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. 2018 Oct 31;2018(10):CD012058. doi: 10.1002/14651858.CD012058.pub2

Kibbe 2014.

Methods Study design: multi‐centre phase IIa double‐blind placebo‐controlled randomised trial
Intention‐to‐treat: not reported
Country: not reported
Participants Number randomised: N = 48
Losses to follow‐up and withdrawals: not reported
Age (mean years ± SD): 58.6 ± 13.7
Gender (M): 88%
Inclusion criteria: CLI (Rutherford 4 or 5); poor candidates for surgical revascularisation; receiving stable medical therapy; ankle systolic pressure ≤ 70 mmHg or toe systolic pressure ≤ 50 mmHg
Exclusion criteria: not reported
Interventions Treatment: plasmid stromal cell‐derived factor‐1 (pSDF‐1), 4 cohorts, single set of direct intramuscular injections (8 or 16) to the ischaemic limb at escalating doses of 1 mg/mL pSDF‐1 (4, 8, 8, or 16 mg)
Control: placebo
Outcomes Follow‐up times: 12 months
Outcomes: QoL (SF‐36), VAS, Rutherford class, Time to first/Number of amputations, Wound healing, Survival
Notes Study period: enrolment completed July 2013
Only conference proceedings available from interim report; stated 12‐month data would be available September 2014
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information provided to determine random sequence generation
Allocation concealment (selection bias) Unclear risk Insufficient information provided to determine allocation concealment
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Described as double‐blind and used placebo but did not describe how placebo was disguised for personnel
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information provided to determine blinding of outcome assessment
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No information reported on study population during follow‐up
Selective reporting (reporting bias) Unclear risk Insufficient information to determine selective reporting bias
Other bias Unclear risk Support from Juventas Therapeutics