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. 2023 May 10;2023(5):CD014682. doi: 10.1002/14651858.CD014682.pub2

Katz 2005.

Study characteristics
Methods Design: cross‐over
Duration: 7 weeks
Assessment: baseline and post‐intervention
Country: USA
Participants Pain condition: low back pain
Population: adults with chronic low back pain
Minimum pain intensity: no
Inclusion criteria
  • ≥ 18 years and chronic low back pain for ≥ 3 months


Exclusion criteria
  • Any other significant physical or mental health comorbidity


Total participants randomised: 54
Age in years (mean, SD): 50.6 (10.7)
Gender: 26/54 were female
Pain duration in years (mean, SD): NR
Interventions Placebo
  • Inert

  • Matched dosing schedule


Bupropion 300 mg
  • NDRI

  • Fixed dose with forced titration

Outcomes Pain intensity
SAEs
Withdrawal
Missing data methods ITT with LOCF
Funding source Partly funded by pharmaceutical: "Supported in part by an investigator‐initiated research grant from GlaxoSmithKline"
Conflicts of interest Supported in part by an investigator‐initiated research grant from GlaxoSmithKline to R.H.D., who has also received research support, consulting fees, or lecture honoraria in the past year from Abbott Laboratories, Eli Lilly & Co., Endo Pharmaceuticals, EpiCept Corporation, NeurogesX, Novartis Pharmaceuticals, Organon, Ortho‐McNeil Pharmaceutical, Pfizer, Purdue Pharma, Ranbaxy Corporation, Reliant Pharmaceuticals, Renovis, and UCB Pharma.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were randomised using a computer‐generated list of random numbers.
Allocation concealment (selection bias) Unclear risk Allocation procedures NR
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk States double‐blind and used same dosing for placebo as intervention but no information given regarding other blinding procedures
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Self‐reported outcomes from participants but uncertain of blinding procedures
Incomplete outcome data (attrition bias)
All outcomes High risk ITT with LOCF
Attrition
Total: 14/54 (25.9%)
Placebo: 5/54 (9.3%)
Bupropion 300 mg: 9/54 (16.7%)
Selective reporting (reporting bias) High risk "Several other health‐related quality‐of‐life measures of physical and emotional functioning were administered, but these data were not analyzed because of the absence of significant beneficial effects on the pain intensity and relief outcome measures."
Other bias Unclear risk Participants tapering off of bupropion reported having AEs from reducing the medication, which could have lasted the washout period, but this is not explored further in the article.