Evidence map›Paper›PMID 39951117›Full record

SynthesisEuropean journal of clinical pharmacology2025

Novel pharmaceutical treatment approaches for schizophrenia: a systematic literature review.

Anan Jarab, Walid Al-Qerem, Adam Khdour, Heba Awadallah, Yousef Mimi, Maher Khdour

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Anan JarabCollege of Pharmacy, Al Ain University, Abu Dhabi, United Arab Emirates.ORCID http://orcid.org/0000-0003-2052-439X
Walid Al-QeremDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, 11733, Jordan.ORCID http://orcid.org/0000-0001-9831-7572
Adam KhdourFaculty of Medicine, Al-Quds University, Abu Deis, PO Box 20002, Jerusalem, Palestine.ORCID http://orcid.org/0009-0006-0132-1086
Heba AwadallahFaculty of Public Health, Al-Quds University, Jerusalem, Palestine.ORCID http://orcid.org/0000-0002-3093-7158
Yousef MimiDepartment of Health Sciences, Faculty of Graduated Studies, Arab American University, Jenin, Palestine.ORCID http://orcid.org/0009-0000-0209-3050
Maher KhdourFaculty of Pharmacy, Al-Quds University, Abu Deis, PO Box 20002, Jerusalem, Palestine. mkhdour@staff.alquds.edu.ORCID http://orcid.org/0000-0003-0193-7922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSchizophrenia is a chronic and debilitating neuropsychiatric disorder affecting approximately 1% of the global population. Traditional antipsychotic treatments, while effective for positive symptoms, often have significant side effects and fail to address cognitive and negative symptoms. Novel pharmacological treatments targeting muscarinic receptors, TAAR1 agonists, serotonergic pathways, and glutamate modulation have emerged as promising alternatives.

aimThis systematic literature review aims to critically evaluate the efficacy, safety, and mechanisms of action of novel pharmacological agents in the treatment of schizophrenia.

methodsA comprehensive search was conducted across PubMed, Embase, Cochrane Library, Scopus, and Web of Science for randomized controlled trials (RCTs) and clinical trials published between April 2014 and March 2024. Studies evaluating novel treatments targeting muscarinic receptors, TAAR1 agonists, serotonergic agents, and glutamate modulation were included. Primary outcomes focused on symptom reduction and quality of life, while secondary outcomes included cognitive function and adverse events. The Joanna Briggs Institute (JBI) tool was used for quality assessment.

resultsEleven studies involving 4614 participants (mean age 37-43 years, predominantly male) were included. Drugs evaluated included xanomeline-trospium (KarXT), pimavanserin, ulotaront, emraclidine, and bitopertin. Significant improvements in PANSS and CGI-S scores were observed, with xanomeline-trospium showing a mean reduction of 17.4 points (p < 0.001). Adverse events were mostly mild and transient, with nausea, constipation, and somnolence being common.

conclusionNovel treatments for schizophrenia show promise in managing both positive and negative symptoms, with generally favorable safety profiles. Future studies should focus on large-scale, long-term trials to refine their efficacy, safety, and clinical applicability.

Indexed as

Antipsychotic AgentsSchizophreniaHumansQuality of LifeRandomized Controlled Trials as TopicAntipsychotic AgentsAntipsychotic medicationsCognitive and negative symptomsMuscarinic receptor agonistsNovel pharmacological agentsSchizophrenia treatmentSystematic reviewTAAR1 agonists

Identifiers

What OpenQuestion holds

Textmetadata
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.