Cochrane · systematic review · CD008661

Modafinil for people with schizophrenia or related disorders

Ortiz-Orendain, J, Covarrubias-Castillo, SA, Vazquez-Alvarez, AO, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 1 · 14.3%Moderate 1 · 14.3%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

Modafinil compared to placebo for people with schizophrenia or related disorders

Population: schizophrenia or related disorders
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mental state: clinically important change in general mental state ‐ worsening psychosis
Modafinil vs placebo
RR 0.91 [0.28, 2.98]6 studies · 209 participantsLow
Downgraded: imprecision, indirectness
Cognitive function: average endpoint score**
Modafinil vs placebo
no estimate extracted1 study · 48 participantsVery low
Downgraded: indirectness
Adverse effect/event(s) ‐ serious adverse events
Modafinil vs placebo
RR 0.84 [0.06, 12.42]1 study · 35 participantsVery low
Downgraded: indirectness
Global state: clinically important change in global state
Modafinil vs placebo
RR 6.36 [0.94, 43.07]1 study · 21 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Leaving the study early ‐ for any reason
Modafinil vs placebo
RR 1.26 [0.63, 2.53]9 studies · 357 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Quality of life: average endpoint score**
Modafinil vs placebo
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Service use: hospital admission
Modafinil vs placebo
RR 0.84 [0.06, 12.42]1 study · 35 participantsVery low
Downgraded: risk of bias, imprecision, indirectness