Evidence map›Paper›PMID 34989824›Full record

Trial reportPsychopharmacology2022

Efficacy and safety of aripiprazole once-monthly versus oral aripiprazole in Chinese patients with acute schizophrenia: a multicenter, randomized, double-blind, non-inferiority study.

Le Xiao, Qian Zhao, An-Ning Li, Jushui Sun, Bin Wu, Lina Wang, Honggeng Zhang, Ruiling Zhang, Keqing Li, Xiaojin Xu and 11 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03172871 (A Multicenter, Randomized, Double-blind, Active-Controlled Study to Evaluate the Efficacy and Safety of Aripiprazole Intramuscular Depot in the Acute Treatment of Adults With Schizophrenia), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.8field-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.

NCT03172871 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Active-Controlled Study to Evaluate the Efficacy and Safety of Aripiprazole Intramuscular Depot in the Acute Treatment of Adults With Schizophrenia

TypeinterventionalSponsorOtsuka Beijing Research InstituteRan2017 to 2019Enrolled436ConditionsSchizophreniaArmsAripiprazole IM Depot, Aripiprazole tablet
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 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

21 authors at 15 institutions in 2 countries.

Le Xiao *The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, No. 5 Ankang Lane, Dewai Avenue, Xicheng District, Beijing, 100088, China.ORCID http://orcid.org/0000-0003-4323-036X
Qian Zhao *The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, No. 5 Ankang Lane, Dewai Avenue, Xicheng District, Beijing, 100088, China.
An-Ning LiThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, No. 5 Ankang Lane, Dewai Avenue, Xicheng District, Beijing, 100088, China.
Jushui SunHuzhou Third Municipal Hospital, Huzhou, China.
Bin WuXi'an Mental Health Center, Xi'an, China.
Lina WangTianjin Mental Health Centre, Tianjin Anding Hospital, Tianjin, China.
Honggeng ZhangBrain Hospital of Hunan Province, Changsha, China.
Ruiling ZhangSecond Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Keqing LiHebei Provincial Mental Health Center, Baoding, China.
Xiaojin XuWuhan Mental Health Center, Wuhan, China.
Tiebang LiuShenzhen Mental Health Center, Shenzhen, China.
Wenshun ZhangShenzhen Mental Health Center, Shenzhen, China.
Shiping XieNanjing Brain Hospital, Nanjing, China.
Xiufeng XuFirst Affiliated Hospital of Kunming Medical University, Kunming, China.
Yunlong TanBeijing Huilongguan Hospital, Beijing, China.
Kerang ZhangFirst Hospital of Shanxi Medical University, Taiyuan, China.
Hongyan ZhangPeking University Sixth Hospital, Beijing, China.
Nianhong GuanThe Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Mingji XianClinical Development, Otsuka Beijing Research Institute, Beijing, China.
Motomichi UkiDivision of Otsuka International Asia & Arab, Otsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Gang WangThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, No. 5 Ankang Lane, Dewai Avenue, Xicheng District, Beijing, 100088, China. gangwangdoc@ccmu.edu.cn.
Capital Medical University · CNKunming Medical University · CNPeking University · CNShenzhen KangNing Hospital · CNBeijing HuiLongGuan Hospital · CNHebei Mental Health Center · CNHenan Psychiatric Hospital · CNNanjing Brain Hospital · CNNational Institutes of Pharmaceutical Research and Development (China) · CNOtsuka (Japan) · JPShanxi Medical University · CNSun Yat-sen University · CNThird People's Hospital of Huzhou · CNTianjin Anding Hospital · CNXian Mental Health Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aimed to evaluate the efficacy and safety of aripiprazole once-monthly (AOM) compared to oral aripiprazole in treating acute schizophrenia.

methodsThis randomized, double-blind, non-inferiority study recruited patients from 15 trial sites across China from May 2017 to April 2019. Patients with an acute psychotic episode received AOM at 400 mg or oral aripiprazole at 10-20 mg for 12 weeks. The primary and secondary efficacy endpoints were the difference in scores from baseline to week 10, as assessed on the Positive and Negative Syndrome Scale (PANSS) and Clinical Global Impressions-Severity (CGI-S) scores, respectively.

resultsA total of 436 patients were randomized. Among them, 159/218 (72.9%) and 165/218 (75.7%) in the AOM and oral aripiprazole groups completed 10 weeks of treatment, respectively. The least-squares (LS) mean changes from baseline to endpoint (week 10) in PANSS were - 33.6 for the AOM group and - 34.8 in the oral aripiprazole group, respectively, with a difference of - 1.2 (95% CI: - 4.1, 1.7). The non-inferiority margin of AOM to oral aripiprazole was - 4.1, which was above the lower limit of the pre-defined margin. The altered CGI-S score was - 2.2 and - 2.3 in the AOM and oral aripiprazole groups, respectively. The incidence of treatment-emergent adverse events (TEAEs) was similar in both groups. The rate of discontinuation due to TEAEs was 2.3% and 3.2% in the AOM and oral aripiprazole groups, respectively.

conclusionsThis study confirmed the efficacy and safety of AOM for the treatment of Chinese patients with acute schizophrenia. The non-inferiority of AOM to oral aripiprazole was established, with comparable efficacy and tolerability. These findings suggested that AOM could be used as a treatment option for patients experiencing an acute episode of schizophrenia.

trial registrationClinicalTrials.gov identifier: NCT03172871.

Indexed as

Antipsychotic AgentsSchizophreniaAripiprazoleDelayed-Action PreparationsDouble-Blind MethodHumansTreatment OutcomeAntipsychotic AgentsAripiprazoleDelayed-Action PreparationsAcuteAripiprazole once-monthlyLong-acting injectable antipsychoticsRandomized controlled trialSchizophrenia

Identifiers

PMID34989824
OpenAlexW4205446244

What OpenQuestion holds

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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.