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. 2014 Jul 3;2014(7):CD009532. doi: 10.1002/14651858.CD009532.pub2

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