Evidence map›Paper›PMID 35428340›Full record

ArticleSystematic reviews2022

Tolerability of duloxetine in elderly and in non-elderly adults: a protocol of a systematic review and individual participant data meta-analysis of randomized placebo-controlled trials.

Jean-Charles Roy, Chloé Rousseau, Alexis Jutel, Florian Naudet, Gabriel Robert

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Jean-Charles RoyAdult Psychiatry Department, Rennes University Hospital, 2 avenue du Professeur Léon Bernard, 35042, Rennes, France. jean-charles.ROY@chu-rennes.fr.ORCID 0000-0003-0686-4099
Chloé RousseauClinical Investigation Center INSERM 1414, Department of Clinical Pharmacology, Rennes University Hospital, Rennes, France.
Alexis JutelAdult Psychiatry Department, Rennes University Hospital, 2 avenue du Professeur Léon Bernard, 35042, Rennes, France.
Florian NaudetAdult Psychiatry Department, Rennes University Hospital, 2 avenue du Professeur Léon Bernard, 35042, Rennes, France.
Gabriel RobertAdult Psychiatry Department, Rennes University Hospital, 2 avenue du Professeur Léon Bernard, 35042, Rennes, France.
Centre Hospitalier Universitaire de Rennes · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuloxetine is an antidepressant that benefits from a wide range of approval in the elderly population, while its safety for use compared to non-elderly is not clearly assessed. This protocol outlines a systematic review and individual participant data meta-analysis comparing the tolerability of duloxetine between elderly and non-elderly.

methodsSearches will be conducted in PubMed, ClinicalTrials.gov , Clinicaltrialsregister.eu, data sharing platforms, FDA drug approval packages, European public assessment reports and withdrawn applications from the EMA website. The review will be performed on studies available in electronic databases from their date of inception to the 31 March 2022. Only randomized controlled clinical trials, comparing duloxetine to placebo, will be included in this meta-analysis. The studies will be selected if they comprise both elderly and non-elderly adults, in conditions of use of duloxetine approved by the European Medical Agency (EMA) and the Food and Drug Administration (FDA). The primary outcome will be the rate ratio of serious adverse events under duloxetine compared to placebo, between participants at least 65 years old and non-elderly. Second, the number of any adverse events, clinical efficacy and quality of life will be compared between elderly and non-elderly under both interventions. The quality of evidence in the tolerability of duloxetine will be assessed using the GRADE system. A one or two-stage individual participant data random effect meta-analysis will be conducted depending on the availability of the data. DISCUSSION: This meta-analysis will investigate the tolerability safety of duloxetine in the elderly population across all conditions approved by European and American regulatory authorities. The results from this meta-analysis are intended to help prescribers to provide better care for the elderly population. SYSTEMATIC REVIEW REGISTRATION: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42019130488 ).

Indexed as

Antidepressive AgentsQuality of LifeAdultAgedDuloxetine HydrochlorideHumansMeta-Analysis as TopicMiddle AgedRandomized Controlled Trials as TopicSystematic Reviews as TopicTreatment OutcomeAntidepressive AgentsDuloxetine HydrochlorideDrug safetyDuloxetine hydrochlorideMeta-analysisPsychiatry, Geriatric

Identifiers

PMID35428340
PMCPMC9013122
OpenAlexW4223955885

What OpenQuestion holds

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LicenceCC BY
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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.