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

Winner 2002.

Study characteristics
Methods Randomized, double‐blind, placebo‐controlled, parallel‐group trial of oral rizatriptan
Participants Participants were 12‐17 yrs, with an average of at least 1 but no more than 8 migraines per IHS 1988 criteria and stratified in 2 groups: 12‐14 years and 15‐17 years. Efforts were made to enrol equal numbers in each age group.
Randomized (N = 360); did not receive study medication (N = 64); primary efficacy analysis (N = 296)
Interventions Each participant was instructed to take the study medication (rizatriptan 5 mg or placebo) within 30 min of onset of a moderate or severe migraine
Outcomes
  • Pain‐free at 2 h

  • Headache relief (reduction in pain to mild or none) at 2 h

  • Presence of nausea

  • Use of rescue medication

  • Headache recurrence (within 24 h)

  • Adverse events


Other reported outcomes:
  • Presence of photophobia or phonophobia

  • Functional disability

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 Quote: "Patients were randomly assigned"
Allocation concealment (selection bias) Unclear risk Comment: no information provided.
Blinding (performance bias and detection bias)
All outcomes Unclear risk Comment: no information provided
Incomplete outcome data (attrition bias)
All outcomes High risk Comment: small imbalance of missing outcome data in the placebo group (N = 6 vs N = 1)
Selective reporting (reporting bias) Low risk Comment: all expected outcomes reported