Study | Inclusion criteria | Age | Percent male | Duration (weeks) | Treatment | Dosage (mg/day) | Patients per arm | Effect size (SD) | Response (%) | Dropout (%) |
---|---|---|---|---|---|---|---|---|---|---|
Fabre et al. [15] | Age 21–70 HAM-D ≥ 20 |  |  | 5 | Fluoxetine Placebo | 40–80 | 22 26 | -0.8 (0.1) |  | 0.50 0.44 |
Stark et al. [16] | DSM-III, Age 18–70 HAM-D21 ≥ 20 | 40 | 0.32 | 6 | Fluoxetine Placebo | 20–80 | 185 169 | -0.3(0.01) | 0.63 0.38 | 0.37 0.45 |
Cohn et al. [17] | DSM-III, Age 20–64 HAM-D ≥ 20 | 41 | 0.40 | 6 | Fluoxetine Placebo | 20–80 | 54 57 | -1.3(0.04) | 0.72 0.30 | 0.30 0.72 |
Fieve et al. [18] | DSM-III, Age 18–65 HAM-D21 ≥ 20 |  | 0.57 | 6 | Fluoxetine Fluoxetine Fluoxetine Placebo | 5 20 40 | 14 13 13 9 | -0.5 (0.1) |  |  |
Rickels et al. [19] | DSM-III, Age 21–70 HAM-D ≥ 20 | 47.2 | 0.21 | 5 | Fluoxetine Placebo | 20–80 | 18 24 | -0.7 (0.2) | 0.90 0.39 |  |
Goodnick et al. [20] | DSM-III, Age 18–65 HAM-D ≥ 116 |  | 0.54 | 7 | Fluoxetine Placebo | 20–60 | 30 5 | -1.1(0.3) 0.1(0.2) |  |  |
Wernicke et al. [21] | DSM-III, Age 18–65 HAM-D ≥ 20 | 39.8 | 0.43 | 6 | Fluoxetine Fluoxetine Fluoxetine Placebo | 20 40 60 | 97 97 103 48 | -0.5(0.03) -0.5(0.03) -0.2(0.03) | 0.53 0.61 0.48 0.27 | 0.38 0.40 0.55 0.44 |
Fabre et al. [22] | DSM-III, Age 18–65 HAM-D ≥ 14 |  |  | 6 | Fluoxetine Fluoxetine Fluoxetine Placebo | 20 40 60 | 22 25 25 12 | -2.1 (0.4) -1.5 (0.3) -2.3 (0.5) | 0.67 0.31 1 0 |  |
Wernicke et al. [23] | DSM-III, Age 18–65 HAM-D ≥ 14 | 39 | 0.37 | 6 | Fluoxetine Fluoxetine Fluoxetine Placebo | 5 20 40 | 94 91 92 77 | -0.5(0.02) -0.4(0.02) -0.5(0.02) | 0.54 0.64 0.65 0.33 |  |
Harto et al. [24] | DSM-III, Age 18–65 HAM-D ≥ 20 | 38.4 43.8 36.4 | 0.37 0.37 0.37 | 6 | Fluoxetine Fluoxetine Fluoxetine Placebo | 5 20 40 | 8 10 9 8 | 1 (0.3) 1.1 (0.3) 0.9 (0.3) |  |  |
Byerley et al. [25] | DSM-III HAM-D21 ≥ 20 | 38.9 | 0.31 | 6 | Fluoxetine Placebo | 40–80 | 32 29 | -1.1 (0.1) |  | 0.38 0.45 |
Muijen et al. [26] | Research Diagnostic Criteria, Age 18–65 HAMD-D17 ≥ 17 | 35.8 | 0.37 | 6 | Mianserin Fluoxetine Placebo | 20 20 | 27 26 28 | -1.2 (0.2) | 0.55 0.23 | 0.46 0.43 |
Feighner et al. [27] | DSM-III, Age 18–70 HAMD-D21 ≥ 20, RSDM ≥ 8 and RSDM ≥ Covi | 45 | 0.26 | 6 | Imipramine Fluoxetine Placebo | 150 80 (median) | 46 51 48 | -0.3(0.04) |  | 0.51 0.68 |
Dunlop et al. [28] | DSM-III, Age 18–65 HAMD-D ≥ 14 and RSDM >Covi | 39.3 39.3 39.3 |  | 6 | Fluoxetine Fluoxetine Fluoxetine Placebo | 20 40 60 | 103 99 97 56 | -0.1(0.03) -0.03 (0.03) 0.1(0.03) | 0.53 0.51 0.59 0.36 | 0.35 0.41 0.39 0.34 |
Valducci et al. [29] | DSM-III-R, Age 19–67 HAMD-D >18 |  | 0.43 | 8 | Fluoxetine Placebo | 20 | 20 20 | -0.9 (0.1) | 0.70 0.25 |  |
Heiligenstein et al. [31] | DSM-III-R, Age 18–65 HAMD-D17 ≥ 15 | 44.4 |  | 8 | Fluoxetine Placebo | 20 | 46 43 | 0.1 (0.1) -0.9 (0.1) | 0.61 0.41 |  |
Sramek et al. [32] | DSM-III-R, Age 18–65 HAMD-D24 ≥ 21 with item 1 ≥ 2, HAM-A ≤ 18, HAMD-D24 <HAM-A, RSDM ≥ 8 and RSDM >Covi | 33.9 | 0.40 | 9 | ABT-200 Fluoxetine Placebo | 160–320 20 | 72 72 72 | -0.3(0.03) |  | 0.17 0.13 |
Fava et al. [33] | DSM-III-R, Age (mean 41,3) HAMD-D17 ≥ 18, Raskin depression score ≥ 8 and superior to Raskin anxiety score | 41.3 | 0.49 | 12 | Paroxetine Fluoxetine Placebo | 20–50 20–80 | 55 54 19 | 0.1 (0.1) | 0.57 0.53 |  |
Rudolph et al. [34] | DSM-IV, Age > 18 HAMD-D21 ≥ 20 | 40 | 0.33 | 8 | Venlafaxine XR Fluoxetine Placebo | 75–225 20–60 | 100 103 98 | -0.2(0.02) | 0.50 0.42 | 0.27 0.21 |
Coleman et al. [35] | DSM-IV, Age 18–76 HAMD-D21 ≥ 20 | 37.1 |  | 8 | Bupropion SR Fluoxetine Placebo | 150–400 20–60 | 150 154 152 | -0.2(0.01) | 0.57 0.50 | 0.37 0.33 |
Goldstein et al. [9] | DSM-IV, Age 18–65 HAMD-D17 ≥ 15 and CGI-S ≥ 4 | 39.7 | 0.35 | 8 | Duloxetine Fluoxetine Placebo | 40–120 20 | 70 33 70 | -0.2(0.04) | 0.45 0.39 | 0.36 0.34 |
Silverstone et al. [42] | DSM-IV, Age ≥ 18 HAMD-D21 ≥ 20 (on the first 17 items), Covi ≥ 8 | 43.2 | 0.4 | 12 | Fluoxetine Venlafaxine XR Placebo | 20–60 75–225 | 121 128 119 | -0.6(0.02) | 0.62 0.43 | 0.26 0.40 |
Globally |  | 40 ± 3 | 0.39 | 7 ± 2 | Fluoxetine Placebo | 20–80 | 2078 1093 | -0.46(0.11) | 0.37(0.09) ** | -0.02(0.09) ** |