Evidence map›Paper›PMID 30996028›Full record

ArticleEvidence-based mental health2019

Side effect profile and comparative tolerability of 21 antidepressants in the acute treatment of major depression in adults: protocol for a network meta-analysis.

Anneka Tomlinson, Orestis Efthimiou, Katharine Boaden, Emma New, Sarah Mather, Georgia Salanti, Hissei Imai, Yusuke Ogawa, Aran Tajika, Sanae Kishimoto and 4 more

Abstract read
In one paragraph

Article in Evidence-based mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines 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

14 authors.

Anneka TomlinsonDepartment of Psychiatry, University of Oxford, Oxford, UK.
Orestis EfthimiouInstitute of Social and Preventive Medicine, Bern, Switzerland.
Katharine BoadenOxford Health NHS Foundation Trust, Warneford Hospital, Oxford.
Emma NewOxford Health NHS Foundation Trust, Warneford Hospital, Oxford.
Sarah MatherOxford Health NHS Foundation Trust, Warneford Hospital, Oxford.
Georgia SalantiInstitute of Social and Preventive Medicine, Bern, Switzerland.
Hissei ImaiDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.
Yusuke OgawaDepartment of Healthcare Epidemiology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Aran TajikaDepartment of Psychiatry, Kyoto University Hospital, Kyoto, Japan.
Sanae KishimotoDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.
Sino KikuchiDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.
Astrid ChevanceParis Descartes University, Paris, France.
Toshi A FurukawaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0001-5179-8321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe have recently compared all second-generation as well as selected first-generation antidepressants in terms of efficacy and acceptability in the acute treatment of major depression. Here we present a protocol for a network meta-analysis aimed at extending these results, updating the evidence base and comparing all second-generation as well as selected first-generation antidepressants in terms of specific adverse events and tolerability in the acute treatment of major depression in adults. METHODS AND ANALYSIS: We will include all double-blind randomised controlled trials comparing one active drug with another or with placebo in the acute treatment major depression in adults. We will compare the following active agents: agomelatine, amitriptyline, bupropion, citalopram, clomipramine, desvenlafaxine, duloxetine, escitalopram, fluoxetine, fluvoxamine, levomilnacipran, milnacipran, mirtazapine, nefazodone, paroxetine, reboxetine, sertraline, trazodone, venlafaxine, vilazodone and vortioxetine. The main outcomes will include the total number of patients experiencing specific adverse events; experiencing serious adverse events; and experiencing at least one adverse event. Published and unpublished studies will be retrieved through relevant database searches, trial registries and websites; reference selection and data extraction will be completed by at least two independent reviewers. For each outcome we will undertake a network meta-analysis to synthesise all evidence. We will use local and global methods to evaluate consistency. We will perform all analyses in R. We will assess the quality of evidence contributing to network estimates with the Confidence in Network Meta-Analysis web application. DISCUSSION: This work will provide an in- depth analysis and an insight into the specific adverse events of individual antidepressants. ETHICS AND DISSEMINATION: This review does not require ethical approval. PROSPERO REGISTRATION NUMBER: CRD42019128141.

Indexed as

Drug-Related Side Effects and Adverse ReactionsRandomized Controlled Trials as TopicAcute DiseaseAdultAntidepressive AgentsClinical ProtocolsHumansMajor Depressive DisorderNetwork Meta-Analysis as TopicAntidepressive Agentsadult psychiatry

Identifiers

PMID30996028
PMCPMC10270374

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.