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. Author manuscript; available in PMC: 2014 Sep 19.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Mar 17;(3):CD006654. doi: 10.1002/14651858.CD006654.pub2
Methods Allocation: random, no further details.
Blindness: double, no further details.
Duration: 8 weeks.
Design: parallel.
Location: single centre.
Country: China.
Participants Diagnosis:(CCMD-3) schizophrenia.
N=61.
Age: mean clozapine=30 years, mean olanzapine=25.8 years.
Sex: 29 M, 32 F.
History: duration ill mean=4.2 years, age at onset not reported.
Setting: in- and outpatient.
Interventions
  1. Clozapine: flexible dose. Allowed dose range: 25-400 mg/day. Mean dose: not reported. N=31.

  2. Olanzapine: flexible dose. Allowed dose range: 5-20 mg/day. Mean dose: not reported. N=30

Outcomes Leaving the study early: adverse events.
Mental State: BPRS total score.
Adverse effects: open interviews, cardiac effects (palpitation, blood pressure), EPS, sedation, dry mouth, congestion, weight gain, laboratory (leukopenia)
Unable to use -
Leaving the study early - adverse events (no usable data).
Leukopenia (no usable data).
Notes
Risk of bias
Bias Authors’ judgement Support for judgement
Adequate sequence generation? Unclear risk Random, no further details.
Allocation concealment? Unclear risk No further details.
Blinding?
Objective outcomes
Low risk Objective outcomes such as laboratory measures or death are unlikely to have been much affected by problems of blinding
Blinding?
Subjective outcomes
Unclear risk Double, no further details. Whether blinding was successful has not been examined, but both compounds differ quite substantially in side-effects. This can be a problem for blinding
Incomplete outcome data addressed?
All outcomes
High risk Data on leaving the study early were not provided.
Free of selective reporting? High risk Data were not available for all of the predefined adverse effect outcomes
Free of other bias? High risk The sponsor was unclear. The upper dose range limit of clozapine was 400mg/day which was reached rather quickly (10 days), which could mean a disadvantage for clozapine in terms of side effects