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

Lepola 1990.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DMS‐III panic disorder with or without agoraphobia
Method of diagnosis: Not stated
Age: M = 37.4, SD not provided
Sex: not stated
Location: Finland; setting: inpatients
Co‐morbidities: patients with psychiatric co‐morbidities were excluded; medical co‐morbidities are not mentioned; six patients suspected cases of epilepsy
Rescue medication: "the patients did not receive any other treatment during the trial period"
Interventions Participants were randomly assigned to either:
(1) alprazolam arm (n = 27)
Duration: 9 weeks
Treatment Protocol: flexible dosage, range = 1.5 ‐ 8 mg, M = 4.9, SD not provided
(2) imipramine arm (n = 28)
Duration: 9 weeks
Treatment Protocol: flexible dosage, range = 30 ‐ 225 mg, M = 130, SD not provided
Outcomes Time points for assessment: baseline, 3 weeks, 9 weeks
Outcomes:
1. panic attack frequency
2. Hamilton Rating Scale for Anxiety (HAMA)
3. Montgomery–Åsberg Depression Rating Scale (MADRS)
4. seven‐point evaluation scale of the clinical state (not better specified)
Notes Date of study: Not stated
Funding source: Not stated
Declarations of interest among the primary researchers: None (but authors' affiliations refer to pharmaceutical companies).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomized".
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 information provided about management of incomplete outcome data.
Selective reporting (reporting bias) Low risk All relevant outcomes were reported.
Other bias Unclear risk Authors' affiliations refer to pharmaceutical companies.