Brunstein 2005.
| Methods | Allocation: randomised, no further details. Blindness: double‐blind. Duration: six weeks. Setting: Brazil (mixed inpatients and outpatients) Design: cross‐over (but able to use data from first arm). |
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| Participants | Diagnosis: schizophrenia (DSM‐IV) and "moderately refractory". N = 35 (N = 23 for completer analysis). Sex: 9F, 14M (12 unclear because of completer analysis). Age: average 35.3 years (allopurinol), 42.3 years (placebo). | |
| Interventions | 1. Allopurinol: 600mg/day. N = 18. 2. Placebo. N = 17. Stable neuroleptic medication: dose average (CPE) 550 (allopurinol), 545(placebo). | |
| Outcomes | Global state: response (20% improvement in the PANSS). Leaving the study early. Mental state: PANSS change score. Adverse events: various and serious events. |
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| Notes | Able to use LOCF analysis for total PANSS scores and response. | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Randomised, no further details. |
| Allocation concealment (selection bias) | Unclear risk | No further details. |
| Blinding of participants and personnel (performance bias) All outcomes | Low risk | Double‐blind. |
| Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No further details. |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | LOCF analysis reported. |
| Selective reporting (reporting bias) | Low risk | Main outcomes reported. |
| Other bias | Low risk | None obvious. |