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. 2013 Jan 31;2013(1):CD007633. doi: 10.1002/14651858.CD007633.pub2

Tzung 2008.

Methods This was a randomised, investigator‐blinded, actively‐controlled study.
It was unclear if intention‐to‐treat analysis was conducted.
Participants Inclusion criteria of the trial
  • A total of 40 participants of at least 20 years of age with fingernail psoriasis were allocated randomly to 2 groups (A and B) for 12 weeks of treatment. 32 participants completed the study (7 women and 25 men). 5 participants in group A and 3 in group B dropped out for reasons unrelated to the treatment.

Interventions
  • Group A: calcipotriol 0.005% plus betamethasone dipropionate 0.05% ointment (Daivobet®), once daily for 12 weeks

  • Group B: calcipotriol 0.005% ointment (Daivonex), twice daily for 12 weeks

Outcomes Outcomes of the trial
  1. NAPSI: nail matrix (4) and nail bed (4) involvement. Target nail was evaluated every 4 weeks (lower score = improvement)

  2. Investigator's Global Assessment (IGA) (0 = worse; 1 = no change; 2, 3, and 4 = slight, moderate, and marked improvement, respectively; 5 = clearance)

  3. PAGA at end of the study (0 = worse; 1 = no change; 2, 3, and 4 = slight, moderate, and marked improvement, respectively; 5 = clearance)

Notes There were no conflicts of interest.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "...randomised trial."
Allocation concealment (selection bias) Unclear risk Comment: The paper provided insufficient details.
Blinding (performance bias and detection bias) 
 Clinician/ Investigator Low risk Quote: "...an investigator‐blinded trial."
Blinding (performance bias and detection bias) 
 Participants High risk Quote: "...an investigator‐blinded trial."
Comment: The participants were not blinded to the treatment.
Blinding (performance bias and detection bias) 
 Outcome assessor Low risk Quote: "...an investigator‐blinded trial."
Comment: The blinded investigator was probably the assessor.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 40 participants were randomised; 32 participants completed the study. 5 participants in group A and 3 in group B dropped out for reasons unrelated to the treatment.
Selective reporting (reporting bias) Low risk All of the study's prespecified (primary and secondary) outcomes that were of interest were reported in the prespecified way.
Other bias Low risk This was free of other sources of bias.