Evidence map›Paper›PMID 40831006›Full record

SynthesisThe British journal of psychiatry : the journal of mental science2026

Transdiagnostic efficacy of lurasidone on depressive symptoms: systematic review and meta-analysis of randomised controlled trials.

Ana Ghenciulescu, Anna Pearse, Amedeo Minichino, Gaia Sampogna, Riccardo De Giorgi, Andrea Fiorillo

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The British journal of psychiatry : the journal of mental science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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. Observational
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.

Ana GhenciulescuMedical Sciences Division, University of Oxford, John Radcliffe Hospital, UK.
Anna PearseMedical Sciences Division, University of Oxford, John Radcliffe Hospital, UK.
Amedeo MinichinoOxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.
Gaia SampognaDepartment of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy.ORCID https://orcid.org/0000-0002-9547-2793
Riccardo De GiorgiOxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.ORCID https://orcid.org/0000-0001-5984-8696
Andrea FiorilloDepartment of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLurasidone is a second-generation antipsychotic with antidepressant properties, but its effect on depressive symptoms across diagnostic domains is not known.

aimsThis systematic review aims to synthesise the evidence for the transdiagnostic efficacy of lurasidone in reducing depressive symptoms.

methodElectronic databases were searched up to October 2024 to identify randomised controlled trials comparing the effects of lurasidone and placebo on depressive symptoms, as measured by any standardised scale, in populations with different psychiatric diagnoses. Acceptability, tolerability and safety were also measured. The Cochrane risk of bias tool was used to assess study quality, and the GRADE tool to evaluate certainty of evidence. A random-effects meta-analysis was performed to estimate standardised mean differences (SMDs, for continuous outcomes) or relative risks (for dichotomous outcomes) with 95% CI.

resultsFourteen trials met inclusion criteria. Pooled analysis of 5239 participants found lurasidone to be more efficacious than placebo in improving depression scores (SMD -0.26, 95% CI -0.37, -0.15) across multiple diagnoses (including schizophrenia, bipolar disorder and major depressive disorder). Secondary analyses showed better acceptability (relative risk 0.55, 95% CI 0.43, 0.71) and safety (relative risk 0.73, 95% CI 0.58, 0.91) and comparable tolerability (relative risk 0.74, 95% CI 0.54, 1.02) between lurasidone and placebo. The main limitations were the high risk of bias of several included studies and the high heterogeneity observed in our findings.

conclusionLurasidone is a potentially efficacious and safe strategy for reducing depressive symptomatology across a range of psychiatric diagnoses. Further long-term, robust trials employing precision psychiatry methods are needed to support its broader use to target depressive symptoms transdiagnostically.

Indexed as

Antipsychotic AgentsDepressionLurasidone HydrochlorideBipolar DisorderHumansMajor Depressive DisorderRandomized Controlled Trials as TopicSchizophreniaTreatment OutcomeAntipsychotic AgentsLurasidone Hydrochloridebipolar disorderdepressionLurasidonemeta-analysisschizophrenia

Identifiers

PMID40831006
PMCPMC13051213

What OpenQuestion holds

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Registered trials

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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.