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

Laakmann 1998.

Methods Concealment: unclear 
 Blinding: double‐blind 
 Drop‐outs/withdrawals: 3 in group hypericum 1, 1 in group hypericum 2, 4 in placebo group 
 Jadad score: 2‐2‐1 
 IV score: 1‐0‐1‐1‐1‐1
Participants Patients included/analyzed: 147/147 
 Demographics: 117 female, mean age 49 years 
 Diagnosis: mild to moderate depression (DSM‐IV) 
 Setting: 11 practices in Germany 
 Baseline: HAMD score 20.9 +/‐ 3.1 (hypericum 1), 20.3 +/‐ 2.7 (hypericum 2), 21.2 +/‐ 3.3 (placebo)
Interventions Treatment 1: Hypericum extract WS 5572 (5% hyperforin) 3x1 coated tablet (900 mg) for 6 weeks 
 Treatment 2: Hypericum extract WS 5573 (0.5% hyperforin) 3x1 coated tablet (900 mg) for 6 weeks 
 Control: Placebo for 6 weeks
Outcomes Observation period: 6 weeks 
 Physician‐rated: Hamilton Depression Scale (HAMD, 17 items; response = at least 50% reduction), Clinical Global Impression Index (CGI) 
 Patient‐rated: von Zerssen Depression Scale (D‐S), global assessment
Notes Includes a group receiving a second hypericum extract with very low hyperforin content (not included in meta‐analysis as this tests an extract which was not marketed)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate