Sperber 1992.
Methods | Double‐blind, placebo‐controlled, experimental colds | |
Participants | 79 inoculated (first cohort 34, second cohort 24 and third cohort 21); 56 colds. Mean age 21.4 years, 52% women. Setting not reported | |
Interventions | For first cohort, naproxen loading dose of 400 mg followed by 200 mg 3 times daily, and for second and third cohort, naproxen loading dose of 500 mg followed by 500 mg 3 times daily for 5 days | |
Outcomes | 5‐point symptom score. Total cumulative 5‐day score for headache was lower in the naproxen group (0.5 versus 2.5, P value < 0.001) | |
Notes | 1 in the naproxen group and 2 in the placebo group experienced gastrointestinal complaints | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "Participants were randomly assigned to receive..." Comment: insufficient information about the sequence generation process |
Allocation concealment (selection bias) | Unclear risk | Comment: insufficient information about the allocation concealment |
Blinding (performance bias and detection bias) All outcomes | Low risk | "The study drug and placebo were supplied in identically appearing capsules" Comment: probably done |
Incomplete outcome data (attrition bias) All outcomes | Low risk | "Among 87 volunteers completed, 79 were considered evaluable" The reason for exclusion (infected with wild type rhinovirus, not infected, missed dose of study drug) is unlikely to be related to the outcome of the trial (symptomatic improvement of common cold symptoms) Comment: probably done |
Selective reporting (reporting bias) | Unclear risk | No protocol, no convincing text |
Other bias | Low risk | The study appears to be free of other sources of bias |