Evidence map›Paper›PMID 39558901›Full record

Trial reportActa neuropsychiatrica2024

A randomised study and an extension study of brexpiprazole in patients with borderline personality disorder.

Brian Rothman, Claudette Brewer, Denise Chang, Mary Hobart, Nanco Hefting, Robert D McQuade, Jon E Grant

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Acta neuropsychiatrica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT04100096 phase2completednot on this map

A Multicenter, Randomized, Flexible-dose, Double-blind Trial of Brexpiprazole Versus Placebo for the Treatment of Adults With Borderline Personality Disorder

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2019 to 2021Enrolled332ConditionsBorderline Personality DisorderArmsBrexpiprazole, Placebo
NCT04186403 phase2 / phase3completednot on this map

A Multicenter, Open-label Trial to Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Adult Subjects With Borderline Personality Disorder

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2020 to 2021Enrolled201ConditionsBorderline Personality DisorderArmsBrexpiprazole
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Brian RothmanOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.ORCID https://orcid.org/0009-0006-5780-2559
Claudette BrewerOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Denise ChangOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Mary HobartOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Nanco HeftingH. Lundbeck A/S, Valby, Denmark.
Robert D McQuadeOtsuka Pharmaceutical Development & Commercialization Inc., Princeton, NJ, USA.
Jon E GrantDepartment of Psychiatry & Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNo drugs are currently approved for the treatment of borderline personality disorder (BPD). These studies (a randomised study and its open-label extension) aimed to evaluate the efficacy, safety and tolerability of brexpiprazole for the treatment of BPD.

methodsThe Phase 2, multicentre, randomised, double-blind, placebo-controlled, parallel-group study enrolled adult outpatients with BPD. After a 1-week placebo run-in, patients were randomised 1:1 to brexpiprazole 2-3 mg/day (flexible dose) or placebo for 11 weeks. The primary endpoint was change in Zanarini Rating Scale for BPD total score from randomisation (Week 1) to Week 10 (timing of randomisation and endpoint blinded to investigators and patients). The Phase 2/3, multicentre, open-label extension study enrolled patients who completed the randomised study; all patients received brexpiprazole 2-3 mg/day (flexible dose) for 12 weeks. Safety assessments included treatment-emergent adverse events (TEAEs).

resultsBrexpiprazole was not statistically significantly different from placebo on the primary endpoint of the randomised study (

conclusionThe primary endpoint of the randomised study was not met. Further research on brexpiprazole in BPD is warranted based on possible efficacy signals at other time points and its safety profile.ClinicalTrials.gov identifiers: NCT04100096, NCT04186403. Funding: Otsuka, Lundbeck.

Indexed as

Borderline Personality DisorderQuinolonesThiophenesAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultbrexpiprazoleQuinolonesThiophenesAntipsychoticborderline personality disorderclinical trialdouble-blind methodpharmacotherapy

Identifiers

PMID39558901
PMCPMC13130291

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.