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. 2019 Sep 19;2019(9):CD000400. doi: 10.1002/14651858.CD000400.pub4

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
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
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
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
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 Results analysed from the unpublished data.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 Adverse effects data not available from unpublished data.
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 Results analysed from the unpublished data.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 Adverse effects data not available from unpublished data.