadaDepartment of Psychiatry, Tokyo Women's Medical University, School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3073-4588
Jun-Ichi IgaDepartment of Psychiatry, National Center of Neurology and Psychiatry, Tokyo, Japan.ORCID https://orcid.org/0000-0003-4409-3096
Taro KishiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake-shi, Japan.ORCID https://orcid.org/0000-0002-9237-2236
Kiyoshi FujitaOkehazama Hospital Fujita Kokoro Care Center, Toyoake-shi, Japan.
Yuka KikuchiDepartment of Psychiatry, Akita University Hospital, Akita, Japan.
Toshiaki ShichijoMental Clinic Minami, Saitama, Japan.
Hideaki TabuseDepartment of Psychiatry, Holy Cross Hospital, Toki-shi, Japan.
Shotatsu KoretsuneKokoro no clinic Narimasu, Tokyo, Japan.
Hiroshi TeradaAoi Clinic, Shizuoka, Japan.
Haruko TeradaAoi Clinic, Shizuoka, Japan.
Toshifumi KishimotoDepartment of Psychiatry, Nara Medical University, Kashihara-shi, Japan.
Yuichiro TsutsumiDepartment of Psychiatry, Ongata Hospital, Hachioji-shi, Japan.
Yoshiki KandaMusashikoganei Minamiguchi Shinryou Clinic, Koganei-shi, Japan.
Kazutaka OhiDepartment of Neuropsychiatry, Kokubu Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0001-9577-9640
Kanji SekiyamaSekiyama Psychiatric Clinic, Tokyo, Japan.
Fujita Health University · JPNational Center of Neurology and Psychiatry · JPOno Clinic · JPTokyo Women's Medical University · JPAkita University Hospital · JPFujita Health University Hospital · JPHoly Cross Hospital · USMinamiaoyama Eye Clinic · JPNara Medical University · JPNikon (Japan) · JPOkayama Psychiatric Medical Center · JPSanraku Hospital · JPSapporo Minami Hospital · JPShiga Medical Center · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimGlobally, evidence from short-term studies is insufficient for the guidelines to uniformly recommend a particular antipsychotic(s) for the maintenance treatment of schizophrenia. Therefore, long-term comprehensive evaluation of antipsychotics is required from a social rehabilitation perspective, especially for drugs that have not yet been studied. The Japan Useful Medication Program for Schizophrenia (JUMPs) is a large-scale, long-term naturalistic study to present pivotal 52-week data on the continuity of second-generation antipsychotics (SGA: aripiprazole, blonanserin, and paliperidone).

methodsJUMPs was an open-label, three-arm, randomized, parallel-group, 52-week study. Enrolled patients had schizophrenia, were ≥20 years old, and required antipsychotic treatment or switched from previous therapy. The primary endpoint was treatment discontinuation rate over 52 weeks. Secondary outcomes included remission rate, social functioning, and quality-of-life scores [Personal and Social Performance Scale (PSP) and EuroQol-5 dimensions], and safety.

resultsIn total, 251 patients received aripiprazole (n = 82), blonanserin (n = 85), or paliperidone (n = 84). The discontinuation rate (P = 0.9771) and remission rates (P > 0.05) over 52 weeks did not differ significantly between the three treatment groups. The discontinuation rates were 68.3%, 68.2%, and 65.5% in the aripiprazole, blonanserin, and paliperidone groups, respectively. Significant improvements (all P < 0.05) from baseline in PSP scores were observed at start of monotherapy, week 26, and week 52 in the overall cohort and blonanserin group and at week 26 in the aripiprazole group. The adverse event profile favored blonanserin.

conclusionAll three SGAs evaluated in this study showed similar treatment discontinuation rates in patients with chronic schizophrenia in Japan.

Indexed as

Drug MonitoringRemission InductionAntipsychotic AgentsAripiprazoleFemaleHumansJapanMaleMiddle AgedPaliperidone PalmitatePiperazinesPiperidinesSchizophreniaSocial InteractionTreatment OutcomeAntipsychotic AgentsAripiprazoleblonanserinPaliperidone PalmitatePiperazinesPiperidinesdiscontinuation ratelong-term effectivenessremission ratesecond generation antipsychotics

Identifiers

PMID34626144
PMCPMC9299006
OpenAlexW3202241313

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.