Jhee 2004.
Methods | Double blind randomised controlled trial, 4 weeks | |
Participants | 21 participants (16 intervention, 5 control) who had a diagnosis of probable AD. Subjects had to meet the NINCDS‐ADRDA and DSM4 criteria for probable AD, had modified Hachinski Ischemia Scale score of less than or equal to 4, MMSE score between 10‐24 inclusive and had been diagnosed with probable AD for at least a six month period. They were out‐patient, aged>/=60 y in USA | |
Interventions | Interventions: Celecoxib dose 50. 200 and 400 mg oral twice Control: Placebo |
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Outcomes | Cognition (ADAScog 0‐70 lower score = improvement) at 4 weeks (MMSE higher score = improvement) at 4 weeks |
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Notes | Sources of funding not stated | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk |
Quote: Subjects with AD were randomly allocated a treatment arm in the order in which they were enrolled in the study Comment: Sequence generated by some rule based on the number they enrolled in the study |
Allocation concealment (selection bias) | High risk |
No information Comment: Probably not done |
Blinding (performance bias and detection bias) All outcomes | Low risk |
Quote 1: All study medication had the same appearance and was provided as celecoxib 50 mg and 200 mg capsules and matching placebo. Comment: Probably done |
Incomplete outcome data (attrition bias) All outcomes | Low risk |
Comment: Reasons for missing outcome data unlikely to be related to true outcome |
Selective reporting (reporting bias) | Low risk |
Comment: The study protocol is not available, but all of the study’s pre‐specified outcomes have been reported in the pre‐specified way in methodology |
Other bias | High risk |
Comment: The study appears to have some degrees of selective bias as patients' age in each group were difference. |