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

Duarte 1996.

Methods Six‐week randomised, double‐blind study
Participants Outpatients fulfilling DSM‐III‐R criteria for double depression (dysthymia and major depression), with a score of at least 16 on the Hamilton Rating Scale for Depression (HDRS).
Age range: 18‐65 years
 Exclusion criteria: suicidal tendencies, delusional depression, severe organic disease, alcoholism, drug abuse, ongoing ECT or structured psychotherapy.
Interventions Fluoxetine: 21 participants
 Moclobemide: 21 participants
 Fluoxetine dose: 20 mg/day
 Moclobemide dose: 300 mg/day
 Use of single benzodiazepines was allowed at discretion of the doctor
Outcomes Primary outcomes: percentage of responders defined as decrease of at least 50% in the HDRS
 Secondary outcomes: endpoint score at HDRS, percentage of end of treatment Clinical Global Impression (CGI) very good and good responses
Notes Funding: by industry
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, no further information
Allocation concealment (selection bias) Unclear risk No information provided
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Quote: "double blinding was achieved by appropriate drug packaging and formulation", no further information
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "double blinding was achieved by appropriate drug packaging and formulation", no further information
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "double blinding was achieved by appropriate drug packaging and formulation", no further information
Incomplete outcome data (attrition bias) 
 All outcomes High risk Scores reported without denominators. Mean scores and standard deviations reported only in figure and they were not clear
Selective reporting (reporting bias) Unclear risk No vital signs and side effects reported. Quote: "no clinically significant changes in vitals signs were recorded"
Other bias High risk The last author's affiliation was Hoffmann–La Roche Ltd, and this company produces moclobemide