Methods | 8 week randomised double blind study | |
Participants | Diagnosis: DSM-IV major depressive disorder Setting: Unclear |
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Interventions | 1. Mirtazapine: 30-45 mg/day, N = 176 2. Sertraline: 50-150 mg/day, N = 170 Flexible dosing scheduling |
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Outcomes | The measure used for response and remission in the review: 17-item HAM-D Other measures: MADRS, CGI-Improvement, CGI-Severity |
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Notes | ||
Risk of bias | ||
Bias | Authors’ judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: “randomised” Comment: No further information provided. |
Allocation concealment (selection bias) | Unclear risk | Comment: The method of concealment is not described. |
Blinding (performance bias and detection bias) All outcomes |
Unclear risk | Quote: “double-blind” Comment: No further information provided. |
Incomplete outcome data (attrition bias) All outcomes |
High risk | More than 20% of the allocated participants to both of the intervention arms dropped out during the study |
Selective reporting (reporting bias) | Low risk | Both the response and the remission outcomes are reported in the figures with the actual numbers of the participants who achieved these |
Free of Sponsorship bias? | High risk | The funding source is the pharmaceutical company of mirtazapine |