Skip to main content
. Author manuscript; available in PMC: 2014 Sep 19.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Nov 10;(11):CD006633. doi: 10.1002/14651858.CD006633.pub2
Methods Allocation: randomised.
Blindness: double.
Duration: 8 weeks.
Participants Diagnosis: (CCMD-3) schizophrenia.
N=63.
Age: mean clozapine=30 years, mean quetiapine=28 years.
Gender: not reported.
Setting: in- and outpatient.
History: duration ill mean clozapine=0.63 years, mean quetiapine=0.65 years, age at onset not reported
Interventions
  1. Clozapine: flexible dose. Allowed dose range: 25-750 mg/day. Mean dose: 270.5 mg/day. N=31.

  2. Quetiapine: flexible dose. Allowed dose range: 25-750 mg/day. Mean dose: 478.5 mg/day. N=32

Outcomes Global state: CGI.
Mental State: PANSS total score.
Adverse effects: at least one adverse effect, cardiac effects (palpitation), extrapyramidal side effects (akathisia, rigor, tremor), sedation, weight gain, white blood cell count
Unable to use: Leaving the study early due to adverse events (no data).
Cardiac effects (no data).
Notes
Risk of bias
Item Authors’ judgement Description
Adequate sequence generation? Unclear Random, no further details.
Allocation concealment? Unclear No further details.
Blinding?
All outcomes
Unclear Double, probably identical capsules. Whether blinding was successful has not been examined, but both compounds differ quite substantially in side-effects. This can be a problem for blinding
Objective outcomes such as laboratory measures or death are unlikely to have been much affected by problems of blinding. This latter, probably leads a low risk of bias
Incomplete outcome data addressed?
All outcomes
Unclear The authors only mention two participants leaving the study early due to adverse events in the clozapine group. There is some doubt whether all data on leaving the study early have been presented
Free of selective reporting? Yes We did not find evidence for selective reporting.
Free of other bias? Unclear There were no data on pre study medication, therefore baseline imbalance can not be excluded