Table 2.
Trial | Sample | Number of subjects (completed) | Trial duration (in weeks) | Washout? | Augmentation? | Drug/neuromodulation | Dose range (mg/day) | Outcome |
---|---|---|---|---|---|---|---|---|
Mantovani et al. [15] (phase 2) | Treatment resistant patients with PD+MDD; no drop-outs from phase 1 | 21 (17) | 4 | No | Antidepressants, atipsychotics, mood stabilizers and other drugs | rTMS to the right DLPFC | Twenty 30-min. trains (1,800 stimuli/train), 1-Hz, at 110% of resting motor threshold | 4 weeks rTMS - response:* 38%; remission: †13%. |
8 weeks (cumulative) rTMS - response:* 67%; remission:† 50%. | ||||||||
Choi et al. [16] | PD patients | 119 (57) | 24 | Two weeks; five weeks for fluoxetine | Allowed PRN use of alprazolam or clonazepam; and zolpidem | Escitalopram | 5–20 | Significant improvement in PDSS (-11.2, 95% CI -12.8 to -9.6, p= 0.0001) and SDS scores (p=0.0001); response:‡ 80.7%; remission:§ 73.1%; |
Shah et al. [17] | Treatment resistant PD patients | 22 (18) | 10 | 7–14 days for current SSRI or SNRI medications; five weeks for fluoxetine | Allowed to continue concomitant treatment with benzodiazepines or hypnotics | Vortioxetine | 5–20 | Significant improvement in the PDSS scores (-8.9 p<0.05); significant improvement in PA frequency (-1.1, p<0.05) |
response: ≥40% decrease on the PDSS scores and ≥50% decrease on the Hamilton Depression Rating Scale scores,
remission: PDSS scores below five and Hamilton Depression Rating Scale scores below 10.,
response: >50% decrease in PDSS scores,
remission: absence of full panic attack and PDSS scores ≤7.
PD: panic disorder, MDD: major depression disorder, rTMS: repetitive transcranial magnetic stimulation, PDSS: Panic Disorder Severity Scale, PRN: pro re nata, SDS: Sheehan Disability Scale, SSRI: selective serotonin reuptake inhibitor, SNRI: serotonin norepinephrine reuptake inhibitor