Cochrane · systematic review · CD009555

Clozapine dose for schizophrenia

Subramanian, S, Völlm, BA, Huband, N · Cochrane Database of Systematic Reviews · 2017 · 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
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 15 · 71.4%Very low 2 · 9.5%Low 4 · 19%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

Clozapine: very low dose (up to 149 mg/day) versus low dose (150 mg/day to 300 mg/day) for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: clinically important response, as defined by individual studies
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Mental state: clinically important response, as defined by individual studies *
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted1 study · 31 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Functioning: clinically important change in general functioning, as defined by individual studies
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Adverse effect: clinically important adverse effect (weight ‐ BMI)
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted1 study · 59 participantsLow
Downgraded: imprecision, indirectness
Service use: number of days hospitalised
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Service use: time to hospitalisation
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Quality of life: clinically important change in general quality of life
Clozapine: very low dose (up to 149 mg/day) vs low dose (150 mg/day to 300 mg/day)
no estimate extracted0 studies · 0 participantsUngraded

Clozapine: very low dose (up to 149 mg/day) versus standard dose (301 mg/day to 600 mg/day) for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: clinically important response, as defined by individual studies
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Mental state: clinically important response, as defined by individual studies *
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted1 study · 31 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Functioning: clinically important change in general functioning, as defined by individual studies
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Adverse effect: clinically important adverse effect (weight ‐ BMI)
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted1 study · 58 participantsLow
Downgraded: imprecision, indirectness
Service use: number of days hospitalised
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Service use: time to hospitalisation
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Quality of life: clinically important change in general quality of life
Clozapine: very low dose (up to 149 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded

Clozapine: low dose (150 mg/day to 300 mg/day) versus standard dose (301 mg/day to 600 mg/day) for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: clinically important response, as defined by individual studies
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Mental state: clinically important response in mental state BPRS score >30% change
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
RR 0.93 [0.78, 1.1]1 study · 176 participantsLow
Downgraded: risk of bias
Functioning: clinically important change in general functioning, as defined by individual studies
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Adverse effect: clinically important adverse effect ( weight ‐ BMI)
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted1 study · 57 participantsLow
Downgraded: indirectness
Service use: number of days hospitalised
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Service use: time to hospitalisation
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded
Quality of life: clinically important change in general quality of life
Clozapine: low dose (150 mg/day to 300 mg/day) vs standard dose (301 mg/day to 600 mg/day)
no estimate extracted0 studies · 0 participantsUngraded