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. 2003 Apr 22;2003(2):CD000440. doi: 10.1002/14651858.CD000440

Hoyberg 1993.

Methods Allocation: randomised (no further description). 
 Blindness: double (identicle appearance of medication). 
 Duration: 8 weeks. 
 Consent: given. 
 Setting: multicentre, multinational.
Participants Diagnosis: schizophrenia (DSM‐III‐R). 
 N=107. 
 Sex: 77M, 30F. 
 Age: 20‐67 years, mean ˜ 36 years. 
 History: chronic. 
 Exclusions: other significant physical or psychological illness, abnormal lab results, substance abuse, oral neuroleptics within 3 days of trial, depot neuroleptics within 3 weeks of trial, pregnant or nursing females, females of child bearing potential without adequate contraception.
Interventions 1. Risperidone: initially 5mg/day adjusted according to clincial judgement, 5‐15mg/day 1‐28, FD (if possible) thereafter. N=55. 
 2. Perphenazine: 16‐48mg/day, an initial dose of 16mg/day was adjusted as required days 1‐28, FD (if possible) thereafter. N=52.
Outcomes Clinical improvement: >20% reduction in total PANSS or BPRS score, 
 Global effect: CGI improved/not improved. 
 Adverse effects: use of antiparkinsonian medication. 
 Leaving the study early.
Unable to use ‐ 
 Severity of illness: CGI severity (no SD). 
 Mental state: PANSS, BPRS‐PANSS derived (no SD). 
 Physiological monitoring: ECG, lab tests (insufficient data). 
 Adverse effects: ESRS, UKU (no SD).
Notes Intention‐to‐treat analysis for adverse effects.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear