Original ContributionsSex Differences in Antidepressant Response in Recent Antidepressant Clinical TrialsKhan, Arif MD*†; Brodhead, Amy E. MS*; Schwartz, Kelly A. MS*; Kolts, Russell L. PhD‡; Brown, Walter A. MD§∥Author Information *Northwest Clinical Research Center, Bellevue, WA; †Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC; ‡Department of Psychology, Eastern Washington University, Cheney, WA; §Department of Psychiatry, Brown Medical School, Providence, RI and ∥Department of Psychiatry, Tufts University School of Medicine, Boston, MA. Received August 3, 2004; accepted after revision April 13, 2005. Address correspondence and reprint requests to Arif Khan, MD, 1900 116th Avenue NE #112, Bellevue, WA 98004. E-mail: [email protected]. Journal of Clinical Psychopharmacology: August 2005 - Volume 25 - Issue 4 - p 318-324 doi: 10.1097/01.jcp.0000168879.03169.ce Buy Metrics Abstract Abstract: Some previous reports suggest that women respond differently than men to antidepressant treatment. Much of this literature compares men and women's response to tricyclics to that of newer antidepressants (SSRIs, SNRI), or only examines one particular antidepressant. This study compares men and women's responses to 6 newer antidepressants. A total of 15 randomized, placebo-controlled trials that included 323 depressed patients were examined for sex differences in antidepressant treatment response. Women had a significantly greater response than men to SSRI antidepressants. A similar trend was seen for those assigned to an SNRI antidepressant, although not to the same extent as with SSRI antidepressants. Although these gender differences in treatment response are not large enough to suggest that gender should guide the clinical use of SSRI and SNRI antidepressants, the results do have implications for the design and interpretation of antidepressant clinical trials. These findings also raise the possibility that antidepressants may work somewhat differently in men and women. © 2005 Lippincott Williams & Wilkins, Inc.