Evidence map›Paper›PMID 32159712›Full record

ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2020

Adjunctive vortioxetine for SSRI-resistant major depressive disorder: a "real-world" chart review study.

Domenico De Berardis, Michele Fornaro, Annalisa Anastasia, Federica Vellante, Luigi Olivieri, Gabriella Rapini, Nicola Serroni, Laura Orsolini, Alessandro Valchera, Alessandro Carano and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
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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

19 authors at 12 institutions in 4 countries.

Domenico De BerardisDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini," National Health Service (NHS), ASL 4 Teramo, Italy.ORCID http://orcid.org/0000-0003-4415-5058
Michele FornaroDepartment of Psychiatry, Federico II University, Naples, Italy.
Annalisa AnastasiaDepartment of Psychiatry, Federico II University, Naples, Italy.
Federica VellanteDepartment of Neurosciences and Imaging, University "G. D'Annunzio" Chieti, Italy.
Luigi OlivieriDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini," National Health Service (NHS), ASL 4 Teramo, Italy.
Gabriella RapiniDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini," National Health Service (NHS), ASL 4 Teramo, Italy.
Nicola SerroniDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini," National Health Service (NHS), ASL 4 Teramo, Italy.
Laura OrsoliniPolyedra, Teramo, Italy.
Alessandro ValcheraPolyedra, Teramo, Italy.
Alessandro CaranoDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "Madonna Del Soccorso" NHS, San Benedetto del Tronto, Ascoli Piceno, Italy.
Carmine TomasettiDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "SS. Annunziata" NHS, ASL 4 Giulianova, Italy.
Antonio VentriglioDepartment of Psychiatry, University of Foggia, Foggia, Italy.
Massimiliano BustiniDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "San Camillo de Lellis" NHS, ASL Rieti, Italy.
Maurizio PompiliSuicide Prevention Center, Department of Neurosciences, Mental Health and Sensory Organs, S. Andrea Hospital, Sapienza University, Rome, Italy.
Gianluca SerafiniDepartment of Neuroscience, Section of Psychiatry, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Giampaolo PernaDepartment of Clinical Neurosciences, Hermanas Hospitalarias, Villa San Benedetto Menni Hospital, FoRiPsi, Albese con Cassano, Como, Italy.
Felice IasevoliDepartment of Psychiatry, Federico II University, Naples, Italy.
Giovanni MartinottiDepartment of Neurosciences and Imaging, University "G. D'Annunzio" Chieti, Italy.
Massimo Di GiannantonioDepartment of Neurosciences and Imaging, University "G. D'Annunzio" Chieti, Italy.
University of Chieti-Pescara · ITFederico II University Hospital · ITNational Health Service · GBAzienda Ospedaliera Sant'Andrea · ITEllis Hospital · USMaastricht University Medical Centre · NLMadonna Rehabilitation Hospital · USOspedale Policlinico San Martino · ITOspedale San Giuseppe · ITOspedale SS. Annunziata · ITUniversity of Foggia · ITUniversity of Hertfordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSelective serotonin reuptake inhibitors (SSRIs) are the cornerstone of treatment of major depressive disorder (MDD). However, non-response is common, often necessitating combination strategies. The present study assessed the efficacy of vortioxetine as an add-on therapy in patients with SSRI-resistant MDD.

methodsThe charts of 36 adult outpatients with DSM-IV-TR MDD who had not achieved a response after at least 8 weeks of treatment with an SSRI were reviewed retrospectively. Subjects were treated with vortioxetine (5-20 mg/day) for 8 weeks added to the current SSRI. The main outcome measures were change from baseline in total Hamilton Scale for Depression (HAM-D) score and the rate of response (a 50% or greater reduction in HAM-D score and a Clinical Global Impression - Improvement module [CGI-I] score of 1 or 2 at endpoint). HAM-D scores ≤ 7 were considered as remission. Additional outcome measures included the Snaith-Hamilton Pleasure Scale (SHAPS) and the Scale for Suicide Ideation (SSI).

results32 patients completed the 8 weeks of treatment. At 8 weeks, a significant reduction in HAM-D score was observed (p ≤ 0.001), with response obtained by 41.7% and remission by 33.3% of patients. Significant reductions in SHAPS and SSI were also observed (p ≤ 0.001 for both scales).

conclusionsAdjunctive vortioxetine may be useful and well-tolerated in stage I treatment-resistant depression. However, the limitations of this study (such as small sample size, absence of randomization and control group, retrospective design, etc.) must be considered.

Indexed as

AdultAnalysis of VarianceAntidepressive AgentsDepressive Disorder, Treatment-ResistantDrug Therapy, CombinationFemaleHumansMajor Depressive DisorderMalePsychiatric Status Rating ScalesReproducibility of ResultsRetrospective StudiesSerotonin and Noradrenaline Reuptake InhibitorsStatistics, NonparametricTime FactorsTreatment OutcomeAntidepressive AgentsSerotonin and Noradrenaline Reuptake InhibitorsVortioxetine

Identifiers

PMID32159712
PMCPMC7236167
OpenAlexW3012039709

What OpenQuestion holds

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Registered trials

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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.