Evidence map›Paper›PMID 37109571›Full record

ReviewLife (Basel, Switzerland)2023

Pramipexole Augmentation for Treatment-Resistant Unipolar and Bipolar Depression in the Real World: A Systematic Review and Meta-Analysis.

Antonio Tundo, Sophia Betro', Rocco de Filippis, Fulvia Marchetti, Daniele Nacca, Roberta Necci, Marica Iommi

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Comparative pharmacovigilance of Levodopa and Pramipexole: a disproportionality analysis of the FAERS database.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

7 authors at 2 institutions in 1 country.

Antonio TundoIstituto di Psicopatologia, Via Girolamo da Carpi, 1, 00196 Rome, Italy.ORCID 0000-0002-0612-734X
Sophia Betro'Istituto di Psicopatologia, Via Girolamo da Carpi, 1, 00196 Rome, Italy.ORCID 0000-0002-5944-1906
Rocco de FilippisIstituto di Psicopatologia, Via Girolamo da Carpi, 1, 00196 Rome, Italy.ORCID 0000-0001-9101-072X
Fulvia MarchettiIstituto di Psicopatologia, Via Girolamo da Carpi, 1, 00196 Rome, Italy.
Daniele NaccaIstituto di Psicopatologia, Via Girolamo da Carpi, 1, 00196 Rome, Italy.
Roberta NecciIstituto di Psicopatologia, Via Girolamo da Carpi, 1, 00196 Rome, Italy.
Marica IommiDipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, 40126 Bologna, Italy.ORCID 0000-0003-4589-3474
Istituto Psicoanalitico per le Ricerche Sociali · ITUniversity of Bologna · IT

Funding

Fondazione dell'Istituto di Psicopatologia Onlus 01/2021
6 · The paper itself

Abstract

backgroundPramipexole is a dopamine full agonist approved for the treatment of Parkinson's disease and restless legs syndrome. Its high affinity for the D3 receptor and neuroprotective, antioxidant, and anti-inflammatory activity provides a rationale for the treatment of depression. In this paper, we review studies on the effectiveness and safety of antidepressant pramipexole augmentation in treatment-resistant depression.

methodsThis comprehensive systematic review and meta-analysis of observational studies on pramipexole-antidepressant augmentation included patients with resistant unipolar and bipolar depression. The primary outcome measure was the treatment response, measured at the study endpoint.

resultsWe identified 8 studies including 281 patients overall, 57% women and 39.5% with bipolar disorder and 60.5% with major depressive disorder. The mean follow-up duration was 27.3 weeks (range 8-69). The pooled estimate of treatment response was 62.5%, without significant differences between unipolar and bipolar depression. Safety was good, with nausea and somnolence the most frequent side effects.

conclusionsThe findings of this systematic review, needing further confirmation, show that off-label use of pramipexole as augmentation of antidepressant treatment could be a useful and safe strategy for unipolar and bipolar treatment-resistant depression.

Indexed as

bipolar depressiondopamine agonistspramipexolesystematic reviewtreatment resistant depressionunipolar depression

Identifiers

PMID37109571
PMCPMC10141126
OpenAlexW4366421693

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.