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. 2011 Jun 15;2011(6):CD006374. doi: 10.1002/14651858.CD006374.pub2

Cole 1964.

Methods Allocation: randomised (individually numbered containers of medicines).
 Blindness: double‐blind.
 Duration: 6 weeks.
 Setting: multi‐centre.
Participants Diagnosis:DSM schizophrenia (50% first episode).
 N=463. 
 Age: 16‐45 years, mean ˜ 28 years.
 Sex: male and female (proportions not given).
 History: acute, 60% first hospitalisation, no significant hospitalisation 12 months prior to current admission.
Interventions 1. Chlorpromazine: dose range 200‐1200 mg/day. N=112.
 2. Fluphenazine: dose range 2‐16 mg/day. N=115.
 3. Thioridazine: dose range 200‐1600 mg/day. n=111.
 4. Placebo. 2‐16 doses. N=125.
Plus antiparkinsonian medication as needed for extrapyramidal side effects.
Outcomes Leaving the study early.
 Adverse effects.
Unable to use.
Global state: Global rating of severity of illness, improved/not improved ‐no usable data.
 Inpatient Multidimensional Psychiatric Scale (IMPS) ‐ no usable data.
 Ward Behaviour Rating Scale (WBRS) ‐ no usable data.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised ‐ no further details.
Allocation concealment (selection bias) Low risk Individually numbered containers of medicines.
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double blind, untested.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Study attrition reported (not addressed in analysis).
Selective reporting (reporting bias) Unclear risk No details.
Other bias Unclear risk No details.