Evidence map›Paper›PMID 37646475›Full record

SynthesisNeuropsychopharmacology reports2024

Newer antidepressant for Japanese adults with major depressive disorder: A systematic review and meta-analysis.

Taro Kishi, Kenji Sakuma, Masakazu Hatano, Yuki Matsuda, Satoru Esumi, Nobumi Miyake, Itaru Miura, Hikaru Hori, Masaki Kato, Nakao Iwata

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuropsychopharmacology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Taro KishiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.ORCID https://orcid.org/0000-0002-9237-2236
Kenji SakumaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Masakazu HatanoDepartment of Pharmacotherapeutics and Informatics, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Yuki MatsudaDepartment of Psychiatry, Jikei University School of Medicine, Minato, Tokyo, Japan.
Satoru EsumiFaculty of Pharmaceutical Sciences, Kobe Gakuin University, Kobe, Hyogo, Japan.
Nobumi MiyakeDepartment of Neuropsychiatry, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Itaru MiuraDepartment of Neuropsychiatry, Fukushima Medical University School of Medicine, Fukushima, Japan.
Hikaru HoriDepartment of Psychiatry, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Masaki KatoDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.ORCID https://orcid.org/0000-0001-6727-7272
Nakao IwataDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.

Funding

Grant-in-Aid for Scientific Research (C) 23K06998
6 · The paper itself

Abstract

introductionThe question remains to be elucidated: "Is treatment with antidepressants at doses approved in Japan effective for Japanese patients with MDD?" It is crucial to confirm this in order to provide appropriate treatments for Japanese patients with major depressive disorder (MDD). Therefore, we conducted a systematic review and random-effects pairwise meta-analysis including these nine double-blind, randomized, placebo-controlled trials.

methodsWe calculated the standardized mean difference (SMD) and risk ratio (RR) with a 95% confidence interval (95% CI).

resultsPooled newer antidepressants outperformed placebo regarding improvement of depressive symptom scale scores [SMD (95% CI) = -0.20 (-0.27, -0.12), p < 0.00001], response to treatment [RR (95% CI) = 1.23 (1.13, 1.32), p < 0.00001], and remission rate [RR (95% CI) = 1.30 (1.16, 1.45), p < 0.00001]. Although all-cause discontinuation was not significantly different between the treatment groups, the pooled antidepressant group showed a higher discontinuation rate due to adverse event [RR (95% CI) = 1.60 (1.13, 2.26), p = 0.007] and a higher incidence of at least one adverse event than the placebo group [RR (95% CI) = 1.13 (1.08, 1.18), p < 0.00001]. DISCUSSION: We concluded that newer antidepressants are effective for Japanese adults with MDD although the clinicians must monitor the health conditions of these individuals.

Indexed as

Antidepressive AgentsMajor Depressive DisorderAdultEast Asian PeopleHumansJapanRandomized Controlled Trials as TopicTreatment OutcomeAntidepressive AgentsefficacyJapanese major depressive disordernewer antidepressantsafetysystematic review and meta-analysis

Identifiers

PMID37646475
PMCPMC10932784

What Socratic 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 Socratic graph.