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. 2016 Jul 2;2016(7):CD010832. doi: 10.1002/14651858.CD010832.pub2

Comparison 4. FLUPHENAZINE (ORAL) vs OLANZAPINE.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Clinically important response (defined by author) 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 short term (up to 12 weeks) 1 60 Risk Ratio (M‐H, Random, 95% CI) 1.33 [0.86, 2.07]
1.2 medium term (13 to 26 weeks) 1 60 Risk Ratio (M‐H, Random, 95% CI) 1.6 [0.87, 2.94]
2 Global state: 1. CGI: Average change CGI‐SI (high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
2.1 short term (up to 12 weeks) 1 55 Mean Difference (IV, Random, 95% CI) 0.7 [‐0.01, 1.41]
2.2 medium term (13 to 26 weeks) 1 55 Mean Difference (IV, Random, 95% CI) 0.90 [0.13, 1.67]
3 Mental state: 2a. General ‐ average change score (BPRS total, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
3.1 short term (up to 12 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 7.1 [‐1.15, 15.35]
3.2 medium term (13 to 26 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 9.3 [0.10, 18.50]
4 Mental state: 2b. General ‐ average change score (PANSS total, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
4.1 short term (up to 12 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 12.0 [‐2.03, 26.03]
4.2 medium term (13 to 26 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 16.20 [0.41, 31.99]
5 Mental state: 2c. Positive symptoms ‐ average change score (BPRS positive sub‐score, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
5.1 short term (up to 12 weeks) 1 55 Mean Difference (IV, Random, 95% CI) 2.3 [‐0.67, 5.27]
5.2 medium term (13 to 26 weeks) 1 55 Mean Difference (IV, Random, 95% CI) 2.90 [‐0.29, 6.09]
6 Mental state: 2d. Positive symptoms ‐ average endpoint score (PANSS positive sub‐score, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
6.1 short term (up to 12 weeks) 1 55 Mean Difference (IV, Random, 95% CI) ‐5.1 [‐9.68, ‐0.52]
6.2 medium term (13 to 26 weeks) 1 55 Mean Difference (IV, Random, 95% CI) ‐5.1 [‐9.82, ‐0.38]
7 Mental state: 2e. Negative symptoms ‐ average change score (BPRS negative sub‐score, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
7.1 short term (up to 12 weeks) 1 55 Mean Difference (IV, Random, 95% CI) 1.20 [‐0.47, 2.87]
7.2 medium term (13 to 26 weeks) 1 55 Mean Difference (IV, Random, 95% CI) 1.70 [‐0.31, 3.71]
8 Mental state: 2f. Negative symptoms ‐ average change score (PANSS negative sub‐score, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
8.1 short term (up to 12 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 2.40 [‐0.96, 5.76]
8.2 medium term (13 to 26 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 3.0 [‐1.22, 7.22]
9 Mental state: 2g. General psychopathology ‐ average change score (PANSS general psychopathology sub‐score, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
9.1 short term (up to 12 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 6.20 [‐0.90, 13.30]
9.2 medium term (13 to 26 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 8.2 [0.43, 15.97]
10 Mental state: 2h. Anxiety ‐ average change score (HAMA, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
10.1 short term (up to 12 weeks) 1 54 Mean Difference (IV, Random, 95% CI) 4.00 [0.08, 7.92]
10.2 medium term (13 to 26 weeks) 1 59 Mean Difference (IV, Random, 95% CI) 6.0 [‐0.12, 12.12]
11 Satisfaction with treatment: 1. Average change score (DAI, low = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
11.1 short term (up to 12 weeks) 1 52 Mean Difference (IV, Random, 95% CI) ‐1.2 [‐2.44, 0.04]
11.2 medium term (13 to 26 weeks) 1 52 Mean Difference (IV, Random, 95% CI) ‐1.1 [‐2.08, ‐0.12]
12 Adverse effects: 1. General 1   Risk Ratio (IV, Random, 95% CI) Subtotals only
12.1 at least one adverse effect ‐ medium term (13 to 26 weeks) 1 60 Risk Ratio (IV, Random, 95% CI) 1.53 [1.02, 2.31]
13 Adverse effects: 2. Anticholinergic effect 1   Mean Difference (IV, Random, 95% CI) Subtotals only
