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. 2016 Sep 29;2016(9):CD011790. doi: 10.1002/14651858.CD011790.pub2

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
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
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
Notes Pfizer sponsored
Oxford Quality Score: R2, DB2, W1. Total = 5/5
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)