Evidence map›Paper›PMID 25272149›Full record

Trial reportThe Journal of clinical psychiatry2015

A double-blind, randomized controlled clinical trial comparing eicosapentaenoic acid versus docosahexaenoic acid for depression.

David Mischoulon, Andrew A Nierenberg, Pamela J Schettler, Becky L Kinkead, Kiki Fehling, Max A Martinson, Mark Hyman Rapaport

2 registry-linked trialsOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 42 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 10 pooled it
27.1field-weighted citation impact, top 1% 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.

NCT00517036 phase3completednot on this map

Omega-3 Fatty Acids for Treatment of Major Depression: Differential Effects of EPA and DHA, and Associated Biochemical and Immune Parameters

TypeinterventionalSponsorCedars-Sinai Medical CenterRan2006 to 2011Enrolled196ConditionsDepressionArmsEPA omega-3 fatty acid, DHA omega-3 fatty acid, Placebo comparator
NCT02553915 phase2 / phase3completednot on this map

Omega-3 Fatty Acids for MDD With High Inflammation: A Personalized Approach

TypeinterventionalSponsorMassachusetts General HospitalRan2015 to 2022Enrolled61ConditionsMajor Depressive Disorder, Overweight, InflammationArmsPlacebo, EPA 1 g/day, EPA 2 g/day, EPA 4 g/day
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 10 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Nutraceuticals in Psychiatric Disorders: A Systematic Review.International journal of molecular sciences · 2024
    Pooled it
  2. Omega-3 fatty acids for depression in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
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  4. Effects of Omega 3 Fatty Acids on Main Dimensions of Psychopathology.International journal of molecular sciences · 2020
    Pooled it
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  10. Omega-3 fatty acids for depression in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
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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

7 authors at 1 institution in 1 country.

David Mischoulon1 Bowdoin Sq, 6th Floor, Boston, MA 02114 dmischoulon@partners.org.
Andrew A Nierenberg
Pamela J Schettler
Becky L Kinkead
Kiki Fehling
Max A Martinson
Mark Hyman Rapaport
Mass General Brigham · US

Funding

Omega-3 Fatty Acids for Treatment of Major DepressionR01MH074085 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MISCHOULON, DAVID · 2006 to 2010
$1.7M
Omega-3 Fatty Acids for Treatment of Major Depressive DisorderR01MH073765 · NIMH · CEDARS-SINAI MEDICAL CENTER · PI COHEN, ROBERT MARTIN · 2006 to 2010
$1.7M
NIMH NIH HHS 5R01MH74085NIMH NIH HHS R01 MH073765NIMH NIH HHS R01 MH074085
6 · The paper itself

Abstract

objectiveTo compare 2 omega-3 (n-3) preparations enriched with eicosapentaenoic acid (EPA) versus docosahexaenoic acid (DHA) as monotherapy for major depressive disorder (MDD) in a 2-site, placebo-controlled, randomized, double-blind clinical trial.

method196 adults (53% female; mean [SD] age = 44.7 [13.4] years) with DSM-IV MDD and a baseline 17-item Hamilton Depression Rating Scale (HDRS-17) score ≥ 15 were randomized equally from May 18, 2006, to June 30, 2011, to 8 weeks of double-blind treatment with oral EPA-enriched n-3 1000 mg/d, DHA-enriched n-3 1,000 mg/d, or placebo.

results154 subjects completed the study. Modified intent-to-treat (mITT) analysis (n = 177 subjects with ≥ 1 postbaseline visit; 59.3% female, mean [SD] age 45.8 [12.5] years) employed mixed-model repeated measures (MMRM). All 3 groups demonstrated statistically significant improvement in the HDRS-17 (primary outcome measure), 16-item Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR-16), and Clinical Global Improvement-Severity Scale (CGI-S) (P < .05), but neither n-3 preparation separated from placebo (P > .05). Response and remission rates were in the range of 40%-50% and 30%, respectively, for all treatments, with no significant differences between groups. One subject receiving EPA-enriched n-3 discontinued due to worsening depression, and 1 subject receiving placebo discontinued due to an unspecified "negative reaction" to pills.

conclusionsNeither EPA-enriched nor DHA-enriched n-3 was superior to placebo for the treatment of MDD.

trial registrationClinicalTrials.gov identifier: NCT00517036.

Indexed as

AdultAgedDocosahexaenoic AcidsDouble-Blind MethodEicosapentaenoic AcidFemaleHumansMajor Depressive DisorderMaleMiddle AgedPlacebosTreatment OutcomeYoung AdultDocosahexaenoic AcidsEicosapentaenoic AcidPlacebos

Identifiers

PMID25272149
PMCPMC11708509
OpenAlexW2015332789

What OpenQuestion holds

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LicenceTDM
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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.