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. 2012 Feb 15;2012(2):CD009665. doi: 10.1002/14651858.CD009665

Akpunonu 1995.

Methods Multicentre, randomised, double‐blind, placebo‐controlled, parallel‐group. Single dose to treat single attack.
Medication administered when migraine headache pain was of moderate or severe intensity
Assessments by stopwatch and at discharge from emergency department (time not reported and may vary between participants)
Rescue medication (excluding ergot derivatives) available after 90 minutes if headache relief not achieved
Each participant provided with an open‐label 100 mg sumatriptan tablet to treat recurrence over the 24 h period after discharge
Participants Aged 18 years or older, meeting IHS criteria for migraine (1988) with aura. At least 1‐year history of migraine.
Participants with a frequency of tension headache of at least 15 days per month were excluded
No concurrent use of monoamine oxidase inhibitors, lithium, or selective 5‐HT reuptake inhibitors
No use of ergotamine within 24 h of study drug administration
N = 136
Breakdown of participants by gender not reported
Mean age not reported
100% with aura
Interventions Sumatriptan 6 mg, n = 88
Placebo, n = 48
Outcomes Adverse events
Notes Oxford Quality Score: R1, DB1, W1. Total = 3.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not reported
Study size High risk Treatment group 50 to 200 participants, placebo group < 50 participants