Evidence map›Paper›PMID 39982834›Full record

ReviewSchizophrenia bulletin2025

Towards Enhancing Drug Development Methodology to Treat Cognitive Impairment Associated With Schizophrenia and Other Neuropsychiatric Conditions: Insights From 2 Decades of Clinical Trials.

William P Horan, Amir Kalali, Stephen K Brannan, Wayne Drevets, Matthew Leoni, Atul Mahableshwarkar, William J Martin, Srinivas Rao, Corey Reuteman-Fowler, Colin Sauder and 6 more

Abstract readReview
In one paragraph

Review in Schizophrenia bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Psychedelic therapeutics in psychiatric conditions.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. 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

16 authors.

William P HoranKaruna Therapeutics, A Bristol Meyers Squibb Company, USA.
Amir KalaliInternational Society for CNS Drug Development, San Diego, USA.
Stephen K BrannanJanssen Research & Development, LLC, a Johnson & Johnson company, San Diego, USA.
Wayne DrevetsJanssen Research & Development, LLC, a Johnson & Johnson company, San Diego, USA.
Matthew LeoniCerevel Therapeutics, Boston, USA.
Atul MahableshwarkarCybin IRL, Dublin, Ireland.
William J MartinJohnson & Johnson, Inc., San Diego, CA, USA.
Srinivas Raoatai Life Sciences, Berlin, Germany.
Corey Reuteman-FowlerBoehringer Ingelheim, Ridgefield, USA.
Colin SauderKaruna Therapeutics, A Bristol Meyers Squibb Company, USA.
Adam SavitzAlto Neuroscience, Los Altos, USA.
Jaskaran SinghNeurocrine Biosciences, San Diego, CA, USA.
Jane TillerJanssen Research & Development, LLC, a Johnson & Johnson company, San Diego, USA.
Gary WalkerRecognify Life Sciences, San Francisco, USA.
Jens R WendlandKynexis Therapeutics, Cambridge, USA.
Philip D HarveyUniversity of Miami Miller School of Medicine, Miami, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive impairment is a core feature and leading cause of functional disability in schizophrenia and other neuropsychiatric disorders. The Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) initiative in the early 2000s marked a pivotal moment for drug development, establishing consensus on methodology for treatment studies, including assessment strategies and trial designs, for cognitive impairment associated with schizophrenia (CIAS). Despite extensive industry-sponsored and academic drug development efforts over the last 2 decades using these strategies no pharmacological treatments have been approved for CIAS. Drawing on pharmaceutical industry experience and scientific developments since the MATRICS initiative, we review lessons learned about the practical and operational complexities of conducting large-scale CIAS clinical trials. Based on this collective experience, we identify elements of the MATRICS guidelines that may warrant reconsideration and suggest some new approaches to streamline the drug development pathway, without weakening standards for evidence. Our goal is to initiate an open exchange among all stakeholders about possible enhancements to drug development methodology that optimize our ability to develop new treatments for cognitive impairment in schizophrenia and other neuropsychiatric disorders.

Indexed as

Clinical Trials as TopicCognitive DysfunctionDrug DevelopmentPractice Guidelines as TopicResearch DesignSchizophreniaHumansclinical trialscognitiondrug developmentimaging

Identifiers

PMID39982834
PMCPMC11908858

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.