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. 2012 Dec 12;2012(12):CD009138. doi: 10.1002/14651858.CD009138.pub2

Preskorn 1983.

Methods 6‐week, double‐blind, randomised, multi‐centre study, placebo wash‐out unclear
Participants Psychiatric inpatients meeting DSM‐III criteria for major depressive disorder, threshold baseline severity not reported
Age: range (of all allocated patients) 18 to 82 years
Sex: no data
Exclusion criteria: recent alcohol or drug abuse, schizophrenia, organic brain syndrome, seizure disorder, pregnancy, severe medical illness, medical contraindications to amitriptyline chemotherapy
Interventions Amitriptyline: number of participants unclear
Placebo: number of participants unclear
Amitriptyline dose: ascending dosage regimen, doses not reported
Outcomes Primary outcome: plasma concentrations, HAM‐D
Secondary outcome: Anxiety Rating Scale
Notes Sponsor: NIH Research Scientist Development Award, Burroughs Wellcome Company (Bupropion)
Response: no definition, no data
Remission: no definition, no data
3‐arm study comparing bupropion to amitriptyline and placebo (total 61 participants)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not described, assumed, because it is a double‐blind study
Allocation concealment (selection bias) Unclear risk Method not described
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "Multi‐centre double‐blind study", no further details
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "Multi‐centre double‐blind study", no details on blinding of assessor
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Drop‐outs not indicated, unclear whether there were any
Selective reporting (reporting bias) High risk Only data for bupropion‐treated patients reported
Other bias Low risk No obvious other bias