13.1 concomitant anticholinergic medication ‐ average endpoint dosage (mg/d) ‐ short term (up to 12 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 0.89 [0.35, 1.43]
13.2 concomitant anticholinergic medication ‐ average endpoint dosage (mg/d) ‐ medium term (13 to 26 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 1.08 [0.28, 1.88]
14 Adverse effects: 3a. Central nervous system 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
14.1 insomnia ‐ short term (up to 12 weeks) 1 60 Risk Ratio (M‐H, Random, 95% CI) 13.0 [0.76, 220.96]
15 Adverse effects: 3b. CNS (LSEQ, low = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
15.1 awakening from sleep average endpoint score ‐ short term (up to 12 weeks) 1 53 Mean Difference (IV, Random, 95% CI) ‐2.7 [‐10.18, 4.78]
15.2 behaviour following wakefulness average endpoint score ‐ short term (up to 12 weeks) 1 53 Mean Difference (IV, Random, 95% CI) ‐6.60 [‐13.92, 0.72]
15.3 getting to sleep average endpoint score ‐ short term (up to 12 weeks) 1 53 Mean Difference (IV, Random, 95% CI) ‐4.4 [‐14.18, 5.38]
15.4 sleep quality ‐ average endpoint score ‐ short term (up to 12 weeks) 1 53 Mean Difference (IV, Random, 95% CI) ‐6.10 [‐15.97, 3.77]
16 Adverse effects: 4a. Extrapyramidal effects 1   Risk Ratio (IV, Random, 95% CI) Subtotals only
16.1 akathisia ‐ short term (up to 12 weeks) 1 60 Risk Ratio (IV, Random, 95% CI) 3.0 [0.90, 10.01]
16.2 hypertonia ‐ short term (up to 12 weeks) 1 60 Risk Ratio (IV, Random, 95% CI) 3.0 [0.33, 27.23]
16.3 tremor ‐ short term (up to 12 weeks) 1 60 Risk Ratio (IV, Random, 95% CI) 1.0 [0.22, 4.56]
17 Adverse effects: 4b. Extrapyramidal effects ‐ average change score (SAS, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
17.1 short term (up to 12 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 4.20 [1.68, 6.72]
17.2 medium term (13 to 26 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 4.0 [1.02, 6.98]
18 Adverse effects: 4c. Extrapyramidal effects ‐ average change score (HAS, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
18.1 short term (up to 12 weeks) 1 59 Mean Difference (IV, Random, 95% CI) 6.6 [0.88, 12.32]
18.2 medium term (13 to 26 weeks) 1 59 Mean Difference (IV, Random, 95% CI) 6.0 [‐0.12, 12.12]
19 Adverse effects: 4d. Extrapyramidal effects ‐ average change score (AIMS, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
19.1 short term (up to 12 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 1.1 [‐0.11, 2.31]
19.2 medium term (13 to 26 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 1.1 [‐0.45, 2.65]
20 Adverse effects: 5. Other adverse events 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
20.1 weight gain ‐ medium term (13 to 26 weeks) 1 60 Risk Ratio (M‐H, Random, 95% CI) 0.09 [0.01, 1.57]
21 Adverse effects: 5b. Other adverse events 1   Mean Difference (IV, Random, 95% CI) Subtotals only
21.1 concomitant anxiolytics medication average dosage (mg/d) ‐ short term (up to 12 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 4.65 [0.07, 9.23]
21.2 concomitant anxiolytics medication ‐ average dosage (mg/d)‐ medium term (13 to 26 weeks) 1 60 Mean Difference (IV, Random, 95% CI) 6.10 [0.63, 11.57]
21.3 effects on physiology ‐ supine systolic blood pressure (average in mmHg) ‐ short term (up to 12 weeks) 1 60 Mean Difference (IV, Random, 95% CI) ‐10.0 [‐18.11, ‐1.89]
21.4 effects on physiology ‐ supine systolic blood pressure (average in mmHg) ‐ medium term (13 to 26 weeks) 1 60 Mean Difference (IV, Random, 95% CI) ‐10.0 [‐18.11, ‐1.89]
22 Adverse effects: 5c. Other (skewed)     Other data No numeric data
22.1 weight gain (average weight in kg) ‐ short term (up to 12 weeks)     Other data No numeric data
22.2 weight gain (average weight in kg) ‐ medium term (13 to 26 weeks)     Other data No numeric data
23 Leaving the study early 1   Risk Ratio (IV, Random, 95% CI) Subtotals only
23.1 inefficacy ‐ short term (up to 12 weeks) 1 60 Risk Ratio (IV, Random, 95% CI) 3.0 [0.33, 27.23]
23.2 adverse effects ‐ medium term (13 to 26 weeks) 1 60 Risk Ratio (IV, Random, 95% CI) 9.00 [0.51, 160.17]