Ohta 2012.
Methods | 12‐week multicentre, randomised, double‐blind, placebo‐controlled trial | |
Participants | Japanese participants with fibromyalgia according to ACR classification. Pain of ≥ 40/100 mm and pain diary score ≥ 4 on 11‐point numerical rating scale before randomisation N = 498 Mean age 48 years, 89% female Baseline mean pain: 6.5/10 |
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Interventions | 4 phases: 1‐week single‐blind run‐in period, 3‐week dose escalation, 12‐week fixed dose at 300 or 450 mg, 1‐week taper phase Pregabalin all doses, n = 250 Placebo, n = 248 |
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Outcomes | Proportion of participants with ≥ 30% or ≥ 50% decrease in mean pain score PGIC (7‐point scale from very much improved to very much worse) between endpoint and baseline Adverse events Withdrawals |
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Notes | Pfizer sponsored Oxford Quality Score: R2, DB2, W1. Total = 5/5 |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Randomisation control system (IMPALA), which provided subject randomisation numbers" |
Allocation concealment (selection bias) | Low risk | "Randomisation control system (IMPALA), which provided subject randomisation numbers". Review authors judged this as low risk, assuming remote allocation |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | "Pregabalin and placebo capsules were prescribed by the investigator using blinded drug numbers issued by IMPALA" "identical placebo" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | "Pregabalin and placebo capsules were prescribed by the investigator using blinded drug numbers issued by IMPALA" "identical placebo" |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | LOCF imputation |
Selective reporting (reporting bias) | Low risk | All relevant outcomes reported |
Size | Low risk | > 200 participants per treatment arm (248 and 250) |