Cochrane · systematic review · CD006628

Zotepine versus other atypical antipsychotics for schizophrenia

Subramanian, S, Rummel‐Kluge, C, Hunger, H, et al. · Cochrane Database of Systematic Reviews · 2010 · 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
14
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 35.7%Very low 8 · 57.1%Low 1 · 7.1%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

ZOTEPINE versus CLOZAPINE for schizophrenia (all short term outcomes)

Population: patients with schizophrenia
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mental state: Average score (BPRS total, high=poor) Brief Psychiatric Rating Scale. Scale from: 0 to 126.
ZOTEPINE vs CLOZAPINE
no estimate extracted1 study · 59 participantsVery low
Downgraded: risk of bias, indirectness, publication bias
Global state: No clinically important response (as defined by the original studies) clinical assessment
ZOTEPINE vs CLOZAPINE
RR 8.23 [1.14, 59.17]1 study · 59 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Adverse effects: Extrapyramidal effects ‐ use of antiparkinson medication
ZOTEPINE vs CLOZAPINE
RR 20.96 [2.89, 151.9]2 studies · 116 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Behaviour: No clinically important response (as defined by the original studies)
ZOTEPINE vs CLOZAPINE
no estimate extracted0 studies · 0 participantsUngraded

ZOTEPINE versus RISPERIDONE for schizophrenia (all short term outcomes)

Population: patients with schizophrenia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Mental state: Average endpoint score (BPRS total, high=poor) ‐ vs 4mg Risperidone Scale from: 0 to 129.
ZOTEPINE vs RISPERIDONE
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Mental state: Average endpoint score (BPRS total, high=poor) ‐ vs 8 mg Risperidone Scale from: 0 to 129.
ZOTEPINE vs RISPERIDONE
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Global state: No clinically important response (as defined by the original studies)
ZOTEPINE vs RISPERIDONE
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects: Extrapyramidal effects ‐ use of antiparkinson medication ‐ vs 4mg risperidone
ZOTEPINE vs RISPERIDONE
RR 6 [0.79, 45.42]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Adverse effects: Extrapyramidal effects ‐ use of antiparkinson medication ‐ vs 8mg risperidone
ZOTEPINE vs RISPERIDONE
RR 3 [0.69, 13.12]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Behaviour: No clinically important response (as defined by the original studies)
ZOTEPINE vs RISPERIDONE
no estimate extracted0 studies · 0 participantsUngraded

ZOTEPINE versus REMOXIPRIDE for schizophrenia (all short term outcomes)

Population: patients with schizophrenia
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mental state: Average endpoint score (BPRS total, high=poor) Scale from: 0 to 129.
ZOTEPINE vs REMOXIPRIDE
no estimate extracted1 study · 58 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Global state: No clinically important response (as defined by the original studies)
ZOTEPINE vs REMOXIPRIDE
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects: Extrapyramidal effects ‐ use of antiparkinson medication
ZOTEPINE vs REMOXIPRIDE
RR 0.97 [0.41, 2.29]1 study · 49 participantsLow
Downgraded: risk of bias, publication bias
Behaviour: No clinically important response (as defined by the original studies)
ZOTEPINE vs REMOXIPRIDE
no estimate extracted0 studies · 0 participantsUngraded