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. 2013 Jul 17;2013(7):CD004185. doi: 10.1002/14651858.CD004185.pub3

Summary of findings 4. Fluoxetine compared to amineptine.

Fluoxetine compared to amineptine
Patient or population: patients with depression
 Settings: in‐ and outpatients
 Intervention: fluoxetine
 Comparison: amineptine
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Amineptine Fluoxetine
Failure to respond
(reduction ≥ 50% on HDRS)
719 per 1000 486 per 1000 
 (249 to 727) OR 0.37 
 (0.13 to 1.04) 63
 (1 study) ⊕⊕⊕⊝
 moderate1  
Endpoint score
(HDRS or MADRS)
  The mean endpoint score in the intervention groups was
 0 standard deviations higher 
 (0 to 0 higher)   0 (0)   No data available on this outcome
Failure to complete ‐ total ‐ 210 per 1000 140 per 1000 
 (43 to 370) OR 0.61 
 (0.17 to 2.21) 232
 (2 studies) ⊕⊕⊕⊝
 moderate1  
Failure to complete ‐ inefficacy ‐ 94 per 1000 97 per 1000 
 (19 to 366) OR 1.04 
 (0.19 to 5.57) 63
 (1 study) ⊕⊕⊕⊝
 moderate1  
Failure to complete ‐ side effects ‐ (Copy) 84 per 1000 46 per 1000 
 (3 to 418) OR 0.52 
 (0.03 to 7.82) 232
 (2 studies) ⊕⊕⊕⊝
 moderate1  
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval; OR: Odds ratio;
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1 Limitations in studies designs: no details on randomisation procedures and allocation concealment. Blinding stated but not tested.