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

Rowbotham 2012.

Study characteristics
Methods Design: parallel
Duration: 8 weeks
Assessment: baseline and post‐intervention
Country: USA, Canada, France, Germany, Italy, Mexico, Puerto Rico
Participants Pain condition: diabetic peripheral neuropathy
Population: diabetic adults with diabetic peripheral neuropathic pain
Minimum pain intensity: ≥ 4 on 0‐10 scale
Inclusion criteria
  • 18‐75 years of age with a diagnosis of diabetes mellitus

  • Painful distal symmetric diabetic polyneuropathy for P6 months and a score of ≥ 3 on the physical assessment portion of the MNSI at the screening visit

  • An average score ≥ 4 during the 7 days before the baseline visit on the 24‐hour average pain scale


Exclusion criteria
  • Cardiovascular and mental health conditions excluded


Total participants randomised: 280
Age in years (mean, SD): NR
Gender: 128/280 were female
Pain duration in years (mean): 4.68
Interventions Placebo
  • n = 51

  • Inert


Duloxetine 60 mg
  • n = 57

  • SNRI

  • Fixed dose


ABT‐894 2 mg
  • n = 61

  • Neuronal nicotinic acetylcholine receptor agonist

  • Fixed dose


ABT‐894 4 mg
  • n = 56

  • Neuronal nicotinic acetylcholine receptor agonist

  • Fixed dose


ABT‐894 8 mg
  • n = 55

  • Neuronal nicotinic acetylcholine receptor agonist

  • Fixed dose

Outcomes Pain intensity
Physical function
Mood
Quality of life
PGIC
AEs
Withdrawal
Missing data methods ITT with LOCF
Funding source Pharmaceutical: Abbott Laboratories: AbbVie (prior sponsor, Abbott)
Conflicts of interest These studies were sponsored by Abbott Laboratories. Dr Rowbotham has served as a consultant to Abbott, Adynxx, Afferent Pharmaceuticals, Allergan, Arcion, Bristol Meyers Squibb, Cardiome, Flexion, Kyowa Hakko Kirin, Neurotherapeutics Pharma, NuvoResearch, Xenon, Xenoport, and Zalicus. Dr Stacey has received grant support from NeurogesX and Pfizer, and has served as a consultant to AstraZeneca, Boehringer Ingelheim, Endo Pharmaceuti‐cals, NeurogesX, and Pfizer. Dr Arslanian has no conflicts of interest to declare. Dr Zhou is an employee of Abbott. Drs Nothaft, Duan, Best, and Pritchett are employees of Abbott and hold Abbott stock and stock options.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Patients were randomised 1:1 to each treatment arm using a randomisation schedule that was generated before study start.
Allocation concealment (selection bias) Low risk Patients were allocated to each treatment arm via an interactive voice response system.
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not clear on blinding procedures regarding study drug appearance and dosing
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Self‐reported outcomes from participants, but unsure of blinding
Incomplete outcome data (attrition bias)
All outcomes Unclear risk States ITT but no methods reported
Attrition
Total: 43/280 (15.4%)
Placebo: 7/51 (13.7%)
Duloxetine 60 mg: 13/57 (22.8%)
ABT‐894 2 mg: 8/61 (13.1%)
ABT‐894 4 mg: 8/56 (14.3%)
ABT‐894 8 mg: 7/55 (12.7%)
Selective reporting (reporting bias) Low risk Everything as listed in the protocol
Other bias Low risk No other sources of bias were identified.