Skip to main content
. 2014 Jan 2;2014(1):CD006569. doi: 10.1002/14651858.CD006569.pub5

Comparison 2. COMPARISON 2. ARIPIPRAZOLE versus QUETIAPINE.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Global state: 1.No clinically significant response (as defined by original studies) 12 991 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.64, 1.32]
2 Global state: 2a. Average endpoint total score (short term, up to 12 weeks, high=poor) 11 991 Mean Difference (IV, Random, 95% CI) ‐1.00 [‐2.58, 0.57]
2.1 CGI 1 80 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.49, 0.69]
2.2 PANSS 10 831 Mean Difference (IV, Random, 95% CI) ‐0.88 [‐3.15, 1.40]
2.3 BPRS 1 80 Mean Difference (IV, Random, 95% CI) ‐2.63 [‐4.55, ‐0.71]
3 Global state: 2b. Average endpoint scale score (medium term, 12 to 24 weeks, high=poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
3.1 PANSS 1 100 Mean Difference (IV, Random, 95% CI) ‐1.20 [‐5.67, 3.27]
4 Global state: 3. Average endpoint SI score (CGI, high=poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
4.1 up to 12 weeks ‐short term 1 108 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.41, 0.61]
5 Mental state: 2a. Specific ‐ binary outcomes 8   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
5.1 agitation (short term, up to 12 weeks) 5 423 Risk Ratio (M‐H, Random, 95% CI) 1.29 [0.27, 6.27]
5.2 anxiety (short term, up to 12 weeks) 2 168 Risk Ratio (M‐H, Random, 95% CI) 2.18 [0.51, 9.35]
5.3 depression (short term, up to 12 weeks) 1 108 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 8.01]
5.4 agitation (medium term, 12 to 26 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.99]
6 Mental state: 3. Specific ‐ average endpoint positive score (PANSS, high=poor) 8 683 Mean Difference (IV, Random, 95% CI) ‐0.83 [‐1.99, 0.32]
6.1 by up to 12 weeks ‐ short term 7 583 Mean Difference (IV, Random, 95% CI) ‐0.97 [‐2.34, 0.41]
6.2 from 12‐26 weeks ‐ medium term 1 100 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐1.32, 1.12]
7 Mental state: 4. Specific ‐ average endpoint negative score (PANSS, high=poor) 7 543 Mean Difference (IV, Random, 95% CI) ‐0.48 [‐1.17, 0.21]
7.1 up to 12 weeks ‐ short term 6 443 Mean Difference (IV, Random, 95% CI) ‐0.68 [‐1.52, 0.17]
7.2 from 12‐26 weeks ‐ medium term 1 100 Mean Difference (IV, Random, 95% CI) 0.0 [‐1.23, 1.23]
8 Mental state: 5. Specific ‐ average endpoint general pathological score (PANSS, high=poor ) 11 931 Mean Difference (IV, Random, 95% CI) ‐1.69 [‐3.81, 0.43]
8.1 up to 12 weeks ‐ short term 10 831 Mean Difference (IV, Random, 95% CI) ‐1.83 [‐4.19, 0.54]
8.2 from 12‐26 weeks ‐ medium term 1 100 Mean Difference (IV, Random, 95% CI) ‐0.40 [‐2.52, 1.72]
9 Mental state: 6. average scores of various scales (high=poor, skewed data)     Other data No numeric data
9.1 BPRS endpoint scale score     Other data No numeric data
9.2 PANSS general pathology subscale score     Other data No numeric data
9.3 PANSS negative subscale score     Other data No numeric data
9.4 PANSS positive subscale score     Other data No numeric data
9.5 PANSS total endpoint scale score     Other data No numeric data
10 Leaving the study early 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
10.1 any reason 2 168 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.22, 2.87]
10.2 no effect 1 108 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 8.01]
10.3 early discharge 1 60 Risk Ratio (M‐H, Random, 95% CI) 3.0 [0.13, 70.83]
10.4 early treatment termination 2 168 Risk Ratio (M‐H, Random, 95% CI) 1.35 [0.09, 19.24]
10.5 violation of test scheme 1 108 Risk Ratio (M‐H, Random, 95% CI) 5.0 [0.25, 101.77]
10.6 withdrew informed consent 1 108 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 8.01]
11 Quality of life: Average score (medium term, 12 to 24 weeks, WHO‐QOL‐100, low=poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
11.1 Total score 1 100 Mean Difference (IV, Random, 95% CI) 2.60 [1.31, 3.89]
11.2 Physical health 1 100 Mean Difference (IV, Random, 95% CI) 6.0 [4.38, 7.62]
11.3 Mental health 1 100 Mean Difference (IV, Random, 95% CI) 9.10 [5.92, 12.28]
11.4 Social function 1 100 Mean Difference (IV, Random, 95% CI) 5.60 [3.33, 7.87]
11.5 Spiritual pillar 1 100 Mean Difference (IV, Random, 95% CI) 0.10 [‐1.49, 1.69]
11.6 Environmental area 1 100 Mean Difference (IV, Random, 95% CI) 11.5 [5.86, 17.14]
11.7 Independence 1 100 Mean Difference (IV, Random, 95% CI) 6.20 [3.05, 9.35]
12 Adverse effects:1. At least one adverse effect 8 1362 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.66, 1.20]
12.1 non‐specific 3 258 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.70, 1.37]
12.2 abnormal urinary test result 1 108 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 8.01]
12.3 liver function abnormal 8 658 Risk Ratio (M‐H, Random, 95% CI) 0.54 [0.26, 1.13]
