Evidence map›Paper›PMID 37057649›Full record

ReviewNeuropsychopharmacology reports2023

The new guideline for evaluating effects of psychotropic drugs on the performance to drive a motor vehicle in Japan: Comparison with US FDA guideline.

Kunihiro Iwamoto, Tetsuo Nakabayashi, Akiko Yamaguchi, Yuki Konishi, Momoe Saji, Reiji Yoshimura, Kousuke Kanemoto, Hirofumi Aoki, Masahiko Ando, Norio Ozaki

Abstract readReview
In one paragraph

Review in Neuropsychopharmacology reports, 2023. 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. Guideline
  2. Trial
  3. Review
  4. Review
  5. Review
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

10 authors.

Kunihiro IwamotoDepartment of Psychiatry, Graduate School of Medicine, Nagoya University, Nagoya, Japan.ORCID 0000-0003-3868-3372
Tetsuo NakabayashiPharmaceuticals and Medical Devices Agency, Tokyo, Japan.
Akiko YamaguchiDepartment of Psychiatry, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Yuki KonishiDepartment of Psychiatry, University of Occupational and Environmental Health, Fukuoka, Japan.
Momoe SajiDepartment of Neuropsychiatry, Aichi Medical University, Nagakute, Japan.
Reiji YoshimuraDepartment of Psychiatry, University of Occupational and Environmental Health, Fukuoka, Japan.
Kousuke KanemotoDepartment of Neuropsychiatry, Aichi Medical University, Nagakute, Japan.
Hirofumi AokiInstitute of Innovation for Future Society, Nagoya University, Nagoya, Japan.
Masahiko AndoDepartment of Advanced Medicine, Nagoya University Hospital, Nagoya, Japan.
Norio OzakiPathophysiology of Mental Disorders, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

Japan Agency for Medical Research and Development JP21mk0101137h0003Japan Agency for Medical Research and Development JP22mk0101227h0001
6 · The paper itself

Abstract

In December 2022, the new guideline for evaluating the effect of psychotropic drugs on the performance to drive a motor vehicle was issued by the Ministry of Health, Labour and Welfare (MHLW) and implemented in Japan. Of the safety information, information on the influence of medications on driving performance is particularly important because it can be relevant to the social functioning of patients. In principle, the package inserts of medications are designed based on evidence and provide precautions regarding the operation of heavy machinery such as automobiles in Japan, the United States, and Europe. The effects of medications on driving performance are generally evaluated in a tiered approach involving nonclinical and clinical studies. Because of the wide variety of functional domains involved in automobile driving, the selection of evaluation methods for a given medication depends on their characteristics, which is a complicated method. Therefore, to evaluate the effects of psychotropic drugs on driving performance efficiently and appropriately, we developed the MHLW guideline that specifically defines the evaluation methods used in pharmacological studies, the neuropsychological tests used in pharmacodynamic studies, and the situations in which driving studies are necessary. Regarding the planning of appropriate drug development strategies, we review the background of the MHLW guideline and its differences from the US Food and Drug Administration (FDA) guideline.

Indexed as

Motor VehiclesPsychotropic DrugsGuidelines as TopicHumansJapanPharmaceutical PreparationsUnited StatesUnited States Food and Drug AdministrationPharmaceutical PreparationsPsychotropic Drugsdriving performanceguidelinepackage insertspsychotropic drugs

Identifiers

PMID37057649
PMCPMC10275277

What OpenQuestion holds

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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.