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. 2016 Feb 2;2016(2):CD007786. doi: 10.1002/14651858.CD007786.pub3

Marshall 1989.

Methods RCT
Cross‐over
Participants Any child with a paediatric malignancy on any chemotherapy protocol including BMT conditioning in 6 participants, who had a second course planned. Median age 7 years (4 to 15 years), with 17/26 male
Interventions Chlorpromazine 0.825 mg/kg QDS IV for 4 doses
Cocktail. Metoclopramide (IV) 2 mg/kg/dose 0, 2, 6, 12 hours. Dexamethasone (IV) 0.7 mg/kg 0 hours. Benzatropine (IV) 0.02 mg/kg/dose 0, 6 hours. Lorazepam (PO) 0.05 mg/kg/dose, 1 hour and 12 hours
Outcomes Recorded number and duration of vomiting using ?structured interview ‐ unclear
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 Acute nausea Unclear risk Not reported
Blinding (performance bias and detection bias) 
 Acute vomiting Unclear risk "Double blinded" but unclear how effective the placebos would be
Blinding of care provider: unclear
Blinding of participant: unclear
Blinding of outcome assessors: unclear
Blinding (performance bias and detection bias) 
 Other outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 2/26 did not complete the cross‐over
Selective reporting (reporting bias) Low risk
Other bias Unclear risk 6/26 on conditioning regimens given after 24 hours ‐ could there be a carry‐over effect?