Evidence map›Paper›PMID 31972628›Full record

Trial reportInternational clinical psychopharmacology2020

A randomized, double-blind study comparing the efficacy and safety of trazodone once-a-day and venlafaxine extended-release for the treatment of patients with major depressive disorder.

Andrea Fagiolini, Umberto Albert, Laura Ferrando, Erik Herman, Cosmina Muntean, Eva Pálová, Agnese Cattaneo, Alessandro Comandini, Giorgio Di Dato, Giorgio Di Loreto and 4 more

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International clinical psychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

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

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Trazodone for management of depression in Parkinson's disease: expert opinion and proposal for a treatment algorithm.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  4. Article
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  11. Review
  12. Article
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  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Trazodone Add-on in COVID-19-related Selective Serotonin Reuptake Inhibitor-resistant Post-traumatic Stress Disorder in Healthcare Workers: Two Case Reports.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
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 at 6 institutions in 4 countries.

Andrea FagioliniDepartment of Molecular Medicine and Development, University of Siena, Siena.
Umberto AlbertDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Laura FerrandoInstituto de Investigación y Asistencia Psiquiátrica, Madrid, Spain.
Erik HermanMedical Services Prague, Kolejní 5, Prague 6, Czech Republic, Department of Psychiatry, 1. Medical Faculty Charles University, Prague 2, Czech Republic.
Cosmina MunteanHospital of Psychiatry - Sibiu, Romania.
Eva PálováEPAMED s.r.o. 040 11 Košice, Slovakia.
Agnese CattaneoAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Alessandro ComandiniAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Giorgio Di DatoAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Giorgio Di LoretoAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Luisa OlivieriAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Enrica SalvatoriAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Serena TongianiAngelini RR&D (Research, Regulatory & Development) - Angelini S.p.A., Rome, Italy.
Siegfried KasperCenter for Brain Research, Medical University Vienna, Wien, Austria.
Angelini Pharma (Italy) · ITCharles University · CZMedical University of Vienna · ATSpitalul Clinic Judetean de Urgenta Sibiu · ROUniversity of Siena · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This double-blind, randomized study evaluated the efficacy and safety of trazodone OAD (once-a-day) in comparison with venlafaxine XR (extended-release) in 324 patients (166 trazodone and 158 venlafaxine) with major depressive disorder (MDD). The primary efficacy endpoint was the mean change from baseline in the 17-item Hamilton Depression Rating Scale (HAM-D) at week 8. Both treatments were effective in reducing the HAM-D-17 total score at week 8 vs. baseline (intent-to-treat: trazodone -12.9, venlafaxine -14.7; per protocol: trazodone -15.4, venlafaxine -16.4). Patients in the venlafaxine group achieved better results after 8 weeks, whereas the trazodone group achieved a statistically significant reduction in HAM-D-17 following only 7 days of treatment. The most frequent adverse events (AEs) were dizziness and somnolence in the trazodone group, and nausea and headache in the venlafaxine group. Most AEs were mild-to-moderate in severity. This study confirmed that both venlafaxine XR and trazodone OAD may represent a valid treatment option for patients with MDD.

Indexed as

AdolescentAdultAgedAntidepressive Agents, Second-GenerationDelayed-Action PreparationsDouble-Blind MethodHumansMajor Depressive DisorderMaleMiddle AgedPsychiatric Status Rating ScalesTrazodoneVenlafaxine HydrochlorideYoung AdultAntidepressive Agents, Second-GenerationDelayed-Action PreparationsTrazodoneVenlafaxine Hydrochloride

Identifiers

PMID31972628
PMCPMC7099841
OpenAlexW3000102467

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.