From: Atypical antipsychotics in bipolar disorder: systematic review of randomised trials
 |  | Events/total patients | Event rate (%) |  |  | ||
---|---|---|---|---|---|---|---|
Outcome | Trials | Treatment | Placebo | Treatment | Placebo | Relative Risk (95% CI) | NNT (95% CI) |
Efficacy | Â | Â | Â | Â | Â | Â | Â |
Response | Â | Â | Â | Â | Â | Â | Â |
olanzapine 2–20 mg/day | 1 | 137/351 | 108/355 | 39 | 30 | 1.3 (1.04 to 1.6) | 11.6 (6.4 to 62) |
quetiapine 300–600 mg/day | 2 | 379/648 | 313/330 | 58 | 40 | 1.5 (1.3 to 1.7) | 5.4 (4.2 to 7.7) |
Combined atypical | 3 | 516/999 | 240/685 | 52 | 35 | 1.4 (1.2 to 1.6) | 6.0 (4.8 to 7.7) |
Symptomatic remission | Â | Â | Â | Â | Â | Â | Â |
olanzapine 2–20 mg/day | 1 | 115/351 | 87/355 | 33 | 25 | 1.3 (1.06 to 1.7) | 12.1 (6.7 to 62) |
quetiapine 300–600 mg/day | 2 | 640/648 | 96/330 | 52 | 29 | 1.8 (1.5 to 2.2) | 4.3 (3.5 to 5.9) |
Combined atypical | 3 | 455/999 | 183/685 | 46 | 27 | 1.6 (1.3 to 1.9) | 5.3 (4.3 to 7.0) |
Emergence of mania | Â | Â | Â | Â | Â | Â | Â |
olanzapine 2–20 mg/day | 1 | 19/345 | 23/345 | 6 | 7 | 0.8 (0.5 to 1.5) | not calculated |
quetiapine 300–600 mg/day | 2 | 23/697 | 18/347 | 5 | 3 | 0.6 (0.4 to 1.2) | not calculated |
Combined atypical | 3 | 42/1042 | 41/692 | 4 | 6 | 0.7 (0.5 to 1.1) | not calculated |
Discontinuations | Â | Â | Â | Â | Â | Â | Â |
All cause | Â | Â | Â | Â | Â | Â | Â |
olanzapine 2–20 mg/day | 1 | 191/351 | 232/355 | 54 | 65 | 0.8 (0.7 to 0.9) | 9.1 (5.5 to 27) |
quetiapine 300–600 mg/day | 2 | 292/702 | 132/349 | 38 | 42 | 1.1 (0.8 to 1.3) | not calculated |
Combined atypical | 3 | 483/1053 | 364/704 | 46 | 52 | 0.9 (0.8 to 1.05) | 17 (10 to 50) |
Lack of efficacy | Â | Â | Â | Â | Â | Â | Â |
olanzapine 2–20 mg/day | 1 | 73/351 | 121/355 | 21 | 34 | 0.6 (0.5 to 0.8) | 7.5 (5.1 to 15) |
quetiapine 300–600 mg/day | 2 | 13/702 | 37/349 | 2 | 11 | 0.2 (0.1 to 0.3) | 11 (7.7 to 20) |
Combined atypical | 3 | 86/1053 | 158/704 | 8 | 22 | 0.5 (0.4 to 0.6) | 7.0 (5.6 to 10) |
Adverse events | Â | Â | Â | Â | Â | Â | Â |
olanzapine 2–20 mg/day | 1 | 34/351 | 19/355 | 10 | 5 | 1.8 (1.1 to 3.1) | 23 (12 to 220) |
quetiapine 300–600 mg/day | 2 | 109/702 | 17/349 | 16 | 5 | 3.2 (2.0 to 5.2) | 9.4 (6.7 to 14) |
Combined atypical | 3 | 143/1053 | 36/704 | 14 | 5 | 2.6 (1.8 to 3.7) | 12 (10 to 14) |