Variables | Agomelatine + SSRI or SNRI | Placebo + SSRI or SNRI | Comparison | ||||
---|---|---|---|---|---|---|---|
No | Mean (SD) | No | Mean (SD) | Adjusted difference in means (95% CI) | P value | Effect size (Cohen’s d) | |
Primary outcome | |||||||
HAMD-17 at week 8 | 60 | 7.2 (5.2) | 63 | 7.4 (6.3) | − 0.12 (− 3.94 to 3.70) | 0.90 | − 0.022 |
Secondary outcomes | |||||||
Remission | 60 | 30 (50.0%) | 63 | 33 (52.3%) | 0.88 (0.42–1.85) a | 0.74 | 41 b |
Response | 60 | 36 (60.0%) | 63 | 41 (65.2%) | 0.85 (0.40–1.80) a | 0.68 | 20b |
HAMD-17 at week 2 | 60 | 11.7 (4.7) | 63 | 12.4 (6.8) | − 0.20 (− 4.12 to 3.73) | 0.83 | − 0.038 |
HAMD-17 at week 4 | 60 | 8.5 (5.2) | 63 | 9.1 (5.6) | − 0.27 (− 4.31 to 3.78) | 0.76 | − 0.057 |
PHQ-9 | 60 | 7.3 (4.8) | 63 | 7.0 (6.2) | 0.39 (− 2.79 to 3.57) | 0.67 | 0.077 |
HAMA | 60 | 7.0 (6.0) | 63 | 6.8 (6.9) | 0.36 (− 3.16 to 3.88) | 0.72 | 0.066 |
GAD-7 | 60 | 4.8 (4.1) | 63 | 3.2 (3.7) | 1.32 (− 0.39 to 3.03) | 0.06 | 0.351 |
AIS | 60 | 4.7 (3.8) | 63 | 4.8 (5.2) | − 0.02 (− 2.48 to 2.44) | 0.98 | − 0.004 |
CGI severity | 60 | 2.5 (1.4) | 63 | 2.3 (1.5) | 0.16 (− 0.95 to 1.28) | 0.46 | 0.134 |
SHAPS | 60 | 29.2 (8.3) | 63 | 29.1 (8.5) | 0.87 (− 4.66 to 6.40) | 0.51 | 0.122 |
SDS | 56 | 2.6 (2.1) | 56 | 2.3 (2.3) | 0.36 (− 0.94 to 1.65) | 0.36 | 0.176 |
Executive function | |||||||
DSB | 51 | 6.9 (2.2) | 48 | 7.2 (1.8) | − 0.09 (− 0.81 to 0.63) | 0.76 | − 0.063 |
DSST | 45 | 68.9 (12.3) | 43 | 69.4 (14.2) | − 2.47 (− 8.28 to 3.33) | 0.25 | − 0.251 |
Stroop Color-Word | 49 | 52.8 (17.5) | 48 | 55.9 (18.8) | − 1.61 (− 14.62 to 11.39) | 0.59 | − 0.113 |
TMT-B | 42 | 45.8 (17.6) | 45 | 47.7 (21.6) | − 2.43 (− 21.28 to 16.41) | 0.52 | − 0.142 |
Attention | |||||||
DSF | 50 | 9.0 (1.6) | 48 | 9.3 (1.8) | 0.03 (− 0.52 to 0.57) | 0.91 | 0.024 |
Stroop-Word | 49 | 94.1 (16.6) | 48 | 96.8 (17.1) | − 2.88 (− 11.38 to 5.63) | 0.39 | − 0.176 |
Processing speed | |||||||
TMT-A | 42 | 21.6 (6.6) | 45 | 21.3 (7.3) | 1.59 (− 2.16 to 5.34) | 0.26 | 0.253 |
Stroop-Color | 49 | 80.8 (18.9) | 48 | 85.5 (20.0) | − 5.36 (− 15.95 to 5.23) | 0.13 | − 0.332 |
Memory | |||||||
HVLT-R | 48 | 25.7 (6.4) | 50 | 25.9 (5.3) | 1.39 (− 2.4 to 5.19) | 0.68 | − 0.086 |
HVLT-delayed recall trial | 48 | 9.6 (3.8) | 50 | 8.8 (2.4) | 0.77 (− 0.70 to 2.25) | 0.20 | 0.264 |
SERS | 60 | 0.5 (1.2) | 63 | 0.4 (1.2) | − 0.01 (− 0.54 to 0.52) | 0.95 | − 0.012 |