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. 2016 Jun 30;2016(6):CD012161. doi: 10.1002/14651858.CD012161

Recasens 2003.

Methods Parallel randomised controlled clinical trial
Participants Inclusion criteria: people with newly diagnosed type 1 diabetes
Exclusion criteria: ‐
Diagnostic criteria: National Diabetes Data Group 1979
Interventions Number of study centres: ‐
Treatment before study: ‐
Titration period: ‐
Insulin lispro vs. RHI (see Appendix 2)
Outcomes Outcomes reported in abstract of publication: HbA1c, proportion of participants with HbA1c < 6%, daily blood glucose profiles, mild hypoglycaemic episodes, β‐cell function
Primary outcome(s): not defined
Secondary outcome(s): not defined
Other outcome(s): HbA1c, hypoglycaemia (mild, severe)
Study details Run‐in period: ‐
Study terminated before regular end: no
Publication details Language of publication: English
Funding: ‐
Publication status: full article in a peer‐reviewed journal
Stated aim for study Quote: "The aim of the study was to examine the effects of intensive insulin therapy using lispro on metabolic control, immunogenicity and β‐cell function of newly diagnosed type 1 diabetic subjects in comparison with intensive insulin therapy using regular insulin"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Patients were randomly assigned to intensive insulin therapy using insulin lispro or intensive insulin therapy using regular insulin"
 Comment: not described
Allocation concealment (selection bias) Unclear risk Comment: not described
Blinding of participants and personnel (performance bias) 
 Objective outcomes High risk Quote: "open‐label"
 Comment: not blinded
Blinding of participants and personnel (performance bias) 
 Subjective outcomes High risk Quote: "open‐label"
 Comment: not blinded
Blinding of outcome assessment (detection bias) 
 Objective outcomes Unclear risk Comment: not described
Blinding of outcome assessment (detection bias) 
 Subjective outcomes Unclear risk Comment: not described
Incomplete outcome data (attrition bias) 
 Objective outcomes High risk Comment: reasons for drop‐outs not described, handling of missing values in analysis unclear
Incomplete outcome data (attrition bias) 
 Subjective outcomes High risk Comment: reasons for drop‐outs not described, handling of missing values in analysis unclear
Selective reporting (reporting bias) Unclear risk Comment: not enough information to make judgement
Other bias Unclear risk Comment: no primary endpoint defined