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. 2020 Jan 6;2020(1):CD006282. doi: 10.1002/14651858.CD006282.pub5

Miller 2001.

Methods Randomised, placebo‐controlled, double‐blind trial (2 × 2 block design)
Participants 84 participants who fulfilled international classification criteria for SMA types II or III and have an homozygous deletion of the SMN1 gene
Inclusion criteria:
  • clinical diagnosis of SMA, type II or III

  • aged ≥ 21 years

  • homozygous defect in the SMN gene

  • FVC > 35% of predicted

  • the ability to sit unsupported at some time in the disease course

  • elbow flexion or handgrip strength (or both) > 3 kg


Exclusion criteria:
  • not mentioned

Interventions Gabapentin 1200 mg 3 times a day or placebo
Duration of treatment: 12 months
Follow‐up: at quarterly time intervals while on treatment
Outcomes Change in disability score (SMAFRS), change in muscle strength, development of walking, change in pulmonary function (FVC), change in quality of life (SIP), adverse events
Funding Andrew's Buddies, MDA, Warner‐Lambert, and Families of SMA
Conflicts of interest Not stated
Notes Muscle strength of elbow flexion and hand grip was measured bilaterally.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomly assigned. Randomisation in blocks of 4 participants (2 placebo, 2 gabapentin) with equalised randomisation per centre. No methods of randomisation described.
Allocation concealment (selection bias) Unclear risk Randomisation performed by research pharmacist. Precise method of allocation concealment not known.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Only research pharmacist was not blinded.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Only research pharmacist was not blinded.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Reasons for dropout of 19 participants not mentioned. ITT analysis performed with a different number of participants than initially included.
Selective reporting (reporting bias) Unclear risk Adverse events not reported.
Other bias Low risk None identified