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

Sasson 1999.

Methods Study design: Randomised cross‐over trial
Participants Diagnosis: DSM‐III‐R panic disorder
Method of diagnosis: not stated
Age: M = 36, SD = 8
Sex: males = 6, females = 11
Location: Israel; setting unclear
Co‐morbidities: patients were free of significant medical problems, mental retardation, psychosis, drug abuse, organic lesions and primary mood disorders
Rescue medication: not stated
Interventions Participants were randomly assigned to either:
(1) clomipramine arm (n = 17)
Duration: 6 weeks
Treatment Protocol: flexible dosage, range = 75 ‐ 200 mg, M = 140, SD = 52
(2) desipramine arm (n = 17)
Duration: 6 weeks
Treatment Protocol: flexible dosage, range = 50 ‐ 300 mg, M = 190, SD = 69
According to the cross‐over design, patients received placebo for 2 weeks; active treatment for 6 weeks; placebo for 2 weeks; switch to the other active treatment for 6 weeks.
Data on the active treatment phases are provided together.
Outcomes Time points for assessment: baseline, every two weeks
Outcomes:
1. Hamilton Rating Scale for Anxiety (HAMA)
2. NIMH Global Scales for anxiety, depression and impairment
3. Zung Anxiety Scale
4. State‐Trait Anxiety Inventory (STAI)
5. number of panic attacks
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: "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 information provided.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "double blind". No further information provided.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing outcome data.
Selective reporting (reporting bias) Low risk All outcomes were reported.
Other bias Unclear risk Sponsorship bias cannot be ruled out.