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

Behnke 2002.

Methods Six‐week double‐blind, randomised multicentre study
Participants Patients with ICD‐10 depression, with a score between 16 and 24 points on Hamilton Rating Scale for Depression (HDRS‐17).
 Age range: 18‐73 years
 Exclusion criteria: participation in a clinical study less than 4 weeks, pregnancy and lactation, insufficient contraception, suicide risk, dementia, or other severe intellectual impairment, chronic alcohol or drug abuse or dependence, severe cardiac, liver, kidney or respiratory insufficiency, neoplasia, Parkinson's or Alzheimer's disease, hypersensitivity to an ingredient of the Hypericum perforatum, febrile illness, anaemia, thyroid or parathyroid disease, pituitary insufficiency.
Interventions Fluoxetine: 35 participants
 Hypericum: 35 participants
 Fluoxetine dose: 40 mg/day
 Hypericum dose: 300 mg/day
Outcomes HDRS‐17, von Zerssen Depression Scale (VZD), Clinical Global Impression (CGI) Scale
Notes Funding: by industry
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, no other information
Allocation concealment (selection bias) Unclear risk No information provided
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double blind, no further information
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Double blind, no further information
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Double blind, no further information
Incomplete outcome data (attrition bias) 
 All outcomes High risk Number of dropouts reported, but reasons not specified. Endpoint scores reported without denominator
Selective reporting (reporting bias) Unclear risk Side effects not reported. Mean endpoint scores and standard deviation reported
Other bias High risk Last author's affiliation was PhytoPharm Consulting, Istitute for Phytopharmaceuticals, Berlin; probably this company produces Hypericum perforatum