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. 2013 Oct 20;2013(10):CD009455. doi: 10.1002/14651858.CD009455.pub2

Brandes 2007 Study 2.

Study characteristics
Methods Multicentre, R, DB, PC, parallel‐group. Single dose to treat a single attack
Medication taken when PI ≥ moderate
Assessments at 0, 0.5, 1, 1.5, 2, then hourly to 24 h
Participants Migraine ± aura (IHS 2004), aged 18‐65 years. History: > 6 months with frequency of 2‐6 per month and untreated severity ≥ moderate
Excluded: uncontrolled hypertension, cardio‐ or cerebrovascular disease, using MAOI, ergot, SJW, or NSAID
N = 1495
F = 88%
Mean age 40 years
76% without aura
Interventions Sumatriptan 85 mg/naproxen 500 mg, n = 367 (362 for efficacy)
Sumatriptan 85 mg, n = 370 (362 for efficacy)
Naproxen 500 mg, n = 371 (364 for efficacy)
Placebo, n = 387 (382 for efficacy)
Rescue medication allowed after 2 h if necessary (as prescribed by physician but not ergot‐containing, serotonin agonist, or NSAID‐containing medications)
Outcomes Headache relief at 2 h
Pain‐free at 2 h
24‐h sustained headache relief
24‐h sustained pain‐free
Presence and relief of associated symptoms at 2 h
Presence and relief of functional disability at 2 h (from Landy 2007)
Use of rescue medication
Adverse events
Withdrawals
Notes Oxford Quality Score: R1, DB1, W1. Total = 3
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not described
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk Drop‐outs described
Size Low risk > 200 participants in each treatment arm