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. 2008 Oct 8;2008(4):CD000448. doi: 10.1002/14651858.CD000448.pub3

Harrer 1993.

Methods Concealment: consecutively numbered pharmacy 
 Blinding: Double‐blind 
 Drop‐outs/withdrawals: 7 of 51 in hypericum group, 9 of 51 in maprotiline group 
 Jadad score: 2‐2‐1 
 IV score: 1‐1‐1‐0.5‐0.5‐0.5
Participants Number of patients included/analyzed: 102 /86 
 Demographics: 73 female, mean age 44 years in the Hypericum group and 48 years in the maprotiline group 
 Diagnosis: single, moderately severe depressive episode (ICD 10 F32.1) (according to information from the sponsor patients met DSM‐III‐R criteria for major depression); Setting: 6 practices in Germany (neurology/psychiatry) 
 Baseline: HAMD scores 20.5 +/‐ 3.7 in hypericum group and 21.5 +/‐ 3.9 in maprotiline group
Interventions Treatment: Hypericum extract LI 160 (Jarsin 300) 3x1 coated tablet (900 mg extract) daily for 4 weeks 
 Control: Maprotiline 3x1 coated tablet (75 mg) daily for 4 weeks
Outcomes Observation period 4 weeks 
 Physician‐rated: Hamilton Depression Scale (HAMD, 17 items; response = at least 50% reduction or score < 10), Clinical Global Impression Index (CGI), global assessment 
 Patient rated: Depression Scale von Zerssen D‐S, global assessment
Notes Additional information provided from sponsor (Lichtwer, Berlin, Germany)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate