Ahmedzai 1983.
Study characteristics | ||
Methods | Randomised, double‐blinded, 2‐period cross‐over study | |
Participants | 34 people (19 (56%) men/15 (44%) women), median age 58 years. All cannabis naive Tumour types: small cell bronchial carcinoma Chemotherapy regimen: 2 x 21‐day cycles. Cyclophosphamide 1 g/m2, doxorubicin 40 mg/m2 and etoposide (VP‐16) 100 mg/m2 day 1; etoposide 100 mg/m2 days 2 and 3; vincristine 2 mg with methotrexate 50 mg/m2 day 10 followed by folinic acid rescue. Cyclophosphamide and doxorubicin given IV bolus; VP‐16 IV over 1‐2 hours Chemotherapy emetogenicity: High |
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Interventions | Nabilone 2 mg orally twice daily x 3 days, n = 34 Prochlorperazine 10 mg orally 3 times daily x 3 days, n = 34 |
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Outcomes | Episodes and frequency of nausea and vomiting day 1; withdrawal due to adverse effects; withdrawals due to death; participant preference due to adverse effects; incidence of feeling high, euphoria, postural dizziness, dysphoria | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | High risk | 8/34 (24%) participants withdrew |
Selective reporting (reporting bias) | Low risk | Data reported for primary outcome |
Other bias | Unclear risk | Approximately 10 days' washout period. Unclear if paired analysis was performed. Unclear if groups were balanced at baseline |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | "Double dummy tablet" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Blinding assumed as study reported as "double‐blind" and dummy tablet used |