Table 13Summary of included studies for primary care versus secondary care subgroup analysis for comparison 1b Selective serotonin reuptake inhibitors (SSRIs) versus placebo

StudyPopulationInterventionComparisonComments
Primary care (K=5, N=1,184)

Bjerkenstedt 2005

RCT

Sweden

Primary care

N=115

Baseline severity: More severe

Mean age (years): 50.9

Sex (% female): 79

Ethnicity (% BME): 0

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 4

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Doogan 1994

RCT

UK

Primary care

N=200

Baseline severity: More severe

Mean age (years): 45.7

Sex (% female): 68

Ethnicity (% BME): NR

Sertraline 50-100mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Lepola 2003

RCT

Belgium, Canada, Finland, France, Norway, Sweden, Switzerland & UK

Primary care

N=469

Baseline severity: More severe

Mean age (years): 43.3

Sex (% female): 72

Ethnicity (% BME): NR

Escitalopram 10-20mg/day or citalopram 20-40mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Lopez-Rodriguez 2004

RCT

South America

Primary care

N=20

Baseline severity: More severe

Mean age (years): 31.9

Sex (% female): NR

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 9

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint

Wade 2002

RCT

Canada, Estonia, France, Netherlands & UK

Primary care

N=380

Baseline severity: More severe

Mean age (years): 40.5

Sex (% female): 76

Ethnicity (% BME): 3

Escitalopram 10mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Secondary care (K=78, N=18,070)

29060 07 001a

RCT

US

Secondary care

N=25

Baseline severity: More severe

Mean age (years): 42.5

Sex (% female): 56

Ethnicity (% BME): NR

Paroxetine 10-60mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Andreoli 2002/Dubini 1997/Massana 1998_study 1

RCT

Brazil, France, Ireland, Italy, Poland, and UK

Secondary care

N=255

Baseline severity: More severe

Mean age (years): 42.2

Sex (% female): 60

Ethnicity (% BME): NR

Fluoxetine 20-40mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Baune 2018

RCT

Estonia, Finland, Germany, & Lithuania

Secondary care

N=104

Baseline severity: More severe

Mean age (years): 45.7

Sex (% female): 64

Ethnicity (% BME): 2

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Binnemann 2008

RCT

US, Serbia and Montenegro, & the Russian Federation

Secondary care

N=82

Baseline severity: More severe

Mean age (years): 49

Sex (% female): 39

Ethnicity (% BME): NR

Sertraline 100mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Bose 2008

RCT

US

Secondary care

N=267

Baseline severity: More severe

Mean age (years): 68.3

Sex (% female): 59

Ethnicity (% BME): 11

Escitalopram 10-20mg/dayPlacebo

Treatment duration (weeks): 12

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Burke 2002

RCT

US

Secondary care

N=491

Baseline severity: More severe

Mean age (years): 40.1

Sex (% female): 65

Ethnicity (% BME): NR

Escitalopram 10mg/day or 20mg/day, or citalopram 40mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Byerley 1988a

RCT

US

Secondary care

N=61

Baseline severity: More severe

Mean age (years): 38.3

Sex (% female): 68

Ethnicity (% BME): NR

Fluoxetine 40-80mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Response

Claghorn 1992a

RCT

US

Secondary care

N=59

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Claghorn 1992b

RCT

US

Secondary care

N=72

Baseline severity: More severe

Mean age (years): 35

Sex (% female): 32

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Clayton 2006_study 1

RCT

US

Secondary care

N=283

Baseline severity: More severe

Mean age (years): 35

Sex (% female): 61

Ethnicity (% BME): 35

Escitalopram 10-20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Clayton 2006_study 2

RCT

US

Secondary care

N=286

Baseline severity: More severe

Mean age (years): 36.5

Sex (% female): 56

Ethnicity (% BME): 27

Escitalopram 10-20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

CL3-20098-022

RCT

Europe

Secondary care

N=286

Baseline severity: More severe

Mean age (years): 43

Sex (% female): 67

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Response

CL3-20098-023

RCT

Cross-continental

Secondary care

N=275

Baseline severity: More severe

Mean age (years): 41.1

Sex (% female): 75

Ethnicity (% BME): NR

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint

CL3-20098-024

RCT

Cross-continental

Secondary care

N=306

Baseline severity: More severe

Mean age (years): 41.5

Sex (% female): 73

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Response

Detke 2004b

RCT

US

Secondary care

N=179

Baseline severity: More severe

Mean age (years): 42.9

Sex (% female): 71

Ethnicity (% BME): 0

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Dube 2010

RCT

India, US, Mexico & Romania

Secondary care

N=200

Baseline severity: More severe

Mean age (years): 36.5

Sex (% female): 44

Ethnicity (% BME): NR

Escitalopram 10-20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Dunbar 1993

