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. 2016 Apr 19;2016(4):CD005220. doi: 10.1002/14651858.CD005220.pub2

Visser 2004a.

Study characteristics
Methods Randomized, double‐blind, placebo‐controlled, parallel‐group single‐attack trial of oral rizatriptan
Participants Participants from 44 centers in the United States 12‐17 years of age with a 1 year history of migraine with or without aura per IHS 1988 criteria and 1‐8 attacks per month. Randomization was stratified by age (12‐14 and 15‐17 years).
Randomized (N = 686); did not take study medication (N = 210); primary efficacy analysis (N = 476)
Interventions Each participant treated 1 migraine with oral rizatriptan (5 mg) or placebo within 30 minutes of onset. Up to 2 recurrences could be treated with the same medication. Participants could only treat migraine attacks on days they were not in school or at camp.
Outcomes
  • Headache relief at 2 h (reduction from moderate or severe to mild or none)

  • Pain free at 2 h

  • Headache recurrence within 24 h

  • Presence of nausea or vomiting

  • Adverse events


Other reported outcomes:
  • Presense of photophobia or phonophobia

  • Other time points (0.5, 1, 1.5, 3, and 4 h),

  • Functional ability

  • Headache severity

Headache severity scale 4‐level (none, mild, moderate, severe)
Funding source Merck
Publication Journal
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: no information provided
Allocation concealment (selection bias) Unclear risk Comment: no information provided
Blinding (performance bias and detection bias)
All outcomes Unclear risk Comment: described as double‐blind
Incomplete outcome data (attrition bias)
All outcomes Low risk Quote: "The number of patients who discontinued prior to taking study medication and the distribution of reasons for the lack of treatment were comparable across the treatment arms."
Selective reporting (reporting bias) Low risk Comment: all expected outcomes reported