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 |
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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 |