12.4 stuffy nose 2 188 Risk Ratio (M‐H, Random, 95% CI) 3.0 [0.32, 28.32]
12.5 sweating 1 70 Risk Ratio (M‐H, Random, 95% CI) 1.0 [0.07, 15.36]
12.6 urine routine abnormal 1 80 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.95]
13 Adverse effects: 2. Cardiac effects (short term, up to 12 weeks) 9   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
13.1 abnormal ECG 6 528 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.40, 2.26]
13.2 blood pressure‐ decrease 4 348 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.20, 1.32]
13.3 QTc prolongation 3 225 Risk Ratio (M‐H, Random, 95% CI) 0.34 [0.08, 1.39]
13.4 tachycardia 8 643 Risk Ratio (M‐H, Random, 95% CI) 0.35 [0.18, 0.69]
14 Adverse effects: 3. Central / peripheral nervous system 10   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
14.1 blurred vision (short term, up to 12 weeks) 6 521 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.31, 2.49]
14.2 dizziness (short term, up to 12 weeks) 8 671 Risk Ratio (M‐H, Random, 95% CI) 0.64 [0.34, 1.22]
14.3 headache (short term, up to 12 weeks) 5 436 Risk Ratio (M‐H, Random, 95% CI) 3.15 [0.52, 18.94]
14.4 insomnia (short term, up to 12 weeks) 7 591 Risk Ratio (M‐H, Random, 95% CI) 2.12 [0.88, 5.10]
14.5 somnolence (short term, up to 12 weeks) 9 731 Risk Ratio (M‐H, Random, 95% CI) 0.34 [0.15, 0.77]
14.6 dizziness (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.31, 2.37]
14.7 headache (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 9.00 [1.18, 68.42]
14.8 insomnia (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 2.0 [0.19, 21.36]
14.9 somnolence (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.8 [0.34, 1.86]
15 Adverse effects: 4. Extrapyramidal symptoms ‐ various (short term, up to 12 weeks) 10   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
15.1 akathisia 7 571 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.49, 2.70]
15.2 dystonia 2 145 Risk Ratio (M‐H, Random, 95% CI) 0.47 [0.06, 3.53]
15.3 general extrapyramidal symptoms 4 348 Risk Ratio (M‐H, Random, 95% CI) 2.80 [0.64, 12.31]
15.4 tremor 4 343 Risk Ratio (M‐H, Random, 95% CI) 0.44 [0.09, 2.07]
16 Adverse effects: 5. Gastrointestinal 8   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
16.1 constipation (short term, up to 12 weeks) 7 591 Risk Ratio (M‐H, Random, 95% CI) 0.38 [0.19, 0.75]
16.2 dry mouth (short term, up to 12 weeks) 7 611 Risk Ratio (M‐H, Random, 95% CI) 0.23 [0.10, 0.53]
16.3 nausea / vomiting (short term, up to 12 weeks) 7 611 Risk Ratio (M‐H, Random, 95% CI) 2.68 [1.36, 5.26]
16.4 dry mouth (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.11 [0.01, 0.84]
16.5 nausea / vomiting (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 7.00 [0.89, 54.83]
17 Adverse effects: 6. Haematological 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
17.1 blood routine abnormal (short term, up to 12 weeks) 1 85 Risk Ratio (M‐H, Random, 95% CI) 0.31 [0.01, 7.43]
17.2 leucopenia (short term, up to 12 weeks) 2 140 Risk Ratio (M‐H, Random, 95% CI) 1.0 [0.07, 15.26]
18 Adverse events: 7. Hormonal 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
18.1 menstrual disorder (short term, up to 12 weeks) 6 518 Risk Ratio (M‐H, Random, 95% CI) 0.58 [0.20, 1.64]
18.2 menstrual disorder (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.5 [0.05, 5.34]
19 Adverse effects: 8a. Metabolic ‐ binary measures 11   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
19.1 decreased appetite (short term, up to 12 weeks) 4 328 Risk Ratio (M‐H, Random, 95% CI) 0.28 [0.06, 1.39]
19.2 lactation (short term, up to 12 weeks) 5 383 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.17, 1.92]
19.3 weight gain (short term, up to 12 weeks) 10 823 Risk Ratio (M‐H, Random, 95% CI) 0.45 [0.24, 0.85]
19.4 decreased appetite (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.13 [0.02, 0.96]
19.5 lactation (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
19.6 weight gain (medium term, 12 to 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 0.5 [0.05, 5.34]
20 Adverse effects: 8b. Metabolic ‐ continuous measure 1   Mean Difference (IV, Random, 95% CI) Subtotals only
20.1 cholesterol ‐ TC average endpoint level (in mmol/L, high=poor) 1 180 Mean Difference (IV, Random, 95% CI) ‐0.19 [‐0.36, ‐0.02]
20.2 cholesterol‐TG average endpoint level (in mmol/L, high=poor) 1 180 Mean Difference (IV, Random, 95% CI) ‐0.04 [‐0.21, 0.13]
20.3 cholesterol ‐ LDL average endpoint level (in mmol/L, high=poor) 1 180 Mean Difference (IV, Random, 95% CI) ‐0.12 [‐0.26, 0.02]
20.4 waistline‐ average endpoint level (in cm, high=poor) 1 180 Mean Difference (IV, Random, 95% CI) ‐1.80 [‐3.88, 0.28]
20.5 weight‐ average endpoint level (in Kg, high=poor) 1 180 Mean Difference (IV, Random, 95% CI) 1.30 [‐1.30, 3.90]
20.6 cholesterol ‐ HDL average endpoint (in mmol/L, low=poor)) 1 180 Mean Difference (IV, Random, 95% CI) ‐0.02 [‐0.11, 0.07]