Fan 2005.
Methods | Allocation: randomised, no further details. Blindness: unclear. Duration: eight weeks. Design: parallel. Setting: inpatient, China. |
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Participants | Diagnosis: schizophrenia (CCMD‐3). PANSS of 60 or more.
N = 72.
Age: aripiprazole group, mean = (32 ± 10.2) years; clozapine group: mean = (31 ± 10.8) years. Gender: aripiprazole group: 19 male, 13 female; clozapine group: 20 male, 12 female. History:aripiprazole group: mean = (6.6 ± 3.3) years; clozapine group: mean = (6.4 ± 3.2 ) years. Age at onset not reported. |
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Interventions | 1. Aripiprazole: Dose range: 10‐30 mg/day. Mean = (15.68 ± 6.42) mg/day. N = 36. 2. Clozapine: Dose range: 50‐500 mg/day. Mean = (211 ± 31.82) mg/day. N = 36. | |
Outcomes | Global state: PANSS score decreased rate(recovery: ≥ 75%, markedly improved: 50%‐75%, improved: 25%‐50%, no effect: < 25). Mental state: PANSS total score, PANSS positive subscale score, PANSS negative subscale score, PANSS general pathological subscale score. Adverse effects: central nervous system (somnolence ) extrapyramidal side‐effects, weight gain, postural hypotension, tardive dyskinesia, constipation,endocrine (menstrual disorder), ECG abnormal (Q‐Tc prolongation), change of blood routine. |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomised, no further details. |
Allocation concealment (selection bias) | Unclear risk | Not reported. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not reported. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Unclear if outcome was assessed blindly. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No incomplete data. |
Selective reporting (reporting bias) | High risk | Although TESS was used to assess adverse effects, no data on score were available. Data on laboratory tests (urine routine, glucose, liver function) and ECG were missing. |
Other bias | Low risk | None obvious. |