Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Adverse effects | |||||
RCT |
134 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean change from baseline in Simpson-Angus Scale score
–0.21 with clozapine (250–600 mg/day) –0.6 with ziprasidone (80–160 mg/day) |
Reported as not significant |
Not significant | |
RCT |
139 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean change from baseline in Barnes Akathisia Scale score
–0.37 with clozapine (250–600 mg/day) –0.22 with ziprasidone (80–160 mg/day) |
Reported as not significant |
Not significant | |
RCT |
139 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean change from baseline in Abnormal Involuntary Movement Scale (AIMS) score
–0.15 with clozapine (250–600 mg/day) –0.08 with ziprasidone (80–160 mg/day) |
Reported as not significant |
Not significant | |
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean difference in change from baseline in weight (kg)
0.8 kg with clozapine (250–600 mg/day) 2.6 kg with ziprasidone (80–160 mg/day) |
P <0.001 |
Effect size not calculated | clozapine |
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Change from baseline in median prolactin (ng/mL)
–5.0 ng/mL with clozapine (250–600 mg/day) –6.5 ng/mL with ziprasidone (80–160 mg/day) |
Significance assessment not performed |
||
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean change from baseline in heart rate (bpm)
2.0 bpm with clozapine (250–600 mg/day) 8.0 bpm with ziprasidone (80–160 mg/day) |
Reported as not significant |
Not significant | |
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean change from baseline in QTc (ms)
+6.0 ms with clozapine (250–600 mg/day) –3.6 ms with ziprasidone (80–160 mg/day) |
Reported as not significant |
Not significant | |
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Mean change from baseline in total cholesterol
–5.0 with clozapine (250–600 mg/day) +2.0 with ziprasidone (80–160 mg/day) |
P <0.05 |
Effect size not calculated | ziprasidone |
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Incidence of increased salivation
0% with clozapine (250–600 mg/day) 29% with ziprasidone (80–160 mg/day) Absolute numbers not reported |
Significance assessment not performed |
||
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Incidence of tachycardia
3% with clozapine (250–600 mg/day) 29% with ziprasidone (80–160 mg/day) Absolute numbers not reported |
Significance assessment not performed |
||
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Incidence of somnolence
4% with clozapine (250–600 mg/day) 23% with ziprasidone (80–160 mg/day) Absolute numbers not reported |
Significance assessment not performed |
||
RCT |
146 people with resistance and/or intolerance to at least 3 acute cycles of different antipsychotics in the past 5 years |
Incidence of insomnia
10% with clozapine (250–600 mg/day) 3% with ziprasidone (80–160 mg/day) Absolute numbers not reported |
Significance assessment not performed |