Skip to main content
. Author manuscript; available in PMC: 2014 Sep 19.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Mar 17;(3):CD006654. doi: 10.1002/14651858.CD006654.pub2
Methods Allocation: random, no further details.
Blindness: single, rater-blinded.
Duration: 12 weeks.
Design: parallel.
Location: single centre.
Country: Israel.
Participants Diagnosis: (DSM-IV) schizophrenia, PANSS negative subscore of more than 15, SANS total score more than 60.
N=40.
Age: 21-64 years (mean olanzapine=36.2 years, mean quetiapine=38.3 years).
Sex: 32 M, 8 F.
History: duration ill mean olanzapine=13.3 years, mean quetiapine=15.9 years, age at onset not reported.
Setting: inpatient.
Interventions
  1. Olanzapine: flexible dose. Allowed dose range: 5-20 mg/day. Mean dose: 16.0 mg/day. N=21.

  2. Quetiapine: flexible dose. Allowed dose range: 200-800 mg/day. Mean dose: 637.2 mg/day. N=19

Outcomes Leaving the study early: any reason, adverse events, inefficacy.
Mental State: PANSS total score, SANS.
Adverse effects: open interviews, cardiac effects (ECG), EPS (akathisia, parkinsonism, use of antiparkinson medication, SAS, AIMS, BAS), sedation, insomnia, abdominal pain, fever, rhinitis, conjunctivitis, seizures, weight gain
Unable to use -
Mental State - PANSS total score (median change).
Negative Symptoms - SANS (median change).
EPS scales (no data).
Cardiac effects (no data).
Notes
Risk of bias
Bias Authors’ judgement Support for judgement
Adequate sequence generation? Unclear risk Random, no further details.
Allocation concealment? Unclear risk No further details.
Blinding?
Objective outcomes
Low risk Objective outcomes such as laboratory measures or death are unlikely to have been much affected by problems of blinding
Blinding?
Subjective outcomes
Unclear risk Single, rater-blind. Whether blinding was successful has not been examined, but both compounds differ quite substantially in side-effects. This can be a problem for blinding
Incomplete outcome data addressed?
All outcomes
Low risk The attrition rate was quite low (12%). The last-observation-carried-forward method was used to account for people leaving the study early. It assumes that a participant who discontinued the study would not have had a change of his condition if he had remained in the study. This assumption can obviously be wrong. For the reason of low attrition the risk of bias can be considered as low
Free of selective reporting? High risk Efficacy data (PANSS, SANS) were only presented as median change. There were no data on EPS and cardiac effects
Free of other bias? High risk The study was sponsored by the manufacturer of quetiapine.