Evidence map›Paper›PMID 41123332›Full record

Trial reportPsychiatry and clinical neurosciences2025

A randomized, double-blinded, placebo-controlled study to evaluate the efficacy and safety of venlafaxine extended release in Japanese patients with generalized anxiety disorder.

Tempei Otsubo, Koichiro Watanabe, Takeshi Inoue, Ataru Inagaki, Toshiaki Kikuchi, Keisuke Nomoto, Shingo Higa, Yuko Asami, Bin Sun, Kristina Marschall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Tempei OtsuboDepartment of Psychosomatic and Psychiatric Medicine, Tokyo Women's Medical University Adachi Medical Center, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0321-1714
Koichiro WatanabeDepartment of Neuropsychiatry, Kyorin University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0736-7070
Takeshi InoueDepartment of Psychiatry, Sapporo Hanazono Hospital, Sapporo, Japan.
Ataru InagakiAoyama Gakuin University, Department of Education, College of Education, Psychology and Human Studies/Health Administration Center, Tokyo, Japan.
Toshiaki KikuchiDepartment of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Keisuke NomotoMedical Affairs, Viatris Pharmaceuticals Japan G.K, Tokyo, Japan.ORCID https://orcid.org/0000-0002-7469-2922
Shingo HigaMedical Affairs, Viatris Pharmaceuticals Japan G.K, Tokyo, Japan.
Yuko AsamiMedical Affairs, Viatris Pharmaceuticals Japan G.K, Tokyo, Japan.
Bin SunBiometrics, Data Management and Programming, Viatris Inc., Canonsburg, Pennsylvania, USA.
Kristina MarschallGlobal Clinical Sciences, Meda Pharma GmbH & Co. KG (a Viatris company), Bad Homburg, Germany.

Funding

Viatris
6 · The paper itself

Abstract

aimThe current study investigated the superiority of anxiolytic effects of venlafaxine extended release (ER) compared with placebo and its safety and tolerability in Japanese adult outpatients with generalized anxiety disorder (GAD).

methodsIn this placebo-controlled, double-blind study, 357 eligible participants were randomized to receive venlafaxine ER (75-225 mg/day) or placebo for 8 weeks. The primary endpoint was change from baseline to week 8 in Hamilton Anxiety Rating Scale (HAM-A) total score. Secondary endpoints included changes from baseline to week 8 in scores of HAM-A psychic anxiety factors, HAM-A somatic anxiety factors, Clinical Global Impressions-Severity of Illness (CGI-S), Generalized Anxiety Disorder-7 (GAD-7), Zung Self-Rating Anxiety Scale (Z-SAS), Sheehan Disability Scale (SDS), and the absolute score of Clinical Global Impressions-Global Improvement (CGI-I).

resultsVenlafaxine ER showed statistically significant reduction in HAM-A total score at week 8 (difference versus placebo: P = 0.012). The results of all secondary endpoints were consistent with this finding and likewise demonstrated statistical significance in favor of venlafaxine ER in investigator- and patient-rated scales. Venlafaxine ER further showed statistically significant remission in total HAM-A score. These results showed that venlafaxine ER improved patients' functional disabilities along with symptoms more than placebo. Venlafaxine ER was well tolerated, and safety findings were generally consistent with the known safety profile of the drug.

conclusionVenlafaxine ER has a favorable benefit-risk profile in adult Japanese patients with GAD, indicating its potential to improve GAD symptoms as well as patients' function and exert superior anxiolytic effects over placebo without any new safety concern.

trial registrationJapan Registry of Clinical Trials Identifier jRCT2031220156.

Indexed as

Anti-Anxiety AgentsAnxiety DisordersOutcome Assessment, Health CareSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine HydrochlorideAdultAgedDelayed-Action PreparationsDouble-Blind MethodEast Asian PeopleFemaleGeneralized Anxiety DisorderHumansJapanMaleMiddle AgedAnti-Anxiety AgentsDelayed-Action PreparationsSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine Hydrochloridegeneralized anxiety disorderHAM‐AJapanrandomized controlled trialvenlafaxine

Identifiers

PMID41123332
PMCPMC12683617

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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.