Review Article

Efficacy of Adjunctive Treatments Added to Olanzapine or Clozapine for Weight Control in Patients with Schizophrenia: A Systematic Review and Meta-Analysis

Table 2

Meta-analysis of topiramate ().
(a)

Number First author Concurrent therapyAdjunctive agent
(mg/day, daily max. dose)
Duration (weeks) (drop)Primary outcomeSecondary outcome
Weight reductionMean outcomeMean differencePsychiatric evaluationMean baselineMean change

2Narula (2010) [9]OlanzapineTopiramate (100)
placebo
 1233 (3)
34 (2)
BMI (kg/m2)20.1
22.6
0.004PANSS102.9
103.8
−71.7 
−70.5
0.001

3Afshar (2009) [10]ClozapineTopiramate (300)
placebo
 816 (0)
16 (0)
BMI (kg/m2)23.2
25.4
≤0.05PANSS96.9
101.9
−20 
−1.3
<0.001

(b)

Number First authorStatistics for each study Difference in means and 95% CI Relative weight
Difference in meansStandard errorVariance value value

2
3
Narula (2010) [9]
Afshar (2009) [10]
Total
−2.500
−2.190
2.405
0.990
1.491
0.825
0.980
2.223
0.680 
−2.525
−1.469
2.916
0.012
0.142
0.004
69.41
30.59
 100.00

Heterogeneity: ; df = 1; ; = 0.00.