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

Pollack 2007a.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM‐IV panic disorder with or without agoraphobia
Method of diagnosis: Mini‐International Neuropsychiatric Interview
Age: for venlafaxine 75 mg, M = 35.8, SD = 9.97; for venlafaxine 225 mg, M = 37.1, SD = 11.8, for paroxetine M = 37.5, SD = 11
Sex: for venlafaxine 75 mg, females = 65%, males = 35%; for venlafaxine 225 mg, females = 68%, males = 33%; for paroxetine females = 68%, males = 32%
Location: Argentina, Mexico, Chile, Costa Rica; setting: outpatients
Co‐morbidities: patients with other predominant Axis I or II disorders and important medical conditions were excluded
Rescue medication: zaleplon or zolpidem permitted up to 3 times per week for the first 2 weeks of randomised treatment
Interventions Participants were randomly assigned to either:
(1) venlafaxine 75 mg arm (n = 163)
Duration: 12 weeks
Treatment Protocol: fixed dosage = 75 mg/day
(2) venlafaxine 225 mg arm (n = 167)
Duration: 12 weeks
Treatment Protocol: fixed dosage = 225 mg/day
(3) paroxetine arm (n = 161)
Duration: 12 weeks
Treatment Protocol: fixed dosage = 40 mg/day
(4) placebo arm (n = 162)
Duration: 12 weeks
Outcomes Time points for assessment: baseline, weeks 1, 2, 3, 4, 6, 8, 10, 12
Outcomes:
1. patients free of panic attacks at endpoint
2. Panic Disorder Severity Scale (PDSS)
3. panic attacks frequency
4. Clinical Global Impression Improvement Score (CGI‐I)
Notes Date of study: not stated
Funding source: Wyeth Research, Collegeville, Pennsylvania
Declarations of interest among the primary researchers: members of advisory boards, and research support received by many pharmaceutical companies, including AstraZeneca, GlaxoSmithKline, Eli Lilly, Pfizer, Roche, Wyeth
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 Low risk Quote: "...they were randomly assigned to receive venlafaxine 75 mg/day, venlafaxine 225 mg/day, paroxetine or placebo once daily in identically appearing capsules".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "...they were randomly assigned to receive venlafaxine 75 mg/day, venlafaxine 225 mg/day, paroxetine or placebo once daily in identically appearing capsules".
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "statystical analysis on the primary and secondary outcome measures were performed for an ITT population of patients who had at least one post randomisation visit on therapy using LOCF values".
Selective reporting (reporting bias) Unclear risk Continuous data at endpoint are reported only in graphs.
Other bias High risk Sponsored by Wyeth; the role of the funder in planning, conducting and writing the study is not discussed.