Sjögren 2007.
Methods | Randomised clinical trial with two parallel‐group design. Intention‐to‐treat analysis: used. |
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Participants | Country: USA. Number of participants randomly assigned: 59. All participants are treatment‐naive. All participants are infected with HCV genotype one. Inclusion criteria: HCV RNA positive patients with liver biopsy compatible with chronic HCV infection Exclusion criteria: minimum haemoglobin 12g/L for women and 13g/L for men, WBC < 3x103/mm3, Neutrophil count < 1,5x103/mm3, platelet count < 75x103/mm3, prothrombin time > 2 sec above the upper limit of normal, severe psychiatric conditions, other causes of liver disease than HCV infection |
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Interventions | Participants are randomly assigned to two groups.
Treatment is planned for 48 weeks if serum HCV RNA is undetectable at week 24; otherwise, drugs are to be discontinued. |
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Outcomes | Primary outcome is sustained virological response, which will be determined at week 72. Other outcomes reported include end of treatment virological response and adverse events. |
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Notes | An ongoing study with interim results. No new publications regarding this data. Study author contacted for additional information, but no reply obtained. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Patients were randomised using a computerized system". |
Allocation concealment (selection bias) | Low risk | Comments: central allocation concealment. |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Quote: "HCV RNA and HCV genotype were tested at a central laboratory". However, it is not clear whether adverse event outcome assessors were blinded. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comments: Incomplete outcome data were addressed adequately. |
Selective reporting (reporting bias) | Low risk | Comment: All clinically relevant and reasonably expected outcomes were reported. |
Other bias | Low risk | Comment: The trial seems to be free of other sources of bias. |