Skip to main content
. 2016 Nov 24;2016(11):CD004028. doi: 10.1002/14651858.CD004028.pub4

Liu 2003.

Methods Allocation: randomised
Blinding: open label
Duration: 8 weeks (wash‐out period: 3‐7 days)
Design: parallel
Country: China
Participants Diagnosis: CCMD‐3 schizophrenia
n = 60
Sex: male only
Age: not stated, but likely to be adult, as their illness onset age is reported as 25 ± 5.27 years
 History: mean duration of illness: 14.73 ± 5.59 years
Setting: inpatient
Interventions 1. Sodium valproate + clozapine: valproate fixed dose of 600 mg/day. n = 30
2. Clozapine: dosage unclear. n = 30
Outcomes Leaving the study early: acceptability/tolerability of treatment
Clinical response: mental state (BPRS total)
Unable to use:
Adverse events: no information provided
Notes All participants took clozapine+placebo during wash‐out
No information about the dosage of clozapine provided
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "randomly assigned in a 1:1 ratio", p11596
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of participants and personnel (performance bias) 
 Objective outcomes Low risk We don't think blinding causes significant bias in objective outcomes
Blinding of participants and personnel (performance bias) 
 Subjective outcomes High risk No information about blinding provided, assume open‐label
Blinding of outcome assessment (detection bias) 
 Objective outcomes Low risk We don't think blinding causes significant bias in objective outcomes
Blinding of outcome assessment (detection bias) 
 Subjective outcomes High risk No information about blinding provided, assume open‐label
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Three and four participants left early from the experiment and control groups respectively. Valproate group: 3/30 = 10%, monotherapy group: 4/30 = 13.3%, no reason provided for people leaving the study early. They are not included in the final analysis. (p 11,596)
Selective reporting (reporting bias) High risk Adverse events not reported
Other bias Low risk None obvious