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. 2023 Jan 30;273(7):1615–1628. doi: 10.1007/s00406-022-01547-w

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