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TCAs versus placebo - National Center for Biotechnology Information

TCAs versus placebo - National Center for Biotechnology Information

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Study Type: RCT<br />

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

Imipramine vs. Placebo<br />

Type of Analysis: ITT; LOCF<br />

Blindness: Double blind<br />

Duration (days): Mean 42<br />

Setting: Outpatients; US<br />

Info on Screening Process: Unknown.<br />

FEIGHNER1989A<br />

Study Type: RCT<br />

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

Imipramine vs. Placebo.<br />

Type of Analysis: Completers (at least 4 days of<br />

treatment)<br />

Blindness: Double blind<br />

Duration (days): Mean 42<br />

Setting: Outpatients; US<br />

Info on Screening Process: Unknown.<br />

FEIGHNER1989B<br />

Study Type: RCT<br />

Study Description: 3-arm study; Fluvoxamine<br />

vs. Imipramine vs. Placebo<br />

Type of Analysis: ITT<br />

Blindness: Double blind<br />

Duration (days): Mean 42<br />

Setting: Inpatients; US.<br />

Notes: After 2 weeks on study drug the patient<br />

could be discharged if sufficiently improved and<br />

followed as an outpatient <strong>for</strong> the remainder of<br />

the trial.<br />

Info on Screening Process: Unknown.<br />

FEIGHNER1989C<br />

Study Type: RCT<br />

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

Fluoxetine vs. Placebo<br />

Type of Analysis: Completers<br />

Blindness: Double blind<br />

Duration (days): Mean 42<br />

Setting: Outpatients; US.<br />

Notes: 145 participants completed at least 2<br />

n= 45<br />

Age: Mean 45 Range 27-64<br />

Sex: 23 males 22 females<br />

Diagnosis:<br />

100% Depression by RDC<br />

Exclusions: Unknown.<br />

Notes: Imipramine (15) + Placebo (15) = 30 participants.<br />

Imipramine (7M:8F) and Placebo (8M:7F). Participants met<br />

RDC Endogenous Major Depression and DSM III Major<br />

Depression with Melancholia.<br />

Baseline: Unknown.<br />

n= 120<br />

Age:<br />

Sex:<br />

Diagnosis:<br />

100% Major depressive disorder by DSM-III<br />

Exclusions: Patients were excluded if they posed a serious<br />

suicidal risk, had a primary psychiatric diagnosis other than<br />

depression, a history of alcohol or other substance misuse<br />

within the past six months, were pregnant or breast feeding,<br />

had clinically significant laboratory findings, or a medical<br />

contraindication to imipramine such as a history of seizures,<br />

urinary retention, or glaucoma.<br />

Notes: Imipramine (40) + Placebo (37) = 77 participants.<br />

Baseline: Unknown.<br />

n= 86<br />

Age: Mean 41 Range 18-71<br />

Sex: 13 males 73 females<br />

Diagnosis:<br />

100% Major depressive disorder by DSM-III<br />

Exclusions: Unknown.<br />

Notes: Imipramine (36) + Placebo (19) = 55 participants.<br />

Imipramine (32F:4M) and Placebo (17F:2M).<br />

Baseline: Unknown.<br />

n= 145<br />

Age: Mean 42<br />

Sex: 37 males 108 females<br />

Diagnosis:<br />

100% Major depressive disorder by DSM-III<br />

Exclusions: Pregnant, not practicing medically acceptable<br />

contraception, or if they posed a serious suicide risk.<br />

Organic brain syndrome, schizophrenia, a history of<br />

Data Used<br />

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

Data Not Used<br />

Leaving treatment early due to side effects<br />

HRSD-17 mean endpoint - no data<br />

Data Used<br />

Leaving treatment early due to side effects<br />

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

Non-response 50% reduction in HRSD - no<br />

data<br />

Data Not Used<br />

MADRS mean endpoint - no data<br />

Data Used<br />

Leaving treatment early due to side effects<br />

Data Used<br />

HRSD-21 mean endpoint<br />

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

Leaving treatment early due to side effects<br />

Group<br />

Group<br />

Group<br />

Group<br />

Group<br />

Group<br />

Group<br />

Group<br />

1 N= 15<br />

Imipramine. Mean dose 135.2mg.day -<br />

Started at 50mg/day. This could be<br />

increased by up to 50mg/day to a<br />

maximum of 250mg/day. This could be<br />

decreased in the event of side effects.<br />

2 N= 15<br />

Placebo - Started at 2 capsules/day.<br />

1 N= 40<br />

Imipramine - Maximum dose: 275mg/day.<br />

2 N= 37<br />

Placebo - No details.<br />

1 N= 36<br />

Imipramine - 150-300mg/day.<br />

2 N= 19<br />

Placebo - No details.<br />

1 N= 45<br />

Imipramine - Maximum dose: 150mg/day.<br />

2 N= 48<br />

Placebo - No details.<br />

Funding; unknown.<br />

Funding; unknown.<br />

Funding; unclear.<br />

Funding; unclear.<br />

30

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