Cochrane · systematic review · CD011520

Vortioxetine for depression in adults

Koesters, M, Ostuzzi, G, Guaiana, G, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 50%Low 3 · 21.4%Moderate 4 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Vortioxetine compared to Placebo for adults with Major Depressive Disorder

Population: adults with Major Depressive Disorder
7 questions
OutcomeEffectEvidenceStatus / GRADE
Response
Vortioxetine vs Placebo
RR 1.35 [1.22, 1.49]14 studies · 6220 participantsLow
Downgraded: risk of bias
Total number of drop‐outs
Vortioxetine vs Placebo
RR 1.05 [0.93, 1.19]14 studies · 6220 participantsModerate
Downgraded: risk of bias
Remission
Vortioxetine vs Placebo
RR 1.33 [1.15, 1.53]14 studies · 6217 participantsLow
Downgraded: risk of bias
Depressive Symptoms
Vortioxetine vs Placebo
no estimate extracted14 studies · 5566 participantsVery low
Downgraded: risk of bias
Drop‐out due to adverse events
Vortioxetine vs Placebo
RR 1.41 [1.09, 1.81]14 studies · 6220 participantsModerate
Downgraded: risk of bias
Drop‐out due to inefficacy
Vortioxetine vs Placebo
RR 0.56 [0.34, 0.9]14 studies · 6220 participantsModerate
Downgraded: risk of bias
Tolerability
Vortioxetine vs Placebo
RR 1.12 [1.07, 1.16]14 studies · 6182 participantsModerate
Downgraded: risk of bias

Vortioxetine compared to SNRIs for adults with Major Depressive Disorder

Population: adults with Major Depressive Disorder
7 questions
OutcomeEffectEvidenceStatus / GRADE
Response
Vortioxetine vs SNRIs
RR 0.91 [0.82, 1]8 studies · 3159 participantsVery low
Downgraded: risk of bias
Total number of drop‐outs
Vortioxetine vs SNRIs
RR 0.89 [0.73, 1.08]8 studies · 3159 participantsVery low
Downgraded: risk of bias
Remission
Vortioxetine vs SNRIs
RR 0.89 [0.77, 1.03]8 studies · 3155 participantsVery low
Downgraded: risk of bias
Depressive Symptoms
Vortioxetine vs SNRIs
no estimate extracted8 studies · 2807 participantsVery low
Downgraded: risk of bias
Drop‐out due to adverse events
Vortioxetine vs SNRIs
RR 0.74 [0.51, 1.08]8 studies · 3159 participantsVery low
Downgraded: risk of bias
Drop‐out due to inefficacy
Vortioxetine vs SNRIs
RR 1.52 [0.7, 3.3]8 studies · 3159 participantsVery low
Downgraded: risk of bias
Tolerability
Vortioxetine vs SNRIs
RR 0.9 [0.86, 0.94]8 studies · 3134 participantsLow
Downgraded: risk of bias