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 |
(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 |