The STAR*D trial: revealing the need for better treatments.

National Institute of Mental Health, Bethesda, MD 20892-9669, USA.
Psychiatric services (Washington, D.C.) (Impact Factor: 2.81). 11/2009; 60(11):1466-7. DOI: 10.1176/
Source: PubMed

ABSTRACT STAR*D (Sequenced Treatment Alternatives to Relieve Depression) continues to stimulate debate. The landmark trial demonstrated the feasibility of large-scale, community-based studies conducted without pharmaceutical company support. The results provided insight into nonresponse to initial treatment with selective serotonin reuptake inhibitors and alternatives for second- and third-line treatment options and suggested opportunities for personalized approaches to depression care. However, initial and one-year remission rates (28% and 70%, respectively) suggest that important goals for treatment of this disabling disease remain out of reach and that the bar for antidepressants has been set far too low.

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