Evidence map›Paper›PMID 41562898›Full record

Observational studyMedical sciences (Basel, Switzerland)2025

Lurasidone and Fluvoxamine Combination in Eating Disorders with Comorbid Obsessive-Compulsive Disorder: Preliminary Evidence from an Observational Study.

Francesco Monaco, Annarita Vignapiano, Ernesta Panarello, Stefania Landi, Giuseppe Scarano, Giovanna Celia, Giulio Corrivetti, Luca Steardo, Mauro Cozzolino

Abstract readObservational Study
In one paragraph

Observational study in Medical sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Francesco MonacoDepartment of Mental Health, ASL Salerno, 84127 Salerno, Italy.ORCID 0000-0002-1854-292X
Annarita VignapianoDepartment of Mental Health, ASL Salerno, 84127 Salerno, Italy.ORCID 0009-0004-8301-3401
Ernesta PanarelloDepartment of Mental Health, ASL Salerno, 84127 Salerno, Italy.ORCID 0009-0002-6270-6490
Stefania LandiDepartment of Mental Health, ASL Salerno, 84127 Salerno, Italy.ORCID 0009-0000-7373-2665
Giuseppe ScaranoDepartment of Humanities, Philosophy and Education, University of Salerno, 84084 Fisciano, Italy.ORCID 0009-0008-9084-7550
Giovanna CeliaDepartment of Human Sciences, Education and Sport, University of Pegaso, 80100 Naples, Italy.
Giulio CorrivettiDepartment of Mental Health, ASL Salerno, 84127 Salerno, Italy.
Luca SteardoPsychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0002-7077-3506
Mauro CozzolinoDepartment of Humanities, Philosophy and Education, University of Salerno, 84084 Fisciano, Italy.ORCID 0000-0002-3195-6916

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnorexia nervosa (AN) and obsessive-compulsive disorder (OCD) share core features of cognitive rigidity, anxiety, and altered reward processing. Pharmacological options remain limited, and combined modulation of serotonergic and dopaminergic systems may provide new therapeutic directions. This naturalistic study explored the combined use of lurasidone and fluvoxamine in individuals with restrictive AN (AN-r) and comorbid OCD.

methodsForty-five female inpatients with AN-r and OCD were followed for six months. Participants received either lurasidone + fluvoxamine (n = 14) or heterogeneous SSRI/antipsychotic regimens (n = 31). Primary outcomes were the

resultsAnalyses indicated time-related changes across primary outcomes (RAS and BUT-GSI), with moderate-to-strong evidence (

conclusionsWithin the constraints of this small, all-female inpatient cohort, the findings illustrate directional, time-related changes compatible with global rehabilitation effects rather than drug-specific efficacy. The study demonstrates the feasibility-and methodological challenges-of applying Bayesian longitudinal modeling to incomplete clinical datasets. Future randomized or adaptive trials incorporating objective endpoints and data-quality pipelines are warranted to test whether serotonergic-dopaminergic-σ-1 synergy provides genuine clinical benefit in the AN-OCD spectrum.

Indexed as

Anorexia NervosaAntipsychotic AgentsFeeding and Eating DisordersFluvoxamineLurasidone HydrochlorideObsessive-Compulsive DisorderAdolescentAdultBayes TheoremComorbidityDrug Therapy, CombinationFemaleHumansSelective Serotonin Reuptake InhibitorsTreatment OutcomeYoung AdultAntipsychotic AgentsFluvoxamineLurasidone HydrochlorideSelective Serotonin Reuptake Inhibitorsanorexia nervosaBayesian analysisexploratory studyfluvoxaminelurasidonemissing dataobsessive–compulsive disorder

Identifiers

PMID41562898
PMCPMC12821398

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.