Garfinkel 1999.
Methods |
Study design: Randomised controlled trial Study grouping: Parallel group Blinding: Double Duration: 6 weeks double‐blind, 6 weeks single‐blind Single‐centre |
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Participants |
Baseline characteristics Controlled‐release melatonin
Placebo
Inclusion criteria: People with a daily use of benzodiazepines for more than 6 months, expressed willingness to discontinue the use, living independently Exclusion criteria: Cognitive impairment, liver or renal disorders Pretreatment: No significant differences |
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Interventions |
Intervention characteristics Benzodiazepine taper schedule: participants were encouraged to reduce their usual benzodiazepine therapy dosage 50% during week 2, 75% during weeks 3 and 4, and then to discontinue benzodiazepine therapy completely during weeks 5 and 6. Participants who did not succeed in stopping benzodiazepine therapy during period 1 were encouraged to further reduce benzodiazepine dosage 50%, 75%, and 100% during weeks 8, 9 and 10, 11 and 12, respectively.
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Outcomes |
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Identification |
Sponsorship source: Neurim Pharmaceuticals sponsored study medication and study nurse; statistical evaluations performed independently. Country: Israel Setting: Outpatients, living independently Declarations of interest: Not mentioned Authors name: Doron Garfinkel Institution: Department of Neurobiochemistry, Tel Aviv University Email: Navazis@ccsg.tau.ac.il Address: Tel Aviv 69978, Israel |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Comment: Not described |
Allocation concealment (selection bias) | Unclear risk | Comment: Not described |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "Subjects were randomised to receive either 2 mg of CRM therapy or a placebo that was identical in appearance" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "Collection and entry of all data were completed before revealing the randomisation codes of the study" |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: All included participants analysed. |
Selective reporting (reporting bias) | Low risk | Comment: No indications of selective reporting |
Other bias | High risk | Comment: The trial was partly financed by a company with an interest in given result, the company's role in interpreting the data is not sufficiently described. |