Zhang 2011.
Methods | Allocation: randomised. Blindness: double‐blind. Duration: 12 weeks. Setting: inpatients, China. Design: parallel. |
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Participants | Diagnosis: schizophrenia (SCID) and TD. N = 157. Sex: not reported. Age: average 45 years. | |
Interventions | 1. Ginkgo EGb, 240 mg/day. N = 78. 2. Placebo. N = 79. Stable neuroleptic medication: most participants on clozapine, almost all on atypical antipsychotics (dose unclear). | |
Outcomes | Leaving the study early. Mental state: PANSS (total, positive, negative) endpoint score. Unable to use: adverse effects (not reported). |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Computer ‐ generated sequence". |
Allocation concealment (selection bias) | Low risk | "Third ‐ party conducted allocation". |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | "Identically appearing placebo". |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Raters blinded. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | "ITT analysis". |
Selective reporting (reporting bias) | Low risk | Main outcomes reported. |
Other bias | Low risk | None obvious. |
BPRS ‐ Brief Psychiatric Assessment Scale; CPE ‐ ;DHEA – dehydroepiandrosterone; DSM ‐ Diagnostic and Statistical Manual; EGb ‐ extract of Ginkgo biloba; GAF ‐ Global Assessment of Function; ICD ‐ International Classification of Diseases; ITT ‐ intention‐to‐treat; IU ‐ international units; LOCF ‐ last observation carried forward; MDA – malondialdehyde; NAC ‐ N‐acetyl cysteine; PANSS ‐ Positive and Negative Symptoms Scale; SANS ‐ Scale for the Assessment of Negative Symptoms; SCID – structured clinical interview for DSM disorders; SD – standard deviation; SOD ‐ superoxide dysmutase; TD ‐ tardive dyskinesia.
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