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. 2018 Aug 1;2018(8):CD006097. doi: 10.1002/14651858.CD006097.pub3

Gordon 2001.

Methods Randomized, double‐blind, placebo‐controlled, multi‐center, 12 week induction trial
Table of random numbers
Participants 30 adult patients with mild to moderate Crohn's disease (CDAI of > 151 and < 450)
Oral corticosteroids (< 40 mg prednisolone or < 9 mg budesonide per day) permitted if dose was stable within 2 weeks of entry
5‐ASA, AZA or 6‐MP permitted provided treatment was not started within 2 months or the dose increased within 4 months of entry
Female patents had to use contraception
Exclusion criteria: pregnancy or breast feeding, weight > 100 kg, CDAI > 450 or inpatient due to Crohn's, patients treated with CYA, MTX or TAC, abdominal surgery within 3 months of entry or need for surgery, ileostomy or colostomy, laboratory‐confirmed intestinal infection, malignant neoplasm
Interventions Patients received one infusion of natalizumab (3 mg/kg; n = 18) or placebo (n = 12)
Outcomes The primary outcome was the change in mean CDAI at two weeks post‐infusion
Secondary outcomes: remission (CDAI < 150), IBDQ, serum levels of CRP, ESR, blood count, peripheral blood T cells and B cells, serum natalizumab and anti‐natalizumab antibody concentrations
Patients were evaluated at study entry and at weeks one, two, four, eight and twelve post‐infusion
Notes Industry‐support: funded by Elan pharmaceuticals
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Table of random numbers
Allocation concealment (selection bias) Low risk Individual randomization concealment codes were held by the trial’s sponsor and each hospital’s pharmacy for emergency use, and none were opened during the study
Blinding (performance bias and detection bias) 
 All outcomes Low risk Double‐blind: investigators and patients remained blinded to the randomization codes until data analysis was complete
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Patient withdrawals were described and distributed evenly across treatment groups
Selective reporting (reporting bias) Low risk All expected outcomes were reported
Other bias Low risk The study appears to be free of other sources of bias