Evidence map›Paper›PMID 22198441›Full record

Trial reportJournal of clinical psychopharmacology2012

Omega-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder.

Lev Gertsik, Russell E Poland, Catherine Bresee, Mark Hyman Rapaport

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04210804 (A Prophylactic Trial of Omega-3 Polyunsaturated Fatty Acids in Bipolar Disorder), which is not on this map. Cited by 76 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 11 pooled it
9.2field-weighted citation impact, top 2% of its field
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.

NCT04210804 phase2completednot on this mapstarted 2014, after this paper: background citation

A Prophylactic Trial of Omega-3 Polyunsaturated Fatty Acids in Bipolar Disorder

TypeinterventionalSponsorNational University of Ireland, Galway, IrelandRan2014 to 2018Enrolled80ConditionsBipolar DepressionArmsSmoothie 1g Eicosapentaneoic Acid (EPA) and 1g Docoshaexanoic Acid (DHA)
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 11 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Pooled it
  2. Omega-3 fatty acids for depression in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Effects of Omega 3 Fatty Acids on Main Dimensions of Psychopathology.International journal of molecular sciences · 2020
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Efficacy of omega-3 highly unsaturated fatty acids in the treatment of depression.The British journal of psychiatry : the journal of mental science · 2016
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Omega-3 fatty acids for depression in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
  11. Pooled it
  12. Trial
  13. Trial
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  15. Trial
  16. Trial
  17. Review
  18. Review
  19. Article
  20. Article

16 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

4 authors at 2 institutions in 1 country.

Lev GertsikCalifornia Clinical Trials Medical Group, Glendale, CA 91206, USA. lev.gertsik@cctrials.com
Russell E Poland
Catherine Bresee
Mark Hyman Rapaport
Cedars-Sinai Medical Center · USMeharry Medical College · US

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ANDERSON, GAIL V · 1985 to 2011
$74.2M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Technologies and Resources CoreU54MD007593 · NIMHD · MEHARRY MEDICAL COLLEGE · PI ADUNYAH, SAMUEL EVANS · 2012 to 2018
$24.7M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54RR026140 · NCRR · MEHARRY MEDICAL COLLEGE · PI GOODWIN, JEFFREY SHAWN · 2009 to 2011
$12.9M
PUFA Augmentation in Treatment of Major DepressionR21AT001077 · NCCIH · CEDARS-SINAI MEDICAL CENTER · PI GERTSIK, LEV G · 2003 to 2004
$383k
NCATS NIH HHS UL1 TR000124NCCIH NIH HHS R21 AT001077NCCIH NIH HHS R21-AT001077NCRR NIH HHS M01 RR000425NCRR NIH HHS M01-RR000425NCRR NIH HHS U54 RR026140NIMHD NIH HHS U54 MD007593
6 · The paper itself

Abstract

objectiveThe objective of this study was to explore the efficacy of combination therapy with citalopram plus omega-3 fatty acids versus citalopram plus placebo (olive oil) in the initial treatment of individuals with major depressive disorder (MDD). We hypothesized that combination therapy would lead not only to greater efficacy but also to a more rapid onset of therapeutic response.

methodsForty-two subjects participated in this 9-week randomized, masked, placebo-controlled study of combination therapy (two 1 g capsules containing a blend of 900 mg of eicosapentaenoic acid, 200 mg of and docosahexaenoic acid, and 100 mg of other omega-3 fatty acids twice daily plus citalopram) versus monotherapy (two 1 g capsules of olive oil per day plus citalopram) treatment of MDD.

resultsThe combination therapy demonstrated significantly greater improvement in Hamilton Depression Rating scale scores over time (F = 7.32; df 1,177; P = 0.008) beginning at week 4 (t = -2.48; df 177; P = 0.014).

conclusionsCombination therapy was more effective than monotherapy in decreasing signs and symptoms of MDD during the 8 weeks of active treatment; however, combination therapy did not seem to enhance the speed of the initial antidepressant response. These findings suggest that there may be an advantage to combining omega-3 fatty acids with a selective serotonin uptake inhibitor in the initial treatment of individuals with MDD. A larger definitive study is warranted.

Indexed as

Dietary SupplementsAdultAntidepressive Agents, Second-GenerationCitalopramDrug Therapy, CombinationFatty Acids, Omega-3FemaleHumansMajor Depressive DisorderMaleMiddle AgedTreatment OutcomeAntidepressive Agents, Second-GenerationCitalopramFatty Acids, Omega-3

Identifiers

PMID22198441
PMCPMC3375825
OpenAlexW2069184109

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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.