Evidence map›Paper›PMID 41126397›Full record

Trial reportDiabetes, obesity & metabolism2026

A double-blind study on ulotaront's impact on weight-related parameters in schizophrenia patients with metabolic syndrome and prediabetes: Part II.

Snezana Milanovic, Robert Lew, Kuangnan Xiong, Emily Casavant, Gerard Galluppi, Yu-Luan Chen, Yongquan Lai, Manu Chakravarthy, Clay Dehn, Edward Jackson and 2 more

Abstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. 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. Trial
  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

12 authors.

Snezana MilanovicSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.ORCID 0009-0000-7586-1583
Robert LewSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Kuangnan XiongSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Emily CasavantSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Gerard GalluppiSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Yu-Luan ChenSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Yongquan LaiSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Manu ChakravarthyCarmot Therapeutics, Berkley, California, USA.
Clay DehnEvolution Research Group, Edison, New Jersey, USA.
Edward JacksonPerspectum Ltd., Oxford, UK.
Kenneth KoblanSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.
Seth C HopkinsSumitomo Pharma America, Inc., Marlborough, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAntipsychotics increase metabolic syndrome (MetSyn) and diabetes risk. Preclinical and translational research data suggest that ulotaront, an investigational trace amine-associated receptor 1 (TAAR1) agonist, may have beneficial metabolic effects. This Phase 1b study collected pilot data on 4-week ulotaront exposure and weight-associated metabolic markers. MATERIALS AND

methodsA double-blind, randomised, multiple-dose within subject trial compared ulotaront to continued prior antipsychotic (PA) on metabolic markers in schizophrenia patients at high diabetes risk (presence of MetSyn and prediabetes). Metabolic characteristics of patients at check-in were compared to a matched historical cohort without schizophrenia or antipsychotic exposure.

resultsWhen compared to PA, ulotaront treatment showed improvement trends for high glucose clamp, low glucose clamp, liver fat, liver fibro-inflammation, back muscle fat infiltration, pancreas fat and pancreas volume. Visceral adipose tissue and weight changes favoured ulotaront treatment (p < 0.001, p = 0.047). Liver fibro-inflammation distinguished antipsychotic-induced metabolic changes from the historical cohort (p = 0.002).

conclusionsDespite the sample size constraints due to early study termination, all key endpoint trends and statistically significant differences favoured ulotaront over previous antipsychotics, lending support that ulotaront may improve antipsychotic-induced weight-associated markers. Liver fibro-inflammation may serve as a potential marker for antipsychotic-induced MetSyn and prediabetes, and possible treatment target. Further research is needed to build on these findings.

Indexed as

Antipsychotic AgentsBody WeightMetabolic SyndromePrediabetic StateSchizophreniaAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedPilot ProjectsAntipsychotic Agentsbeta cell functiondrug developmentdrug mechanismfatty liver diseasephases I and II study

Identifiers

PMID41126397
PMCPMC12673427

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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.