Chamberlain 1991.
Methods | Randomisation by Taves method of minimisation Double‐blind randomised trial with parallel groups and double‐dummy technique Exclusions postrandomisation: 6 (5 fibroids, 1 IUCD) Not ITT, no power calculation made |
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Participants | UK 42 women, aged 18–55 years, with menorrhagia, MBL > 80 mL/cycle and regular menstrual cycles Exclusions: taking oral contraceptives, antacids, anticoagulants or protein bound drugs; hepatic impairment, inflammatory bowel disease or endocrine disorders; wish to become pregnant during trial; known allergies to prostaglandin inhibitors; anaemic (haemoglobin < 9 g/dL); IUCD fitted, uterine enlargement due to fibroids |
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Interventions | Group 1: MFA 500 mg 3 times daily for duration of menses, n = 19 Group 2: ethamsylate 500 mg 4 times daily for duration of menses, n = 17 Duration: 3 cycles + 1 cycle post‐Rx |
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Outcomes | MBL (mean of 3 Rx cycles measured by alkaline haematin method) MBL (during 1 post‐Rx cycle measured by alkaline haematin method) Adverse events |
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Notes | No ITT analysis Detailed data from published study not available from authors. Lorex Synthélabo was able to provide data from the same study but numbers in the groups were different from the published study. Results analysed from the unpublished data. Pretreatment MBL not comparable between the 2 groups. Adverse effects data not available from unpublished data. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Taves method of minimisation |
Allocation concealment (selection bias) | Unclear risk | Unclear risk |
Blinding (performance bias and detection bias) All outcomes | Low risk | Double blind |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 6/42 women excluded (not clear from which group: 5 for fibroids and 1 because of IUCD) |
Other bias | High risk | Detailed data from published study not available from authors. Lorex Synthélabo was able to provide data from the same study but numbers in the groups were different from the published study. Results analysed from the unpublished data. Pretreatment MBL not comparable between the 2 groups. Adverse effects data not available from unpublished data. |