Lodi 2007.
Methods | Study design: RCT Conducted in Italy Number of centres: 1 Recruitment period: May 2002 to January 2003 Funding source: University of Milan |
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Participants | Inclusion criteria: clinical and histological diagnosis of OLP; symptomatic form of the disease; aged > 18 years Exclusion criteria: previous treatment for OLP; systemic or local treatment with antifungal or corticosteroids in the 6 months prior to study; hypersensitivity to clobetasol propionate or miconazole; or uncontrolled diabetes or hypertension, systemic conditions that could hamper participation and compliance with the study Group A: randomised 18; analysed 15 Group B: randomised 17; analysed 15 |
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Interventions | Group A: clobetasol propionate gel 0.05% (twice daily) and miconazole 2% gel (once daily) for 6 weeks Group B: clobetasol propionate gel 0.05% (twice daily) and placebo gel (once daily) for 6 weeks |
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Outcomes | Pain (VAS), percentage of mucosa affected, adverse effects | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "allocation sequence was generated using software available online." |
Allocation concealment (selection bias) | Low risk | Quote: "sequence was hidden from the researchers determining patient eligibility." |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "Neither the patient nor the clinician was aware of the content of the syringes." |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "Neither the patient nor the clinician was aware of the content of the syringes." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: missing data balanced in numbers across intervention groups (3 and 2) and not likely to have a clinically relevant impact on the intervention effect estimate. Unlikely to have introduced bias. |
Selective reporting (reporting bias) | Low risk | Planned outcomes reported. |
Other bias | Low risk | No other sources of bias identified. |