RCT

US

Secondary care

N=341

Baseline severity: More severe

Mean age (years): 41

Sex (% female): 51

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Eli Lilly HMAT-Aa

RCT

US

Secondary care

N=179

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Emsley 2018

RCT

Bulgaria, Estonia, Finland, France, Republic of Korea, Malaysia, Mexico, Poland, Romania, & Slovakia

Secondary care

N=206

Baseline severity: More severe

Mean age (years): 70.6

Sex (% female): 75

Ethnicity (% BME): NR

Escitalopram 10mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Fabre 1992a

RCT

US

Secondary care

N=80

Baseline severity: More severe

Mean age (years): 35.8

Sex (% female): 59

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Fabre 1995a

RCT

US

Secondary care

N=369

Baseline severity: More severe

Mean age (years): 37.6

Sex (% female): 53

Ethnicity (% BME): 9

Sertraline 50mg/day, 100mg/day, or 200mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Fava 1998a

RCT

US

Secondary care

N=128

Baseline severity: More severe

Mean age (years): 41.3

Sex (% female): 51

Ethnicity (% BME): NR

Paroxetine 20-50mg/day or fluoxetine 20-80mg/dayPlacebo

Treatment duration (weeks): 12

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Fava 2005

RCT

US

Secondary care

N=90

Baseline severity: More severe

Mean age (years): 37.2

Sex (% female): 59

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 12

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score

FDA 245 (EMD 68 843-010)

RCT

US

Secondary care

N=191

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

FDA 246 (SB 659746-003)

RCT

US

Secondary care

N=246

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Citalopram 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint

Forest Laboratories 2000

RCT

US

Secondary care

N=386

Baseline severity: More severe

Mean age (years): 42

Sex (% female): 52

Ethnicity (% BME): NR

Escitalopram 10-20mg/day or citalopram 20-40mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Forest Research Institute 2005

RCT

US

Secondary care

N=409

Baseline severity: More severe

Mean age (years): 40

Sex (% female): 56

Ethnicity (% BME): NR

Escitalopram 10-20mg/day or sertraline 50-200mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Golden 2002_448

RCT

US

Secondary care

N=315

Baseline severity: More severe

Mean age (years): 39

Sex (% female):NR

Ethnicity (% BME): NR

Paroxetine 20-62.5mg/dayPlacebo

Treatment duration (weeks): 12

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Golden 2002_449

RCT

US

Secondary care

N=330

Baseline severity: More severe

Mean age (years): 41.2

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20-62.5mg/dayPlacebo

Treatment duration (weeks): 12

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Goldstein 2002a

RCT

US

Secondary care

N=103

Baseline severity: More severe

Mean age (years): 40.9

Sex (% female): 65

Ethnicity (% BME): 21

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Goldstein 2004a

RCT

US

Secondary care

N=176

Baseline severity: More severe

Mean age (years): 40

Sex (% female): 64

Ethnicity (% BME): 22

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Gual 2003

RCT

Spain

Secondary care

N=83

Baseline severity: More severe

Mean age (years): 46.7

Sex (% female): 47

Ethnicity (% BME): NR

Sertraline 50-150mg/dayPlacebo

Treatment duration (weeks): 24

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Higuchi 2009a

RCT

Japan

Secondary care

N=294

Baseline severity: More severe

Mean age (years): 38.3

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20-40mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Hirayasu 2011a

RCT

Japan

Secondary care

N=310

Baseline severity: More severe

Mean age (years): 34.6

Sex (% female): NR

Ethnicity (% BME): NR

Escitalopram 10mg/day or 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Response

Hirayasu 2011b

RCT

Japan

Secondary care

N=485

Baseline severity: More severe

Mean age (years): 36.2

Sex (% female): NR

Ethnicity (% BME): NR

Escitalopram 10mg/day or 20mg/day, or paroxetine 20-40mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Response

Jefferson 2000

RCT

US

Secondary care

N=415

Baseline severity: More severe

Mean age (years): 39.9

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 25mg/day, or citalopram 20mg/day or 40mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Kasper 2012

RCT

Russia & Austria

Secondary care

N=211

Baseline severity: More severe

Mean age (years): 41.9

Sex (% female): 71

Ethnicity (% BME): 0

Escitalopram 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Katz 2004

RCT

US

Secondary care

N=53

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20-60mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Keller 2006_Study 062

