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. 2012 Oct 17;2012(10):CD006469. doi: 10.1002/14651858.CD006469.pub2

McGuire 1989.

Methods Randomised Phase III trial
1984 to 1987
Participants 394 patients with histologically confirmed squamous carcinoma of the cervix, recurrent disease following primary therapy or metastases. No previous chemotherapy allowed
Interventions Arm 1: carboplatin 400 mg/m2 d1 q28
Arm 2: iproplatin 270 mg/m2 d1 q28
Outcomes Response rates
Response duration
Toxicity (GOG)
OS
Notes 23 ineligible (7 non‐squamous histology, 4 other primaries, 8 previous other malignancy, 3 no pathological documentation of primary tumour, 1 previous chemotherapy). 10 additional patients not evaluable for toxicity or response. 7 did not receive treatment. 3 lost to follow‐up. ITT analysis not performed
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Block design with balanced assignments
Allocation concealment (selection bias) Unclear risk Not documented
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not documented but OS unlikely to be affected by blinding
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 23 ineligible and 10 additional patients not evaluable for toxicity or response balanced across groups. ITT analysis not performed
Selective reporting (reporting bias) Low risk Published report included all pre‐specified outcomes
Other bias Low risk No hint at any other possible biases