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. 2018 May 31;2018(5):CD000146. doi: 10.1002/14651858.CD000146.pub5

Moolchan 2005.

Methods Country: USA
 Recruitment: community volunteers
Participants 120 adolescent (age 13 to 17) smokers (≥ 10 cpd), motivated to quit
 70% female, average age 15, average cpd 19
Interventions 1. Nicotine patch (21 mg, or 14 mg for < 20 cpd) for 6 weeks + placebo gum
 2. Nicotine gum (4 mg, or 2 mg for < 24 cpd) for 6 weeks + placebo patch
 3. Double placebo
 Level of support: high (11 x 45‐min individual counselling over 12 weeks)
Outcomes PP abstinence at 6 months
 Validation: CO and cotinine
Notes Placebo group contributes twice to MA ‐ too small to affect total
 Sustained abstinence at 3 and 6 months could be derived from text, relative effect greater since no quitters on placebo
 Study was funded by National Institute on Drug Abuse, and supported by GlaxoSmithKline
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "randomized ... according to an algorithm held by the National Institute on Drug Abuse Pharmacy, with true replacement of the non‐completers".
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Described as "double‐blind, double‐dummy", but no further information
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Losses to follow‐up were included as failures for cessation. Losses fully reported