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

Manna 1989.

Methods Five‐week randomised, double‐blind study
Participants Inpatients fulfilling DSM‐III‐R criteria for major depressive disorder, with a score of at least 18 on the first 17 items of Hamilton Rating Scale for Depression‐17 item (HDRS‐17).
 Mean age: 48 years
 Exclusion criteria: not stated
Interventions Fluoxetine: 15 participants
 Clomipramine: 15 participants
 Fluoxetine dose: 20 mg/day
 Clomipramine dose: 75 mg/day
Outcomes HDRS, Montgomery and Asberg Scale for Depression (MADRS), Clinical Global Impression (CGI), Zung Self‐Rating for Depression
Notes Funding: unclear
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 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 and reasons for dropout not reported. Scores reported without denominators
Selective reporting (reporting bias) High risk Endpoint scores were reported only in figures and they were not clear. Side effects reported only in percentage without denominators
Other bias Unclear risk Funding: unclear