Evidence map›Paper›PMID 39669307›Full record

SynthesisRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2024

Zuranolone for postpartum depression: a systematic review and meta-analysis of two randomized studies.

Juliana Almeida Oliveira, Karine Eskandar, Marcos Aurélio Araújo Freitas, Chris Elizabeth Philip

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. 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

4 authors.

Juliana Almeida OliveiraUniversidade Federal de Minas Gerais Belo HorizonteMG Brasil Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.ORCID https://orcid.org/0000-0002-4704-2318
Karine EskandarPontifícia Universidade Católica do Paraná CuritibaPR Brasil Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.ORCID https://orcid.org/0009-0003-2329-8575
Marcos Aurélio Araújo FreitasUniversidade Estadual da Região Tocantina do Maranhão ImperatrizMA Brasil Universidade Estadual da Região Tocantina do Maranhão, Imperatriz, MA, Brasil.ORCID https://orcid.org/0000-0003-4031-4867
Chris Elizabeth PhilipBeaumont Hospital Department of Gynaecology Dublin Ireland Department of Gynaecology, Beaumont Hospital, Beaumont Rd, Dublin, Ireland.ORCID https://orcid.org/0009-0001-4375-9522

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the maternal outcomes in women with postpartum depression using zuranolone, the first oral medication indicated to treat postpartum depression. Methods: We conducted a systematic search in September 2023, on Pubmed, Embase and Cochrane Trials. We included randomized controlled trials comparing the effectiveness and safety of zuranolone versus placebo in women with postpartum depression. No time or language restrictions were applied. 297 results were retrieved, of which 11 papers were selected and fully reviewed by two authors. Review Manager 5 was used for statistical analysis and Cochrane Risk-of-bias tool for randomized trials was applied for quality assessment. Results: We included 2 studies, with 346 women, of whom 174 (50.2%) were treated with zuranolone. Zuranolone was significantly associated to an improvement of Clinical Global Impression response rate; Hamilton Depression Rating Scale 15 days and 45-day remission, 3-day, 15-day, and 45-day symptom remission, and reduction in the dose of antidepressants. As for safety outcomes, it was noticed that zuranolone increases sedation risk, which can be dose related. No significant differences were found for other adverse events. Conclusion: These findings suggest that zuranolone might present a safe and effective medication for out-of-hospital treatment of PPD. Sedation effects need to be further assessed.

Indexed as

Antidepressive AgentsDepression, PostpartumPregnanolonePyrazolesFemaleHumansRandomized Controlled Trials as TopicAntidepressive AgentsPregnanolonePyrazoleszuranoloneMajor depressive disorderPostpartum depressionSynthetic neurosteroidZuranolone

Identifiers

PMID39669307
PMCPMC11637452

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.