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TCAs versus placebo - National Center for Biotechnology Information

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criteria either at screening or at rescreening. presence of specific physical illness or other medical<br />

contraindications <strong>for</strong> the use of imipramine, and presence of<br />

a clinical state inconsistent with participating in the research<br />

protocol.<br />

ENTSUAH1994<br />

Study Type: RCT<br />

Study Description: 3-arm study; Imipramine vs.<br />

Venlafaxine vs. Placebo<br />

Type of Analysis: Completers<br />

Blindness: Double blind<br />

Duration (days): Mean 42<br />

Setting: Outpatients; US.<br />

Info on Screening Process: Unknown.<br />

ESCOBAR1980<br />

Study Type: RCT<br />

Study Description: 3-arm study; Trazodone vs.<br />

Imipramine vs. Placebo<br />

Type of Analysis: Completers<br />

Blindness: Double blind<br />

Duration (days): Mean 28<br />

Setting: Inpatients; Colombia.<br />

Info on Screening Process: Unknown.<br />

FABRE1980<br />

Study Type: RCT<br />

Study Description: 3-arm study; Alprazolam vs.<br />

Imipramine vs. Placebo<br />

Type of Analysis: Completer<br />

Blindness: Double blind<br />

Duration (days): Mean 42<br />

Setting: Outpatients; US.<br />

Info on Screening Process: Unknown.<br />

Notes: Imipramine (57) + Placebo (62) = 119 participants.<br />

Baseline: CBT IPT IMI-CM PLA-CM<br />

HAM-D (17) 19.2 (3.6) 18.9 (3.9) 19.2 (5.0) 19.1 (3.7)<br />

n= 213<br />

Age: Mean 42<br />

Sex: 71 males 142 females<br />

Diagnosis:<br />

100% Major depressive disorder by No details<br />

Exclusions: Unknown.<br />

Notes: Imipramine (71) + Placebo (78) = 149 participants.<br />

Baseline: Unknown.<br />

n= 40<br />

Age: Mean 45 Range 25-66<br />

Sex:<br />

Diagnosis:<br />

85% Depression by RDC<br />

15% Double depression by RDC<br />

Exclusions: No history of other psychiatric disorder or major<br />

physical illness.<br />

Notes: Imipramine (15) + Placebo (12) = 27 participants.<br />

Imipramine (8F:7M) and Placebo (8F:4M). Double<br />

depression = bipolar.<br />

Baseline: Trazodone Imipramine Placebo<br />

HAM-D (21) 30.8 31.3 30.9<br />

n= 154<br />

Age:<br />

Sex:<br />

Diagnosis:<br />

100% Depression by No details<br />

Exclusions: Not suffering primarily from primary depression,<br />

were psychopathic, sociopathic or psychotic, were suffering<br />

from bipolar, involutional or schizoaffective depressions, had<br />

significant liver or kidney disease as determined by physical<br />

examination, vital signs and laboratory tests, had<br />

uncontrolled cardiovascular, pulmonary, endocrinological or<br />

collagen diseases or glaucoma, or conditions where<br />

imipramine is contraindicated, had a history of urinary<br />

retention, paralytic ileus and convulsive disorders, were<br />

sensitive to benzodiazepines or tricyclics or actively abusing<br />

alcohol or other drugs, required other psychotropic<br />

medication, hypnotics or analgesics containing narcotics,<br />

received anticholinergic drugs or preparations containing<br />

sympathicomimetic amines, were receiving guanethidine,<br />

Data Used<br />

MADRS mean change<br />

HRSD-21 mean change<br />

Notes: Cumulative mean changes given.<br />

Data Used<br />

Non-response 50% reduction in HRSD<br />

Data Used<br />

Leaving treatment early <strong>for</strong> any reason<br />

Group<br />

Group<br />

Group<br />

Group<br />

Group<br />

Group<br />

1 N= 71<br />

Imipramine - No details.<br />

2 N= 78<br />

Placebo - No details.<br />

1 N= 12<br />

Placebo - The starting dose was 4<br />

capsules/day. One additional capsules<br />

was permitted every second day<br />

depending on clinical condition, and up to<br />

a maximum of 12 capsules per day.<br />

2 N= 15<br />

Imipramine - 100-300mg/day.The starting<br />

dose was 100mg/day. An additional 25mg<br />

was permitted every second day<br />

depending on clinical condition, and up to<br />

a maximum of 300mg/day.<br />

1 N= 52<br />

Imipramine. Mean dose 128.4mg/day - No<br />

details.<br />

2 N= 51<br />

Placebo - No details.<br />

Funding; unclear. Work <strong>for</strong><br />

Clinical Biostatics, Wyeth-<br />

Ayerst Research.<br />

Funding; unclear.<br />

Funding; unknown.<br />

26

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