Evidence map›Paper›PMID 40155941›Full record

Trial reportBMC medicine2025

Exploratory analysis of the relationship between striatal connectivity and apathy during phosphodiesterase 10 inhibition in schizophrenia: findings from a randomized crossover trial.

Wolfgang Omlor, Giacomo Cecere, Gao-Yang Huang, Tobias Spiller, Akhil Ratan Misra, Finn Rabe, Nils Kallen, Matthias Kirschner, Werner Surbeck, Achim Burrer and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02824055 (A Study to Evaluate The Effects of RO5545965 in Participants With Negative Symptoms of Schizophrenia Treated With Antipsychotics), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02824055 phase1completednot on this map

A Study to Evaluate The Effects of RO5545965 in Participants With Negative Symptoms of Schizophrenia Treated With Antipsychotics

TypeinterventionalSponsorHoffmann-La RocheRan2016 to 2017Enrolled33ConditionsSchizophreniaArmsPlacebo, RO5545965
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Wolfgang OmlorPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Giacomo CecerePsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Gao-Yang HuangSwiss Federal Institute of Technology Zurich, Zurich, Switzerland.
Tobias SpillerPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Akhil Ratan MisraPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Finn RabePsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Nils KallenPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Matthias KirschnerPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Werner SurbeckPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
Achim BurrerPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland.
George GaribaldiNoema Pharma, Basel, Switzerland.
Štefan HoligaRoche Pharma Research and Early Development, Neuroscience and Rare Diseases (NRD), Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd, Grenzacherstrasse 124, Basel, 4070, Switzerland.
Juergen DukartInstitute of Neuroscience and Medicine, Brain & Behaviour (INM-7), Research Centre Jülich, Jülich, 52428, Germany.
Daniel Umbrichtxperimed GmbH, Basel, Switzerland.
Philipp HomanPsychiatric Hospital, University of Zurich, Lenggstrasse 31, Zurich, 8032, Switzerland. philipp.homan@bli.uzh.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNegative symptoms in schizophrenia remain a challenge with limited therapeutic strategies. The novel compound RG7203 promotes reward learning via dopamine D1-dependent signaling and therefore holds promise, especially to improve the apathy dimension of negative symptoms. When tested as add-on to antipsychotic medication, apathy did not change significantly with RG7203 versus placebo. However, the response varied across patients, and a subset showed clinically relevant improvement of apathy. It remains unclear if these interindividual differences are related to neurobiological correlates.

methodsDue to the predominant binding of RG7203 in the striatum, we investigated how apathy changes with RG7203 are related to changes in cortico-striatal connectivity by computing rank correlations (r

resultsWe found that 5 mg or 15 mg of RG7203 did not lead to significant changes in striatal connectivity. However, changes in the apathy response across individuals were reflected by striatal connectivity changes. Apathy improvement with 5 mg and 15 mg RG7203 vs. placebo was associated with increased striatal connectivity to paracingulate (r

conclusionsThese findings suggest that striatal connectivity with the paracingulate gyrus and anterior cingulate cortex may be associated with apathy modulation under RG7203 treatment. Replication and further elaboration of these findings in larger clinical studies could help to advance biologically informed and personalized treatment options for negative symptoms.

trial registrationNCT02824055, registered on ClinicalTrials.gov (2016-06-21).

Indexed as

ApathyCorpus StriatumPhosphodiesterase InhibitorsSchizophreniaAdultAntipsychotic AgentsCross-Over StudiesDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung AdultAntipsychotic AgentsPhosphodiesterase InhibitorsApathyNegative symptomsPhosphodiesterase 10 inhibitorSchizophreniaStriatal connectivity

Identifiers

PMID40155941
PMCPMC11951735

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.