Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Adverse effects | |||||
Systematic review |
422 people 7 RCTs in this analysis |
At least 1 adverse effect
with clozapine (25–700 mg/day) with olanzapine (5–50 mg/day) Absolute results not reported |
RR 0.72 95% CI 0.53 to 0.97 |
Small effect size | olanzapine |
Systematic review |
1445 people 7 RCTs in this analysis |
Sedation
with clozapine (25–900 mg/day) with olanzapine (5–50 mg/day) Absolute results not reported |
RR 0.61 95% CI 0.39 to 0.95 |
Small effect size | olanzapine |
Systematic review |
1097 people 4 RCTs in this analysis |
Seizures
with clozapine (150–900 mg/day) with olanzapine (5–50 mg/day) Absolute results not reported |
RR 0.15 95% CI 0.04 to 0.58 |
Large effect size | olanzapine |
Systematic review |
1320 people 4 RCTs in this analysis |
Akathisia
with clozapine (100–900 mg/day) with olanzapine (5–50 mg/day) Absolute results not reported |
RR 1.37 95% CI 0.71 to 2.63 |
Not significant | |
Systematic review |
327 people 2 RCTs in this analysis |
Dyskinesia
with clozapine (100–600 mg/day) with olanzapine (5–25 mg/day) Absolute results not reported |
RR 2.29 95% CI 0.81 to 6.45 |
Not significant | |
Systematic review |
327 people 2 RCTs in this analysis |
Parkinsonism
with clozapine (100–600 mg/day) with olanzapine (5–25 mg/day) Absolute results not reported |
RR 0.78 95% CI 0.30 to 2.00 |
Not significant | |
Systematic review |
980 people Data from 1 RCT |
Rigor
with clozapine (200–900 mg/day) with olanzapine (5–20 mg/day) Absolute results not reported |
RR 6.0 95% CI 0.73 to 49.65 |
Not significant | |
Systematic review |
561 people 6 RCTs in this analysis |
Use of antiparkinsonian medication
with clozapine (25–900 mg/day) with olanzapine (2.5–50 mg/day) Absolute results not reported |
RR 1.14 95% CI 0.60 to 2.19 |
Not significant | |
Systematic review |
1264 people 4 RCTs in this analysis |
Significant low white blood cell count
with clozapine (150–900 mg/day) with olanzapine (5–40 mg/day) Absolute results not reported |
RR 0.18 95% CI 0.08 to 0.41 |
Large effect size | olanzapine |
Systematic review |
120 people Data from 1 RCT |
Mean difference in change from baseline in prolactin (ng/mL)
with clozapine (200–600 mg/day) with olanzapine (15–25 mg/day) Absolute results not reported |
Mean difference 0.57 ng/mL 95% CI 0.09 ng/mL to 1.05 ng/mL |
Effect size not calculated | clozapine |
Systematic review |
47 people 2 RCTs in this analysis |
Mean difference in change from baseline in prolactin (ng/mL), men only
with clozapine (50–800 mg/day) with olanzapine (10–40 mg/day) Absolute results not reported |
Mean difference +8.65 ng/mL 95% CI –3.26 ng/mL to +20.55 ng/mL |
Not significant | |
Systematic review |
1600 people 7 RCTs in this analysis |
Weight gain
with clozapine (25–900 mg/day) with olanzapine (5–40 mg/day) Absolute results not reported |
RR 1.13 95% CI 0.70 to 1.81 |
Not significant | |
Systematic review |
581 people 7 RCTs in this analysis |
Mean difference in change from baseline in weight (kg)
with clozapine (25–900 mg/day) with olanzapine (2.5–50 mg/day) Absolute results not reported |
Mean difference +0.04 kg 95% CI –0.97 kg to +1.06 kg |
Not significant | |
Systematic review |
980 people Data from 1 RCT |
Death — suicide attempt
with clozapine (200–900 mg/day) with olanzapine (5–20 mg/day) Absolute results not reported |
RR 1.78 95% CI 1.22 to 2.62 |
Small effect size | clozapine |
Systematic review |
993 people 2 RCTs in this analysis |
Death — suicide
with clozapine (200–900 mg/day) with olanzapine (5–50 mg/day) Absolute results not reported |
RR 0.6 95% CI 0.14 to 2.50 |
Not significant | |
Systematic review |
180 people Data from 1 RCT |
Extrapyramidal symptoms
with clozapine (290–600 mg/day) with olanzapine (22 mg/day) Absolute results not reported |
RR 0.44 95% CI 0.14 to 1.39 |
Not significant | |
Systematic review |
Number of people unclear |
Nausea
with clozapine (290–600 mg/day) with olanzapine (22 mg/day) Absolute results not reported |
RR 0.10 95% CI 0.01 to 0.77 |
Large effect size | olanzapine |