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. 2013 May 31;2013(5):CD004525. doi: 10.1002/14651858.CD004525.pub2

Bathon 2000 (ERA).

Methods Method of randomisation not reported
 Allocation concealment not reported
 Blinding not reported, but treatments provided in identical containers
 Multicentre parallel group study
 Power calculation not reported
 No of participants randomised = 632
 No of participants analysed = 632
 Intention‐to‐treat analysis
 Source of funding: Immunex (pharmaceutical company)
Participants Inclusion:
 At least 18 years; RA max 3 years; no other illnesses; no treatment with MTX; at high risk for radiographic progression
 No exclusion criteria reported
 Location: centres in the USA
Interventions
  1. Etanercept 10 mg SC twice weekly

  2. Etanercept 25 mg SC twice weekly

  3. MTX (initially 7.5 mg increasing to 20 mg at week 8)


(PBO controlled)
 Duration: 12 months
Outcomes ACR20, ACR50, ACR70
 Radiographic: TSS, Erosion Score, Joint Space Narrowing Score; withdrawals; adverse events
Notes Early RA; MTX naive; most erosions and RF+
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not described
Allocation concealment (selection bias) Unclear risk Method not described
Blinding (performance bias and detection bias) 
 Clinical outcomes Low risk Not explicitly described but PBO controlled; assessors of radiographic scores unaware of assignment
Incomplete outcome data (attrition bias) 
 Clinical outcomes Low risk Analyses were intention to treat: inclusion of all participants who received at least 1 dose of the study drug
Selective reporting (reporting bias) Low risk No evidence of a prior published protocol but wide range of outcomes assessed
Other bias Unclear risk Drug company funding with no guarantees described to ensure that the results were not influenced