Evidence map›Paper›PMID 38598465›Full record

ArticlePloS one2024

Pharmacogenomics-assisted schizophrenia management: A hybrid type 2 effectiveness-implementation study protocol to compare the clinical utility, cost-effectiveness, and barriers.

Aniruddha Basu, Atanu Kumar Dutta, Bhavani Shankara Bagepally, Saibal Das, Jerin Jose Cherian, Sudipto Roy, Pawan Kumar Maurya, Indranil Saha, Deepasree Sukumaran, Kumari Rina and 6 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

16 authors at 3 institutions in 2 countries.

Aniruddha BasuDepartment of Psychiatry, All India Institute of Medical Sciences, Kalyani, India.
Atanu Kumar DuttaDepartment of Biochemistry, All India Institute of Medical Sciences, Kalyani, India.ORCID 0000-0002-8413-3454
Bhavani Shankara BagepallyIndian Council of Medical Research, National Institute of Epidemiology, Chennai, India.ORCID 0000-0003-0856-767X
Saibal DasIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.ORCID 0000-0002-3153-4166
Jerin Jose CherianDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-9548-7004
Sudipto RoyIndian Council of Medical Research, New Delhi, India.
Pawan Kumar MauryaIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.ORCID 0000-0001-6135-6578
Indranil SahaIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.ORCID 0000-0001-6622-7695
Deepasree SukumaranDepartment of Pharmacology, All India Institute of Medical Sciences, Kalyani, India.
Kumari RinaDepartment of Psychiatry, All India Institute of Medical Sciences, Kalyani, India.
Sucharita MandalDepartment of Psychiatry, All India Institute of Medical Sciences, Kalyani, India.
Sukanto SarkarDepartment of Psychiatry, All India Institute of Medical Sciences, Kalyani, India.
Manoj KalitaIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.
Kalyan BhowmikIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.ORCID 0009-0005-3427-8582
Asim SahaIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.
Amit ChakrabartiIndian Council of Medical Research, Centre for Ageing and Mental Health, Kolkata, India.
Indian Council of Medical Research · INAll India Institute of Medical Sciences · INKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe response to antipsychotic therapy is highly variable. Pharmacogenomic (PGx) factors play a major role in deciding the effectiveness and safety of antipsychotic drugs. A hybrid type 2 effectiveness-implementation research will be conducted to evaluate the clinical utility (safety and efficacy), cost-effectiveness, and facilitators and barriers in implementing PGx-assisted management compared to standard of care in patients with schizophrenia attending a tertiary care hospital in eastern India.

methodsIn part 1, a randomized controlled trial will be conducted. Adult patients with schizophrenia will be randomized (2: 1) to receive PGx-assisted treatment (drug and regimen selection depending on the results of single-nucleotide polymorphisms in genes DRD2, HTR1A, HTR2C, ABCB1, CYP2D6, CYP3A5, and CYP1A2) or the standard of care. Serum drug levels will be measured. The patients will be followed up for 12 weeks. The primary endpoint is the difference in the Udvalg for Kliniske Undersøgelser Side-Effect Rating Scale score between the two arms. In part 2, the cost-effectiveness of PGx-assisted treatment will be evaluated. In part 3, the facilitators and barriers to implementing PGx-assisted treatment for schizophrenia will be explored using a qualitative design. EXPECTED OUTCOME: The study findings will help in understanding whether PGx-assisted management has a clinical utility, whether it is cost-effective, and what are the facilitators and barriers to implementing it in the management of schizophrenia.

trial registrationThe study has been registered with the Clinical Trials Registry-India (CTRI/2023/08/056210).

Indexed as

Antipsychotic AgentsSchizophreniaAdultCost-Benefit AnalysisHumansIndiaPharmacogeneticsRandomized Controlled Trials as TopicAntipsychotic Agents

Identifiers

PMID38598465
PMCPMC11006179
OpenAlexW4394675113

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.