Herman 1979.
Study characteristics | ||
Methods | Randomised, double‐blinded, 2‐period cross‐over study | |
Participants | 152 people (126 men/26 women) aged 15‐74 years (median = 33 years) Tumour type: testicular carcinoma (70 people), non‐Hodgkin's disease (12 people), Hodgkin's disease (11 people) Chemotherapy regimen: cisplatin daily for 5 days, vinblastine and bleomycin (70 people); cyclophosphamide, doxorubicin, vincristine and prednisone (CHOP 12 people); nitrogen mustard (mechlorethamine?), vincristine, procarbazine and prednisone (MOPP 11 people); other regimens included dactinomycin, dacarbazine, 5‐fluorouracil, melphalan and nitrosourea compounds. No information on doses reported Chemotherapy emetogenicity: high |
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Interventions | Nabilone 2 mg, every 8 hours orally, n = 152 Prochlorperazine 10 mg, every 8 hours orally, n = 152 |
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Outcomes | Episodes of nausea and vomiting daily during chemotherapy; withdrawal due to adverse effects; episodes of somnolence, dizziness, depression, euphoria, preference | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | Low risk | "Drugs packaged in identical containers marked only with a number code" |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 113/152 (74%) participants received nabilone, 113/152 (74%) participants received prochlorperazine |
Selective reporting (reporting bias) | Low risk | Data reported for primary outcome |
Other bias | Unclear risk | Assumed washout period sufficient. Unclear if paired analysis was performed. Unclear if groups were balanced at baseline |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | "Identical containers marked only with a number code" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Blinding assumed as study reported as "double‐blind" and "identical containers marked only with a number code" |