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

Wade 1997.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM‐III‐R panic disorder
Method of diagnosis: not stated
Age: M = 38, SD not provided
Sex: 70% female, 30 % male
Location: not stated; setting unclear
Co‐morbidities: patients with depression, organic brain damage, drug/alcohol misuse and other severe psychiatric or somatic disorders were excluded
Rescue medication: treatment with oxazepam was permitted during weeks 1 and 2 (maximum dose 20 mg daily), discontinued during weeks 3 and 4, and prohibited during weeks 5 to 8.
Interventions Participants were randomly assigned to either:
(1) citalopram 10‐15 mg arm (n = 97)
Duration: 8 weeks
Treatment Protocol: 10 mg, with the option of increasing to 15 mg if efficacy was not seen
(2) citalopram 20‐30 mg arm (n = 95)
Duration: 8 weeks
Treatment Protocol: 20 mg, with the option of increasing to 30 mg if efficacy was not seen
(3) citalopram 40‐60 arm (n = 89)
Duration: 8 weeks
Treatment Protocol: 40 mg, with the option of increasing to 60 mg if efficacy was not seen
(4) clomipramine (n = 98)
Duration: 8 weeks
Treatment Protocol: 60 mg, with the option of increasing to 90 mg if efficacy was not seen
(5) placebo (n = 96)
Outcomes Time points for assessment: baseline, last assessment (no further details provided)
Outcomes:
1. number of panic attacks ‐ Clinical Anxiety Scale (CAS)
2. general improvement (Physician's Global Improvement Scale, Patient's Global Improvement Scale)
3. Hamilton Anxiety Rating Scale (HAS)
4. Montgomery–Åsberg Depression Rating Scale (MADRS)
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: "randomised".
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 Quote: "the primary analysis of efficacy was based upon the relative number of responding patients for the ITT population and by use of the LOCF".
Selective reporting (reporting bias) Unclear risk All outcomes were reported; data on CAS are reported only in graphs.
Other bias Unclear risk One of the authors' affiliation refer to Lundbeck.