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  • Title: Is drug-placebo difference in short-term antidepressant drug trials on unipolar major depression much greater than previously believed?
    Author: Rihmer Z, Gonda X.
    Journal: J Affect Disord; 2008 Jun; 108(3):195-8. PubMed ID: 18280581.
    Abstract:
    A pooled analysis of randomized placebo-controlled short-term antidepressant trials on unipolar major depression shows that the rate of antidepressant and placebo responders is 50% and 30% respectively. The traditional calculation of antidepressant-placebo difference (50-30=20%) in these drug trials is based on the assumption that all placebo responders should be antidepressant responders, a postulation that has been never investigated and proved. Further studies are needed investigating directly the relationship of placebo response in relation to antidepressant response/nonresponse. If a substantial part of placebo responders were antidepressant nonresponders, the drug-placebo differences in all short-term antidepressant drug trials on unipolar major depression are much more than 20%, and the previously published data on antidepressant-placebo difference should be re-calculated.
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