Evidence map›Paper›PMID 40717157›Full record

ArticleCNS drugs2025

Effectiveness and Tolerability of Vortioxetine Oral Drops Versus Oral Tablets in Major Depressive Disorder: An Analysis of a Real-World Cohort Study in Switzerland.

Barbara Hochstrasser, Gregor Hasler, Axel Baumann, Rohini Bose, Elin Reines, Martin Kammerer, Alexandra Sousek

Erratum issuedAbstract readComparative Study
In one paragraph

Article in CNS drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Observational
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Barbara HochstrasserPrivatklinik Meiringen, Ambulatorium Bern, Bern, Switzerland.
Gregor HaslerFreiburger Netzwerk für Psychische Gesundheit, University of Fribourg, Villars-sur-Glâne, Switzerland.
Axel BaumannFacharzt für Psychiatrie und Psychotherapie, Chur, Switzerland.
Rohini BoseLundbeck Singapore Pte Ltd, Singapore, Singapore.
Elin ReinesH. Lundbeck A/S, Valby, Denmark.
Martin KammererInstitute of Reproductive and Developmental Biology, Imperial College London, London, UK.
Alexandra SousekLundbeck (Schweiz) AG, Balz-Zimmermann-Strasse 7, 8152, Glattbrugg, Switzerland. SOU@lundbeck.com.ORCID 0009-0002-8226-540X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy and tolerability of vortioxetine tablets for depression is established, but prospective data for the oral drop formulation were unavailable. This analysis compared the effectiveness, tolerability and dosing patterns of vortioxetine tablet and drop formulations for the treatment of major depressive episodes in Swiss real-world practice.

methodsA post hoc analysis of a prospective, non-interventional study in adults experiencing a major depressive episode (MDE) was conducted. Depression symptoms, functioning, dosing patterns and tolerability were assessed using unanchored Montgomery-Åsberg Depression Rating Scale items, the Clinical Global Impression-Severity (CGI-S) scale, a four-point functioning scale, and incidence of adverse drug reactions (ADRs). Statistical tests included two-sample t-tests, Fisher's exact test, Chi-square test and general linear modelling.

resultsOf 225 patients, 60 (26.7%) initiated drops. Drops were more often prescribed for first MDE than tablets (65.0% [n = 39] versus 46.1% [n = 76]; p = 0.012) and shorter MDE duration at baseline (2.9 versus 4.8 months; p = 0.02). Mean CGI-S baseline scores were similar (drops: 5.0; tablets: 4.8). Both formulations improved depressive symptoms and functioning similarly. Drops were used in lower initial doses (4.2 mg/day) versus tablets (7.7 mg/day) (p < 0.001) but in higher doses (> 10 mg/day) earlier during treatment (35% versus 13%, day 15). 'No or little effect' was significantly less frequent with drops (5.0%; n = 3) versus tablets (23.6%; n = 39) (p < 0.001). ADR-related discontinuations were comparable (drops: 3.3%; tablets: 4.2%).

conclusionsThis real-world analysis suggests that vortioxetine drops provide comparable control of depressive symptoms to tablets. The greater capacity for dose individualisation may be beneficial to patients.

Indexed as

Antidepressive AgentsMajor Depressive DisorderVortioxetineAdministration, OralAdultAgedCohort StudiesDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedProspective StudiesPsychiatric Status Rating ScalesSwitzerlandTabletsAntidepressive AgentsTabletsVortioxetine

Identifiers

PMID40717157
PMCPMC12423148

What Socratic holds

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LicenceCC BY-NC
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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.