CIBA 1988.
Methods | Double‐blind RCT of parallel design, conducted in USA | |
Participants | 556 participants (aged 18 to 84 years) who experienced at least 3 nights of nocturnal leg muscle cramps per week | |
Interventions | 7‐day placebo washout period followed by 2 weeks of a quinine‐vitamin E combination (259.2 mg quinine sulphate and 1600 IU vitamin E daily) or quinine sulphate 259.2 mg alone or vitamin E (1600 IU) alone, or placebo | |
Outcomes | Cramp number, cramp days, cramp intensity, cramp duration, sleep disturbance, adverse events | |
Notes | Large multicentre trial. Approximately double number of women than men across all treatment groups. Unpublished | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "...according to a predetermined randomized schedule" |
Allocation concealment (selection bias) | Unclear risk | No details are given regarding how allocation may have been concealed |
Blinding (performance bias and detection bias) All outcomes | Low risk | Quote: "All capsules will be identical in appearance", "...weeks 2 and 3 will be double‐blind treatment periods" Comment: probably adequate |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All withdrawals and those lost to follow up accounted for, and intention‐to‐treat analysis performed |
Selective reporting (reporting bias) | Low risk | All outcomes reported in detail |
Other bias | Unclear risk | Conducted by manufacturer of quinine tablets |