“…“Fishing” RCTs with other medications with different mechanisms of actions were not likely successful. Most of the RCTs in schizophrenia have targeted mechanisms outside of glutamatergic and cholinergic systems (Aigner, 1995; Dashniani et al, 2020) and failure was inevitable (Girgis et al, 2019). Specifically, modulating NMDA (Duncan, Sheitman, & Lieberman, 1999) and α7nACh receptors (Bencherif, Stachowiak, Kucinski, & Lippiello, 2012) concurrently (Geerts & Grossberg, 2006; Grossberg, Edwards, & Zhao, 2006) may improve positive, cognitive, and negative symptoms concurrently (Bencherif et al, 2012; Duncan et al, 1999; Koola, Looney, Hong, Pillai, & Hou, 2020).…”