Johansson 1982.
Study characteristics | ||
Methods | Randomised, double‐blind, 2‐period cross‐over study | |
Participants | 27 people aged 18‐70 years Tumour types: cervical cancer (2 people), cancer of fallopian tubes (2 people), ovarian cancer (13 people), testicular cancer (2 people), head and neck cancer (1 person), bronchus cancer (1 person), histiocytoma (1 person), fibrosarcoma (1 person), oligodendroma (1 person), lymphoma (2 people) Chemotherapy regimens: doxorubicin 40 mg/m2, cyclophosphamide 500 mg/m2 and cisplatinum 50 mg/m2 (11 people) in combination with vinblastine, vincristine or ftorafur (tegfur‐uracil). Cyclophosphamide 750‐1000 mg/m2 and cisplatinum 75 mg/m2 when given as sole agents Chemotherapy emetogenicity: high |
|
Interventions | Nabilone 2 mg twice daily x 4 days orally, n = 27 Prochlorperazine 10 mg twice daily x 4 days orally, n = 27 |
|
Outcomes | Episodes of nausea and vomiting assessed daily and reported for follow‐up at end of anti‐emetic therapy; withdrawal due to lack of efficacy; withdrawal due to hypotension, vertigo and headache; participant preference; episodes of drowsiness, dizziness, depression, hypotension | |
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 | 18/27 (67%) participants received nabilone, 18/27 (67%) 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 | Reported as "double‐blind" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Blinding assumed as study reported as "double‐blind" |