Kibbe 2014.
Methods |
Study design: multi‐centre phase IIa double‐blind placebo‐controlled randomised trial Intention‐to‐treat: not reported Country: not reported |
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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 |
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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 |
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Outcomes |
Follow‐up times: 12 months Outcomes: QoL (SF‐36), VAS, Rutherford class, Time to first/Number of amputations, Wound healing, Survival |
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Notes |
Study period: enrolment completed July 2013 Only conference proceedings available from interim report; stated 12‐month data would be available September 2014 |
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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 |