RCT

Cross-continental

Secondary care

N=325

Baseline severity: More severe

Mean age (years):41

Sex (% female): 67

Ethnicity (% BME): 43

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Kramer 1998

RCT

US

Secondary care

N=142

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Kranzler 2006_Group A

RCT

US

Secondary care

N=189

Baseline severity: More severe

Mean age (years): 42.9

Sex (% female): 35

Ethnicity (% BME): 10

Sertraline 50-200mg/dayPlacebo

Treatment duration (weeks): 10

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Lam 2016b

RCT

Canada

Secondary care

N=61

Baseline severity: More severe

Mean age (years): 36.8

Sex (% female): 72

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Macias-Cortes 2015

RCT

Mexico

Secondary care

N=89

Baseline severity: More severe

Mean age (years): 49

Sex (% female): 100

Ethnicity (% BME): 100

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Mathews 2015

RCT

US

Secondary care

N=579

Baseline severity: More severe

Mean age (years): 42.3

Sex (% female): 57

Ethnicity (% BME): 32

Citalopram 40mg/dayPlacebo

Treatment duration (weeks): 10

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Mendels 1999

RCT

US

Secondary care

N=180

Baseline severity: More severe

Mean age (years): 43

Sex (% female): 33

Ethnicity (% BME): 13

Citalopram 20-80mg/dayPlacebo

Treatment duration (weeks): 4

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Miller 1989a

RCT

UK

Secondary care

N=47

Baseline severity: More severe

Mean age (years): 42.5

Sex (% female): 68

Ethnicity (% BME): NR

Paroxetine 30mg/dayPlacebo

Treatment duration (weeks): 4

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Montgomery 1992

RCT

UK

Secondary care

N=199

Baseline severity: More severe

Mean age (years): 44

Sex (% female): 69

Ethnicity (% BME): NR

Citalopram 20mg/day or 40mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Mundt 2012

RCT

US

Secondary care

N=165

Baseline severity: More severe

Mean age (years): 37.8

Sex (% female): 63

Ethnicity (% BME): 24

Sertraline 50-100mg/dayPlacebo

Treatment duration (weeks): 4

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

MY-1042/BRL-029060/CPMS-251

RCT

US

Secondary care

N=254

Baseline severity: More severe

Mean age (years): 41.9

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20-50mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

MY-1042/BRL-029060/1 (PAR 128)

RCT

US

Secondary care

N=848

Baseline severity: More severe

Mean age (years): 41.8

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20-50mg/day or fluoxetine 20-80mg/dayPlacebo

Treatment duration (weeks): 12

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Nemeroff 2007a

RCT

US

Secondary care

N=206

Baseline severity: More severe

Mean age (years): 39.1

Sex (% female): 61

Ethnicity (% BME): 7

Fluoxetine 20-60mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Nierenberg 2007a

RCT

US

Secondary care

N=411

Baseline severity: More severe

Mean age (years): 43

Sex (% female): 66

Ethnicity (% BME): 21

Escitalopram 10mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

NKD20006 (NCT00048204)

RCT

US

Secondary care

N=250

Baseline severity: More severe

Mean age (years): 38

Sex (% female): 60

Ethnicity (% BME): NR

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Nyth 1992

RCT

Denmark, Norway & Sweden

Secondary care

N=149

Baseline severity: More severe

Mean age (years): 76.7

Sex (% female): 69

Ethnicity (% BME): NR

Citalopram 10-30mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Olie 1997

RCT

France

Secondary care

N=258

Baseline severity: More severe

Mean age (years): 43.8

Sex (% female): 63

Ethnicity (% BME): 1

Sertraline 50-200mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

PAR 01 001 (GSK & FDA)

RCT

US

Secondary care

N=50

Baseline severity: More severe

Mean age (years): 43.1

Sex (% female): 35

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Perahia 2006b

RCT

Bulgaria, Croatia, Hungary, Poland, Romania, Russia, & Slovakia

Secondary care

N=196

Baseline severity: More severe

Mean age (years): 45.2

Sex (% female): 68

Ethnicity (% BME): 0

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Peselow 1989aa

RCT

US

Secondary care

N=73

Baseline severity: More severe

Mean age (years): 43.2

Sex (% female): 38

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Peselow 1989ba

RCT

US

Secondary care

N=82

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Paroxetine 20-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Rapaport 2009

RCT

US

Secondary care

N=357

Baseline severity: More severe

Mean age (years): 67.5

Sex (% female): 62

Ethnicity (% BME): 17

Paroxetine 25mg/dayPlacebo

Treatment duration (weeks): 10

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Ratti 2011_study 096

RCT

11 countries in Europe and Latin America

Secondary care

N=236

Baseline severity: More severe

Mean age (years): 44

Sex (% female): 72

Ethnicity (% BME): NR

Paroxetine 20-30mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Ravindran 1995

