TRAFFIC.
Methods |
Study design: stated as randomised, placebo‐controlled, double‐blind, phase II trial.
Multicentre trial (different hospitals), randomisation code: 1:1:1 Recruitment: no data (USA) |
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Participants | People with moderate‐to‐severe intermittent claudication (N randomised and received first dose = 190, planned N = 180)
Age (mean): 67 years (placebo), 65 years (single‐dose), 69 years (double‐dose)
Sex (N males/females): 73%/27% (placebo), 71%/29% (single‐dose), 82%/18% (double‐dose) Severity: ABI: in all groups mean levels between 0.5 and 0.6 (data from figure) |
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Interventions | FGF‐2: recombinant fibroblast growth factor‐2
As 2 intra‐arterial infusions (15 µg/kg FGF‐2 per limb), each over 10 minutes |
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Outcomes |
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Notes | aDifference between 3 groups based on analysis of variance | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation codes were generated |
Allocation concealment (selection bias) | Low risk | Allocation by sequentially opening sealed assignment envelopes |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Blinding procedure is not explicitly reported |
Blinding of outcome assessment (detection bias) Objective outcomes | Low risk | Outcome measurement is not likely to be influenced by lack of blinding |
Blinding of outcome assessment (detection bias) Subjective outcomes | Unclear risk | Blinding procedure is not explicitly reported |
Incomplete outcome data (attrition bias) Death | Low risk | Only few missing data, which are balanced in numbers across intervention groups |
Incomplete outcome data (attrition bias) Limb amputation | Unclear risk | Results not explicitly reported |
Incomplete outcome data (attrition bias) Ulceration | Unclear risk | The study did not address this outcome |
Incomplete outcome data (attrition bias) Rest pain | Unclear risk | The study did not address this outcome |
Incomplete outcome data (attrition bias) Walking ability | Low risk | N missing data are low (< 15%). Reasons for missing are reported and balanced across groups |
Incomplete outcome data (attrition bias) Haemodynamic measures | Low risk | N missing data are low (< 15%). Reasons for missing are reported and balanced across groups |
Incomplete outcome data (attrition bias) Adverse events /severe complications | Low risk | Only few missing data (no aggregate data) |
Selective reporting (reporting bias) | Unclear risk | The study protocol is not available, results for limb amputation not reported |
Other bias | Low risk | The study appears to be free of other sources of bias |