Radtke 2004b.
Methods |
Type of study: cross‐over, 2‐arm randomised controlled trial Country of study: Germany Study setting: not reported Number of participants randomised: Treatment arm 1: 131 Treatment arm 2: 129 Number of participants analysed (at visit 3): Treatment arm 1: 108 Treatment arm 2: 103 Follow‐up time points: 3 donation visits subsequent to baseline donation; inter‐donation interval 8 to 10 weeks Hb threshold for deferral from donation: 145 g/L (before first donation); 140 g/L (before subsequent donations) Source of funding: supported in part by a grant from Sanol/Schwarz Pharma, Monheim, Germany |
|
Participants | Regular donors with minimum body weight 68 kg; meeting the Hb threshold Mean age (years): not reported; all groups combined: range 18 to 62 Sex (male/female): 98.8%/1.2% |
|
Interventions | Treatment arm 1: oral iron (iron(II)‐glycine‐sulphate‐complex (Sanol/Schwartz Pharma, Monheim, Germany), 100 mg Fe2+ taken daily between baseline and 3 subsequent visits (between 56 and 70 days). Total dose: 16,800 mg to 21,000 mg Treatment arm 2: oral placebo (Sanol/Schwartz Pharma, Monheim, Germany); taken daily between baseline and 3 subsequent visits (between 56 and 70 days) |
|
Outcomes | Donations and deferrals; haemoglobin; serum ferritin; adverse effects; compliance | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Patients were assigned to treatment by "block randomization with variable block length" |
Allocation concealment (selection bias) | Unclear risk | Patients were assigned to treatment by "block randomization with variable block length" |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Blinding of study participants was not reported although the study was described as "double‐blind" |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinding of outcome assessors was not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | The number of randomised participants with missing data was similar in each group (23/131 versus 26/129 at the third visit) with less than 5% difference in attrition rate between treatment arms |
Selective reporting (reporting bias) | Unclear risk | All outcomes listed in the manuscript were reported, but no study protocol was available to determine the full list of pre‐specified outcomes |
Other bias | High risk | The study was supported in part by a grant from Phyt‐Immun GmbH, Homburg, Germany |