Table 1 Accuracy of prognoses rules.
Training (PGRN-AMPS and ISPC): SSRI (Citalopram/Escitalopram) N = 947 outpatients | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Baseline strata | 4-week strata | Number of patients making transition | Most-likely outcome | Prognoses Rule and Coverage | Probability of most-likely outcome (accuracy = 100*probabilty) | Odds ratio (OR) | 95% confidence interval | p value of accuracy with NIR = 0.53 | ||
Change in symptom severity (Baseline—4 week) | Number of symptoms needing the change | Coverage (Fraction of patients covered by prognoses rule) | ||||||||
A3 | B3 | 96 | Nonresponse | ≤1 | ≥3 | 0.75 | 0.60 | 6.90 | (2.03, 23.74) | 0.05 |
B2 | 104 | Response | ≥2 | ≥2 | 0.65 | 0.85 | 3.27 | (1.26, 8.5) | 4.83E-13 | |
B1 | 59 | Remission | ≥2 | ≥2 | 0.86 | 0.75 | 3.63 | (0.9, 16) | 5.64E-07 | |
A2 | B3 | 88 | Nonresponse | ≤1 | ≥3 | 0.87 | 0.80 | 7.70 | (1.46, 40.41) | 1.12E-09 |
B2 | 148 | Response | ≥1 | ≥2 | 0.95 | 0.85 | 5.40 | (2.3, 12.87) | 4.83E-13 | |
B1 | 102 | Remission | ≥2 | ≥2 | 0.88 | 0.75 | 2.20 | (0.6, 7.66) | 5.64E-07 | |
A1 | B2 or B3 | 100 | Nonresponse | ≤1 | ≥3 | 0.94 | 0.70 | 4.71 | (0.81, 27.23) | 7.85E-05 |
B1 | 160 | Remission | ≥2 | ≥1 | 0.93 | 0.82 | 4.35 | (1.18, 16) | 6.15E-11 | |
Testing (ISPC+Eli Lilly): SSRIs (Escitalopram, fluoxetine, sertraline, paroxetine) N = 464 outpatients | ||||||||||
A3 | B3 | 82 | Nonresponse | ≤1 | ≥3 | 0.89 | 0.72 | 5.30 | (1.2, 23.2) | 1.26E-05 |
B2 | 63 | Response | ≥2 | ≥2 | 0.86 | 0.86 | 6.50 | (1.3, 33) | 8.28E-14 | |
B1 | 41 | Remission | ≥2 | ≥2 | 0.83 | 0.70 | 6.00 | (1, 36.3) | 7.85E-05 | |
A2 | B3 | 39 | Nonresponse | ≤1 | ≥3 | 0.87 | 0.85 | 12.60 | (1.14, 65.9) | 4.83E-13 |
B2 | 98 | Response | ≥1 | ≥2 | 0.80 | 0.62 | 4.10 | (1.13, 12.7) | 0.02 | |
B1 | 60 | Remission | ≥2 | ≥2 | 0.67 | 0.63 | 2.50 | (0.84, 7.6) | 0.01 | |
A1 | B2 or B3 | 33 | Nonresponse | ≤1 | ≥3 | 0.85 | 0.70 | 7.20 | (0.64, 82) | 7.85E-05 |
B1 | 48 | Remission | ≥2 | ≥1 | 0.67 | 0.84 | 4.20 | (1.1, 16.5) | 2.61E-12 | |
Testing (Eli Lilly): SNRI (Duloxetine) N = 1067 outpatients | ||||||||||
A3 | B3 | 201 | Nonresponse | ≤1 | ≥3 | 0.86 | 0.73 | 1.80 | (1, 4.2) | 4.69E-06 |
B2 | 125 | Response | ≥2 | ≥2 | 0.65 | 0.84 | 2.80 | (1.2, 6.8) | 2.61E-12 | |
B1 | 82 | Remission | ≥2 | ≥2 | 0.56 | 0.83 | 2.30 | (0.9, 6.5) | 1.31E-11 | |
A2 | B3 | 156 | Nonresponse | ≤1 | ≥3 | 0.95 | 0.78 | 9.10 | (1.6, 9.14) | 1.59E-08 |
B2 | 237 | Response | ≥1 | ≥2 | 0.95 | 0.62 | 2.20 | (1.2, 4.04) | 0.02 | |
B1 | 129 | Remission | ≥2 | ≥2 | 0.67 | 0.77 | 2.14 | (0.93, 4.9) | 5.51E-08 | |
A1 | B2 or B3 | 89 | Nonresponse | ≤1 | ≥3 | 0.77 | 0.63 | 5.05 | (1.4, 17.9) | 0.01 |
B1 | 48 | Remission | ≥2 | ≥1 | 0.88 | 0.83 | 25.00 | (1.9, 35) | 1.31E-11 | |
Testing (MARS): COMEDICATIONS N = 465 inpatients | ||||||||||
A3 | B3 | 57 | Nonresponse | ≤1 | ≥3 | 0.88 | 0.66 | 4.80 | (0.9, 27) | 0.002 |
B2 | 71 | Response | ≥2 | ≥2 | 0.76 | 0.73 | 2.80 | (0.84, 8.3) | 4.69E-06 | |
B1 | 29 | Remission | ≥2 | ≥2 | 0.84 | 0.69 | 9.00 | (0.9, 91) | 0.0002 | |
A2 | B3 | 51 | Nonresponse | ≤1 | ≥3 | 0.86 | 0.76 | 4.40 | (1, 23) | 1.81E-07 |
B2 | 101 | Response | ≥1 | ≥2 | 0.80 | 0.60 | 3.25 | (1, 10.6) | 0.06 | |
B1 | 50 | Remission | ≥2 | ≥2 | 0.56 | 0.57 | 2.90 | (1.1, 8.9) | 0.1933479 | |
A1 | B2 or B3 | 49 | Nonresponse | ≤1 | ≥3 | 0.88 | 0.76 | 12.80 | (0.74, 37) | 1.81E-07 |
B1 | 57 | Remission | ≥2 | ≥1 | 0.75 | 0.57 | 4.60 | (1.1, 19) | 0.2 | |
Prognoses performance in placebo-treated patients (Eli Lilly N = 575) | ||||||||||
A3 | B3 | 96 | Nonresponse | ≤1 | ≥3 | 0.95 | 0.80 | 0.40 | (0.03, 4.9) | 0.60 |
B2 | 104 | Response | ≥2 | ≥2 | 0.40 | 0.69 | 2.00 | (0.45, 8.9) | 0.85 | |
B1 | 59 | Remission | ≥2 | ≥2 | 0.95 | 0.73 | 1.40 | (0.1, 19) | 0.75 | |
A2 | B3 | 88 | Nonresponse | ≤1 | ≥3 | 0.96 | 0.87 | 0.20 | (0.02, 3.4) | 0.80 |
B2 | 148 | Response | ≥1 | ≥2 | 0.87 | 0.47 | 0.48 | (0.13, 1.8) | 0.85 | |
B1 | 102 | Remission | ≥2 | ≥2 | 0.86 | 0.67 | 1.20 | (0.26, 5.7) | 0.75 | |
A1 | B2 or B3 | 100 | Nonresponse | ≤1 | ≥3 | 0.86 | 0.67 | 0.67 | (0.23, 1.92) | 0.70 |
B1 | 160 | Remission | ≥2 | ≥1 | 0.91 | 0.71 | 2.50 | (0.7, 13.85) | 0.82 |