Talley 2008c.
Methods | Randomised, double‐blind, placebo‐controlled trial. Multi‐centre (not clear in numbers). Criteria for FD: Rome II with both types of FD | |
Participants | N = 645 Female: 67.2% Mean age: 42.6 +/‐12.8 years for the prokinetic group and 43.0+/‐ 12.5 years for the placebo group Countries: USA, Canada, Poland, Germany |
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Interventions | Intervention: itopride 100 mg three times a day Comparator: placebo Rescue medication: not mention Duration of treatment: 8 weeks |
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Outcomes | (1) global patient assessment (GPA) of efficacy; ‐ symptom‐free, markedly improved, slightly improved, unchanged, worse’’. Symptom‐free or markedly improved was defined as a responder.and (2) Leeds Dyspepsia Questionnaire (LDQ). LDQ questions 1 and 8, measuring pain in the upper abdomen and feeling of fullness, respectively, were the primary endpoint questions by participants. We used the information from LDQ. | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | All participants had a four‐digit number assigned. The randomisation code was generated by Quintiles Inc. using a computer‐generated program. |
Allocation concealment (selection bias) | Low risk | At the baseline visit, eligible participants were assigned a randomisation number according to the pre‐determined list at each site. These numbers were allocated in sequential order and registered in the patient enrolment list. |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Double‐blinded, participants took identical active or placebo medication, and participants and investigators were blinded at all sites. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Assessed by patient who was blinded. Emergency envelopes were provided to the investigators with the study code and randomisation, and these were examined at the end of the study to ensure the study blind being maintained |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 626 / 645 (97%) participants included in ITT, but no detail informations given for each group (in two studies, 1170 were randomised, data only reported for 1150 without further information for each group in each study) (see table 1 and table 3), even the authors claimed to use ITT. 14% (80) from prokinetic group versus 12% (69) from placebo group did not complete the study (both studies combined). |
Selective reporting (reporting bias) | Low risk | Reported all pre‐defined outcomes |
Other bias | Low risk | No other risk found |