Evidence map›Paper›PMID 38722970›Full record

Trial reportPloS one2024

What predicts response to sertraline for people with depression in primary care? a secondary data analysis of moderators in the PANDA trial.

Charlotte Archer, David Kessler, Gemma Lewis, Ricardo Araya, Larisa Duffy, Simon Gilbody, Glyn Lewis, Tony Kendrick, Tim J Peters, Nicola Wiles

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. A familial subtype of gambling disorder.Journal of behavioral addictions · 2024
    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

10 authors.

Charlotte ArcherPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-4762-2950
David KesslerPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Gemma LewisDivision of Psychiatry, University College London, London, United Kingdom.
Ricardo ArayaHealth Services and Population Research Department, King's College London, London, United Kingdom.
Larisa DuffyDivision of Psychiatry, University College London, London, United Kingdom.
Simon GilbodyDepartment of Health Sciences, University of York, York, United Kingdom.
Glyn LewisDivision of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0001-5205-8245
Tony KendrickFaculty of Medicine, Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, United Kingdom.
Tim J PetersBristol Dental School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-2881-4180
Nicola WilesPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAntidepressants are a first-line treatment for depression, yet many patients do not respond. There is a need to understand which patients have greater treatment response but there is little research on patient characteristics that moderate the effectiveness of antidepressants. This study examined potential moderators of response to antidepressant treatment.

methodsThe PANDA trial investigated the clinical effectiveness of sertraline (n = 326) compared with placebo (n = 329) in primary care patients with depressive symptoms. We investigated 11 potential moderators of treatment effect (age, employment, suicidal ideation, marital status, financial difficulty, education, social support, family history of depression, life events, health and past antidepressant use). Using multiple linear regression, we investigated the appropriate interaction term for each of these potential moderators with treatment as allocated.

resultsFamily history of depression was the only variable with weak evidence of effect modification (p-value for interaction = 0.048), such that those with no family history of depression may have greater benefit from antidepressant treatment. We found no evidence of effect modification (p-value for interactions≥0.29) by any of the other ten variables.

conclusionEvidence for treatment moderators was extremely limited, supporting an approach of continuing discuss antidepressant treatment with all patients presenting with moderate to severe depressive symptoms.

Indexed as

Antidepressive AgentsDepressionPrimary Health CareSertralineAdultAgedFemaleHumansMaleMiddle AgedSecondary Data AnalysisTreatment OutcomeAntidepressive AgentsSertraline

Identifiers

PMID38722970
PMCPMC11081306

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.