Evidence map›Paper›PMID 18221624›Full record

Trial reportCurrent psychiatry reports2007

The STAR*D Project results: a comprehensive review of findings.

Diane Warden, A John Rush, Madhukar H Trivedi, Maurizio Fava, Stephen R Wisniewski

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Current psychiatry reports, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01047124 (Randomised Control Trial of the Clinical and Cost Effectiveness of a Specialist Expert Mood Disorder Team for Refractory Unipolar Depressive Disorder), which is not on this map. Cited by 263 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
263citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01047124 naunknown statusnot on this mapstarted 2009, after this paper: background citation

Randomised Control Trial of the Clinical and Cost Effectiveness of a Specialist Expert Mood Disorder Team for Refractory Unipolar Depressive Disorder

TypeinterventionalSponsorUniversity of NottinghamRan2009 to 2016Enrolled219ConditionsChronic Unipolar Depressive DisorderArmsSpecialist Mood Disorders Team
3 · Its place in the literature

Who cites it

263 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Efficacy of vortioxetine on the physical symptoms of major depressive disorder.Journal of psychopharmacology (Oxford, England) · 2018
    Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Rapid and sustained antidepressant effects of vaporized N,N-dimethyltryptamine: a phase 2a clinical trial in treatment-resistant depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  16. Gender Differences in Psychological Outcomes Following Surf versus Hike Therapy among U.S. Service Members.International journal of environmental research and public health · 2024
    Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

203 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Diane WardenDepartment of Psychiatry, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390-9086, USA. Diane.Warden@UTSouthwestern.edu
A John Rush
Madhukar H Trivedi
Maurizio Fava
Stephen R Wisniewski

Funding

TREATMENT RESISTANT DEPRESSIONN01MH90003 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · 2007 to 2008
$9.1M
Mood Disorders Clinical Intervention Training ProgramT32MH067543 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2003 to 2013
$2.1M
TREATMENT RESISTANT DEPRESSION-278990003N01MH090003 · NIMH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · 1999 to 2003
–
NIMH NIH HHS N01MH90003NIMH NIH HHS R01 MH-104062-01A1NIMH NIH HHS T32 MH067543-04
6 · The paper itself

Abstract

The Sequenced Treatment Alternatives to Relieve Depression trial enrolled outpatients with nonpsychotic major depressive disorder treated prospectively in a series of randomized controlled trials. These were conducted in representative primary and psychiatric practices. Remission rates for treatment steps 1 to 4 based on the 16-item Quick Inventory of Depressive Symptomatology-Self-report were 37%, 31%, 14%, and 13%, respectively. There were no differences in remission rates or times to remission among medication switch or among medication augmentation strategies at any treatment level. Participants who required increasing numbers of treatment steps showed greater depressive illness burden and increasingly greater relapse rates in the naturalistic follow-up period (40%-71%). Prognosis was better at all levels for participants who entered follow-up in remission as opposed to those who entered with response without remission. These results highlight the prevalence of treatment-resistant depression and suggest potential benefit for using more vigorous treatments in the earlier steps.

Indexed as

Cost of IllnessDrug ResistanceHumansMajor Depressive DisorderPatient DropoutsPrevalenceProspective StudiesSecondary PreventionSelective Serotonin Reuptake InhibitorsSurveys and QuestionnairesSelective Serotonin Reuptake Inhibitors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.