Marder 1994a.
Methods | Allocation: randomised.
Blindness: double.
Duration: 7‐day single‐blind placebo washout period plus 8‐week treatment period. Setting: inpatients, 20 centres in USA. Design: parallel‐group study. |
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Participants | Diagnosis: schizophrenia (DSM III‐R). N = 388*. Age: 18‐67 years. Sex: male and female. Inclusion criteria: total PANSS score between 60 and 120. Exclusion criteria: pregnant or lactating women or women without adequate contraception, mental disorders other than schizophrenia, neurological disorders, psychoactive substance use or alcohol abuse, and schizoaffective disorder. | |
Interventions | 1. Risperidone: dose 2 mg/day, N = 63**. 2. Risperidone: dose 6 mg/day, N = 64**. 3. Risperidone: dose 10 mg/day, N = 65. 4. Risperidone: dose 16 mg/day, N = 64. 5. Placebo: N = 66. 6. Haloperidol: dose 20 mg/day, N = 66. | |
Outcomes | Mental state: PANSS*. Leaving the study early***. Global state: CGI*. Adverse effects: ESRS, UKU Side Effect Rating Scale*. |
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Notes | *Data from a subset of participating centre, where leaving the study early was not reported (risperidone N = 64; placebo N = 66). **Fixed dose. We included data only from the 6 mg/day arm, as this was the closest dose to what would be used in routine clinical practice. This arm had a differential leaving the study early rate with 45% in the risperidone arm leaving the study early compared to 68% in the placebo arm. ***Data from a wider set of participating centres (risperidone N = 86; placebo N = 88). |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation in blocks of 12. |
Allocation concealment (selection bias) | Unclear risk | No information available. |
Blinding (performance bias and detection bias) All outcomes | Low risk | Double blind. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | ITT analysis was used. |
Selective reporting (reporting bias) | Low risk | All outcomes measured were reported. |
Other bias | High risk | Supported by a grant from the Janssen Research Foundation. |