Skip to main content
. 2013 Jul 17;2013(7):CD004185. doi: 10.1002/14651858.CD004185.pub3

Reynaert 1995.

Methods Six‐week randomised, double‐blind study
Participants In‐ and outpatients fulfilling DSM‐III‐R criteria for major depressive disorder, with a score of at least 16 on the Hamilton Rating Scale for Depression‐17 item (HDRS‐17).
 Mean age: 47 years
 Exclusion criteria: suicide risk, any other psychiatric illness, severe organic disease, alcoholism and drug abuse, use of MAOI in the previous 2 weeks and antidepressants in the previous 4 days or any investigational drugs in the previous 4 weeks, use in the past of fluoxetine or moclobemide.
Interventions Fluoxetine: 50 participants
 Moclobemide: 51 participants
 Fluoxetine dose range: 20‐40 mg/day
 Moclobemide dose range: 300‐600 mg/day
 Lithium and one benzodiazepine were permitted
Outcomes Primary outcomes: HDRS‐17, Clinical Global Impression (CGI)
Notes Response: decrease of at least 50% in the total score or a score of maximum 10 on the HDRS‐17
 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 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 were reported. Denominator reported for responders was different from the number of randomised patients
Selective reporting (reporting bias) Unclear risk Secondary outcomes not reported. Side effects and vital signs not clearly reported
Other bias High risk Last author's affiliation is Roche S. A., Brussels, Belgium and this company produces moclobemide