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. 2019 Jan 28;2019(1):CD008940. doi: 10.1002/14651858.CD008940.pub3

McRae‐Clark 2015.

Methods Randomised placebo‐controlled trial
Participants Setting: outpatient (no further details on site, appears to be a single site). Scheduled duration 12 weeks
Participants: 175 adults, current cannabis dependence by DSM‐IV
Group sizes: group 1, 88; group 2, 87
Groups similar on demographics and clinical characteristics at baseline
Mean age 24 years
77% male
64% Caucasian
Exclusion criteria: current dependence on other substances except caffeine and nicotine, and significant psychiatric condition
Interventions Group 1: buspirone, up to 60 mg/day
Group 2: placebo
Brief MET intervention and contingency management to encourage study retention as adjunct interventions
Outcomes Participants with ≥ 1 negative urine test during treatment
Point prevalence of abstinence by urine test at week 12
Number reporting adverse events
Notes Funding: research grant (NIDA)
2 authors report previous pharmaceutical company funding
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of sequence generation not described
Allocation concealment (selection bias) Unclear risk Method of allocation concealment not described
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "Buspirone and placebo tablets were packaged in identical opaque gelatin capsules with lactose."
Comment: it was likely that participants and treating clinicians were blind to group allocation.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Double‐blind likely as indicated above, and only objective outcomes reported which are less likely to be affected by knowledge of group allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Rates of attrition high, but similar in both groups. Missing data on cannabinoid urine tests counted as positive.
Selective reporting (reporting bias) Low risk None apparent, published outcomes accorded with prospectively registered outcomes.
Other bias Low risk None apparent