Table 1.
Main study design characteristics and subject inclusion criteria
Trial | A (Kasper et al. [35]) | B (Kasper et al. [33]) | C (Kasper et al. [39]) | D (Kasper et al. [37]) | E (Kasper et al. [36]) |
---|---|---|---|---|---|
Design characteristics | Double-blind, randomized, placebo-controlled, multicenter, parallel-group | ||||
Diagnosis for inclusion | Anxiety disorder not otherwise specified (DSM-IV 300.00; ICD-10 F41.9) | Restlessness and sleep disturbances (ICD-10 R45.1) | Mixed anxiety and depressive disorder (ICD-10 F41.2) | Generalized anxiety disorder (DSM IV 300.02, also corresponding to DSM-5 criteria; ICD 10 F41.1) | |
Anxiety specific selection criteria | HAMA total score ≥ 18 points; HAMA items ‘Anxious mood’ and ‘Insomnia’ ≥ 2 points | HAMA total score ≥ 18 points; HAMA items ‘Tension’ and ‘Insomnia’ ≥ 2 points | HAMA total score ≥ 18 points; HAMA item ‘Anxious mood’ ≥ 2 points | HAMA total score ≥ 18 points; HAMA items ‘Anxious mood’ and ‘Tension’ ≥ 2 points; CAS total score ≥ 9 points | HAMA total score ≥ 18 points; HAMA items ‘Anxious mood’ and ‘Tension’ ≥ 2 points; HAMA sub-score ‘Psychic anxiety’ ≤ 21 points; CAS total score ≥ 9 points |
Interventions | 1 × 80 mg/day Silexan or placeboa, 10 weeks | ||||
Primary efficacy outcome measure | HAMA total score change between baseline and end of treatment | ||||
Other scales assessed for efficacy | SAS, CGI, SF-36 | SAS, CGI | HADS, CGI, SF-36 | CAS, CGI, SF-36 | CAS, CGI, SF-36 |
HAMA Hamilton Anxiety Rating Scale [26], SAS Zung Self-Rating Anxiety Scale [66], HADS Hospital Anxiety and Depression Scale [65], CAS Covi Anxiety Scale [13], CGI Clinical Global Impressions [48], SF-36 Short Form (36) Health Survey [62]
aIn addition to Silexan 80 mg/day, trial D included treatment groups receiving Silexan 10 or 40 mg/day, and trial E included groups that received Silexan 160 mg/day or paroxetine. Results for Silexan other than those for the marketed dosage of 80 mg/day or for active comparators are not covered in this work