Table A3.
Characteristics of lithium versus placebo (PBO) add-on trials for major depressive episodes.
Study | ADs | Age (years) | Females (%) | Lithium dose | Duration (weeks) | Subjects (N) |
Responders (%) |
Response OR | ||
---|---|---|---|---|---|---|---|---|---|---|
Lithium | Placebo | Lithium | Placebo | |||||||
Lingjærde et al. (1974) | TCAs | 49 | 78 | 0.8–1.3 mM | 6 | 20 | 25 | 8 (40.0) | 5 (20.0) | 2.67 |
Heninger et al. (1983) | TCAs, MIA | 51 | 80 | 900–1200 mg/day (0.5–1.1 mM) | 2 | 8 | 17 | 5 (62.5) | 9 (52.9) | 1.48 |
Zusky et al. (1988) | TCAs, MAOIs | 45 | 81 | 900 mg/day | 2 | 8 | 8 | 3 (37.5) | 2 (25.0) | 1.80 |
Schöpf et al. (1989) | TCAs | 54 | 70 | 600–800 mg/day (0.6–0.8 mM) | 1 | 14 | 13 | 9 (64.3) | 0 (0.00) | 57.0 |
Browne et al. (1990) | TCAs | 42 | 59 | 900 mg/day | 2 | 15 | 15 | 4 (26.7) | 3 (20.0) | 1.45 |
Joffe et al. (1993) | TCAs | 37 | 55 | 900 mg/day | 2 | 17 | 16 | 9 (52.9) | 3 (18.8) | 4.88 |
Stein and Bernadt (1993) | TCAs | 47 | 79 | 250 mg/day | 3 | 16 | 34 | 7 (43.8) | 7 (20.6) | 3.00 |
Katona et al. (1995) | FLX, LFP | 40 | 57 | 800 mg/day (0.6–1 mM) | 6 | 29 | 32 | 15 (51.7) | 10 (31.3) | 2.36 |
Baumann et al. (1996) | CTP | 41 | 71 | 800 mg/day (0.5–0.8 mM) | 1 | 10 | 32 | 6 (60.0) | 8 (25.0) | 4.50 |
Bloch et al. (1997) | DMI | 47 | 55 | 0.7–1.0 mM | 5 | 16 | 15 | 9 (56.3) | 10 (66.7) | 1.50 |
Cappiello et al. (1998) | DMI | 40 | 66 | 900 mg/day | 4 | 14 | 15 | 4 (28.6) | 0 (0.0) | 13.3 |
Januel et al. (2003) | CMI | 44 | 62 | 750 mg/day | 2 | 74 | 75 | 42 (56.8) | 34 (45.3) | 1.58 |
Nierenberg et al. (2003) | NRT | 38 | 46 | 900 mg/day | 6 | 18 | 17 | 2 (11.1) | 3 (17.6) | 0.58 |
Saini et al. (2016) | IMI | 37 | 23 | 0.6–0.8 mM | 4 | 20 | 20 | 20 (100.0) | 17 (85.0) | 8.20 |
Totals/averages [95%CI] | – | 43.7 [40.6–46.8 | 63.0 [53.8–72.2] | 0.6–1.3 mM | 3.29 [1.57–5.01] | 279 | 364 | 143/279 (51.3%) [45.2–57.3] | 111/364 (30.5%) [25.8–35.5] | 2.23 [1.53–3.24] |
OR was determined from random-effects meta-analysis. Of the 14 trials, three (21.4%) significantly favored Li over placebo independently.