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. 2016 Sep 12;2016(9):CD011567. doi: 10.1002/14651858.CD011567.pub2

Bakish 1993.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM‐III panic disorder with or without agoraphobia
Method of diagnosis: Not stated
Age: No information provided
Sex: No information provided
Location: Canada; setting: outpatients
Co‐morbidities: Not stated
Rescue medication: Chloral hydrate, up to 1 g at night
Interventions Participants were randomly assigned to either:
(1) brofaromine arm (n = 47)
Duration: 8 weeks
Treatment Protocol: flexible dosage; range = 50 ‐ 150 mg, M and SD not provided
(2) clomipramine arm (n = 46)
Duration: 8 weeks
Treatment Protocol: flexible dosage; range = 25 ‐ 75 mg, M and SD not provided
Outcomes Time points for assessment: baseline, every two weeks
Outcomes:
1. number of panic attacks per week
2. Hamilton Rating Scale for Anxiety (HAMA)
3. Hamilton Rating Scales for Depression (HAM‐D)
4. Clinician Rated Impairment and Disability Scale (CRIDS)
5. Clinician Rated Global Change Scale (CRGCS)
6. Patient Rating Impairment Disability Scale (PRIDS)
7. Patient Rated Anxiety Scale (PRAS)
8. Marks Matthews Phobia Scale
9. Patient Rated Global Change Scale (PRGCS)
10. Daily Panic Inventory (DPI)
Notes Date of study: Not stated
Funding source: Not stated
Declarations of interest among the primary researchers: Not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomised". No further details.
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "double blind". No further details.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "double blind". No further details.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No clear information on incomplete outcome data management.
Selective reporting (reporting bias) High risk Data on the scales HAMD, CRIDS, CRGCS, PRIDS, PRAS, PRCGS, DPI not reported at endpoint; data on the scales HAMA and Mark Matthews Phobia Scale are reported only in graphs; number of patients evaluated not specified.
Other bias Unclear risk Sponsorship bias cannot be ruled out.