RCT

Canada

Secondary care

N=66

Baseline severity: More severe

Mean age (years): 38.9

Sex (% female): 62

Ethnicity (% BME): NR

Sertraline 50-200mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Reimherr 1990a

RCT

US & Canada

Secondary care

N=299

Baseline severity: More severe

Mean age (years): 39.6

Sex (% female): 53

Ethnicity (% BME): 8

Sertraline 20-200mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Rickels 1992

RCT

US

Secondary care

N=111

Baseline severity: More severe

Mean age (years): 44.7

Sex (% female): 48

Ethnicity (% BME): NR

Paroxetine (dose NR)Placebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Rudolph 1999a

RCT

US

Secondary care

N=201

Baseline severity: More severe

Mean age (years): 40

Sex (% female): 66

Ethnicity (% BME): NR

Fluoxetine 20-60mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Response

SER 315 (FDA)a

RCT

Europe

Secondary care

N=165

Baseline severity: More severe

Mean age (years): 42.0

Sex (% female): 72

Ethnicity (% BME): NR

Sertraline 50-200mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Sheehan 2009ba

RCT

US

Secondary care

N=194

Baseline severity: More severe

Mean age (years): 38.8

Sex (% female): 66

Ethnicity (% BME): NR

Fluoxetine 60-80mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Smith 1992

RCT

US

Secondary care

N=77

Baseline severity: More severe

Mean age (years): 44.8

Sex (% female): 50

Ethnicity (% BME): NR

Paroxetine 10-50mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

Stark 1985a

RCT

US

Secondary care

N=354

Baseline severity: More severe

Mean age (years): 40.5

Sex (% female): 68

Ethnicity (% BME): NR

Fluoxetine 60-80mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Study 62b (FDA)

RCT

Country NR

Secondary care

N=356

Baseline severity: More severe

Mean age (years): 40

Sex (% female): 57

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score

Study F1J-MC-HMAQ- Study Group Ba

RCT

US

Secondary care

N=112

Baseline severity: More severe

Mean age (years): 40.8

Sex (% female): NR

Ethnicity (% BME): NR

Fluoxetine 20mg/dayPlacebo

Treatment duration (weeks): 10

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Tollefson 1993/1995

RCT

US

Secondary care

N=671

Baseline severity: More severe

Mean age (years): 67.7

Sex (% female): 55

Ethnicity (% BME): 6

Fluoxetine maximum 20mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Valle-Cabrera 2018

RCT

Cuba

Secondary care

N=77

Baseline severity: More severe

Mean age (years): 45.2

Sex (% female): 92

Ethnicity (% BME): NR

Sertraline 50-200mg/dayPlacebo

Treatment duration (weeks): 10

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

VEN XR 367 (FDA)b

RCT

Europe

Secondary care

N=164

Baseline severity: More severe

Mean age (years): NR

Sex (% female): 61

Ethnicity (% BME): NR

Paroxetine 20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis): Depression symptoms change score

Wang 2014c

RCT

Canada, China, Finland, South Korea, Malaysia, Mexico, The Philippines, South Africa, & Spain

Secondary care

N=314

Baseline severity: More severe

Mean age (years): 40

Sex (% female): 71

Ethnicity (% BME): 46

Escitalopram 10-20mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Response

WELL AK1A4006

RCT

US

Secondary care

N=309

Baseline severity: More severe

Mean age (years): 37.9

Sex (% female): NR

Ethnicity (% BME): NR

Fluoxetine 20-60mg/dayPlacebo

Treatment duration (weeks): 8

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Wernicke 1987

RCT

US

Secondary care

N=356

Baseline severity: More severe

Mean age (years): 39.8

Sex (% female): 57

Ethnicity (% BME): NR

Fluoxetine 20mg/day, 40mg/day, or 60mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

Wernicke 1988

RCT

US

Secondary care

N=267

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Fluoxetine 20mg/day or 40mg/dayPlacebo

Treatment duration (weeks): 6

Outcomes (for primary versus secondary care subgroup analysis):

  • Depression symptoms change score
  • Response

a

Three-armed trial but where possible the demographics reported here are for only the two relevant arms.

b

Four-armed trial but where possible the demographics reported here are for only the two relevant arms.

BME: black, minority, ethnic; K: number of studies; mg: milligrams; N: number of participants; NR: not reported; RCT: randomised controlled trial.

From: Service delivery Models and settings for delivery of services

Cover of Service delivery Models and settings for delivery of services
Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A.
NICE Guideline, No. 222.
Copyright © NICE 2022.

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