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

Bystritsky 1995.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM‐III panic disorder with or without agoraphobia
Method of diagnosis: Not stated
Age: average age of 37 years, no between‐group differences
Sex: 12 males and 9 females, no between‐group differences
Location: USA; setting unclear
Co‐morbidities: lack of significant drug or alcohol history or significant medical illness; patients that had an additional diagnosis of major depression (MD) or generalised anxiety disorder (GAD) were allowed to participate only if they presented a predominant picture of panic disorder and if panic symptoms preceded the onset of the current episode of MD or GAD
Rescue medication: Not stated.
Interventions Participants were randomly assigned to either:
(1) desipramine arm (n = 11)
Duration: 10 weeks
Treatment Protocol: flexible dosage; range = 10 ‐ 300 mg, M = 110, SD = 49
(2) fluoxetine arm (n = 11)
Duration: 10 weeks
Treatment Protocol: flexible dosage; range = 2.5 ‐ 60 mg, M = 19, SD = 10
Outcomes Time points for assessment: weekly
Outcomes:
1. Hamilton Rating Scale for Anxiety (HAMA)
2. Hamilton Rating Scales for Depression (HAM‐D)
3. Four Dimensional Anxiety Scale
4. Clinical Global Impression‐Severity of Illness (CGI‐S)
5. Clinical Global Impression‐Improvement (CGI‐I)
Notes Date of study: Not stated
Funding source: this research has been supported in part by NIMH grant MH 45342‐02 and by an NPI Opportunity Grant
Declarations of interest among the primary researchers: None.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "they were assigned randomly". No further details.
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "both patients and investigators were blind to the assignment"; "patients were administered identical capsules labeled A, B or C: Capsules A, containing 2,5 mg of fluoxetine or 10 mg of desipramine were administered for one week [...], capsules B (containing) 25 mg of desipramine or 5 mg of fluoxetine, (capsules) C (containing) 50 mg of desipramine or 10 mg of fluoxetine".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "both patients and investigators were blind to the assignment"
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No clear information on incomplete outcome data management.
Selective reporting (reporting bias) Low risk All outcomes were reported.
Other bias Unclear risk Quote: "this research has been supported in part by NIMH grant MH 45342‐02 and by an NPI Opportunity Grant".