Cochrane · systematic review · CD000307

Fluphenazine decanoate (depot) and enanthate for schizophrenia

Maayan, N, Quraishi, SN, David, A, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

SchizophreniaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
14
No studies
7
Included studies
NR
No studies 7 · 33.3%Ungraded 0 · 0%Very low 13 · 61.9%Low 1 · 4.8%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

FLUPHENAZINE DECANOATE compared with PLACEBO for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death
FLUPHENAZINE DECANOATE vs PLACEBO
RR 5 [0.25, 99.51]1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Relapse
FLUPHENAZINE DECANOATE vs PLACEBO
RR 0.62 [0.24, 1.6]3 studies · 196 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Clinically significant change in global state ‐ not reported
FLUPHENAZINE DECANOATE vs PLACEBO
no estimate extractedNRNo studies
Hospital admission ‐ not reported
FLUPHENAZINE DECANOATE vs PLACEBO
no estimate extractedNRNo studies
Leaving the study early
FLUPHENAZINE DECANOATE vs PLACEBO
RR 1.3 [0.77, 2.19]4 studies · 216 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Mental state BPRS
FLUPHENAZINE DECANOATE vs PLACEBO
no estimate extracted1 study · 16 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Extrapyramidal adverse effects ‐ tardive dyskinesia
FLUPHENAZINE DECANOATE vs PLACEBO
RR 0.83 [0.62, 1.11]1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

FLUPHENAZINE DECANOATE compared with ORAL NEUROLEPTICS for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death ‐ not reported
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
no estimate extractedNRNo studies
Relapse
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
RR 1.46 [0.75, 2.83]6 studies · 419 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
No clinically important global change
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
RR 0.85 [0.56, 1.27]1 study · 102 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Hospital admission ‐ not reported
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
no estimate extractedNRNo studies
Leaving the study early
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
RR 0.96 [0.73, 1.25]10 studies · 937 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Mental state BPRS endpoint score
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
no estimate extracted1 study · 120 participantsVery low
Downgraded: imprecision, publication bias
Extrapyramidal adverse effects ‐ general
FLUPHENAZINE DECANOATE vs ORAL NEUROLEPTICS
RR 0.47 [0.24, 0.91]3 studies · 259 participantsVery low
Downgraded: imprecision, publication bias

FLUPHENAZINE DECANAOTE compared to FLUPHENAZINE ENANTHATE for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death ‐ not reported
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
no estimate extractedNRNo studies
Relapse
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
RR 2.43 [0.71, 8.32]1 study · 49 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Clinically significant change in global state ‐ not reported
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
no estimate extractedNRNo studies
Hospital admission ‐ not reported
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
no estimate extractedNRNo studies
Leaving the study early
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
RR 2.43 [0.71, 8.32]1 study · 49 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Mental State BPRS
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Extrapyramidal adverse effects ‐ general
FLUPHENAZINE DECANAOTE vs FLUPHENAZINE ENANTHATE
RR 1.14 [0.79, 1.64]2 studies · 49 participantsVery low
Downgraded: risk of bias, imprecision, publication bias