Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis

ObjectiveTo evaluate the efficacy and safety of agomelatin and selective serotonin reuptake inhibitors (SSRIs) in the treatment of depressive disorder via network Meta-analysis.MethodsThe literature databases such as China National Knowledge Network (CNKI), Wanfang Data Knowledge Service Platform, V...

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Main Authors: Guo Huihui, Zhao Zhongqiu, Huo Ruiping, Ji Feng
Format: Article
Language:zho
Published: Editorial Office of Sichuan Mental Health 2022-06-01
Series:Sichuan jingshen weisheng
Subjects:
Online Access:http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202203011&flag=1
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author Guo Huihui
Zhao Zhongqiu
Huo Ruiping
Ji Feng
author_facet Guo Huihui
Zhao Zhongqiu
Huo Ruiping
Ji Feng
author_sort Guo Huihui
collection DOAJ
description ObjectiveTo evaluate the efficacy and safety of agomelatin and selective serotonin reuptake inhibitors (SSRIs) in the treatment of depressive disorder via network Meta-analysis.MethodsThe literature databases such as China National Knowledge Network (CNKI), Wanfang Data Knowledge Service Platform, VIP Database for Chinese Technical Periodical (VIP), Chinese Biomedical Literature Database (CBM), PubMed, Embase and Cochrane Library were searched from the inception to November 2021. Based on the preset inclusion and exclusion criteria, literature screening, quality assessment of methodology and data extraction were conducted by two researchers separately, then statistical analysis was carried out using ADDIS software.ResultsA total of 7 256 patients with depressive disorder in 22 randomized controlled trials were included. According to the consistency assessed in Bayesian network Meta-analysis and the estimation of the probability of being the best treatment, escitalopram (P=0.63) ranked first for response rate and paroxetine (P=0.31) was associated with the best ranking for cure rate in terms of the effectiveness, meantime, paroxetine (P=0.44) had the highest adverse events risk and sertraline (P=0.74) had the highest study drop-outs proportion in terms of safety.ConclusionEscitalopram and paroxetine may be superior to sertraline, agomelatine, citalopram and fluoxetine in the treatment of depressive disorder, furthermore, paroxetine and sertraline demonstrate poor safety profiles.
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spelling doaj.art-5bc038af8643416098e38c9f4a4b208e2023-11-15T12:28:00ZzhoEditorial Office of Sichuan Mental HealthSichuan jingshen weisheng1007-32562022-06-0135325726510.11886/scjsws202201060011007-3256(2022)03-0257-09Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysisGuo HuihuiZhao ZhongqiuHuo RuipingJi FengObjectiveTo evaluate the efficacy and safety of agomelatin and selective serotonin reuptake inhibitors (SSRIs) in the treatment of depressive disorder via network Meta-analysis.MethodsThe literature databases such as China National Knowledge Network (CNKI), Wanfang Data Knowledge Service Platform, VIP Database for Chinese Technical Periodical (VIP), Chinese Biomedical Literature Database (CBM), PubMed, Embase and Cochrane Library were searched from the inception to November 2021. Based on the preset inclusion and exclusion criteria, literature screening, quality assessment of methodology and data extraction were conducted by two researchers separately, then statistical analysis was carried out using ADDIS software.ResultsA total of 7 256 patients with depressive disorder in 22 randomized controlled trials were included. According to the consistency assessed in Bayesian network Meta-analysis and the estimation of the probability of being the best treatment, escitalopram (P=0.63) ranked first for response rate and paroxetine (P=0.31) was associated with the best ranking for cure rate in terms of the effectiveness, meantime, paroxetine (P=0.44) had the highest adverse events risk and sertraline (P=0.74) had the highest study drop-outs proportion in terms of safety.ConclusionEscitalopram and paroxetine may be superior to sertraline, agomelatine, citalopram and fluoxetine in the treatment of depressive disorder, furthermore, paroxetine and sertraline demonstrate poor safety profiles.http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202203011&flag=1agomelatinssrisdepressive disordernetwork meta-analysis
spellingShingle Guo Huihui
Zhao Zhongqiu
Huo Ruiping
Ji Feng
Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis
Sichuan jingshen weisheng
agomelatin
ssris
depressive disorder
network meta-analysis
title Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis
title_full Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis
title_fullStr Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis
title_full_unstemmed Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis
title_short Efficacy and safety of agomelatine and SSRIs in the treatment of depressive disorder: a network Meta-analysis
title_sort efficacy and safety of agomelatine and ssris in the treatment of depressive disorder a network meta analysis
topic agomelatin
ssris
depressive disorder
network meta-analysis
url http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202203011&flag=1
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