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. 2014 Nov 21;2014(11):CD002745. doi: 10.1002/14651858.CD002745.pub4

Clover 1991.

Methods Randomised, parallel, comparison of rimantadine with PB. Multicentre trial that took place during an influenza season for 3 to 4 weeks after the start of treatment
 Patients were blinded. Outcome assessor blinding was unclear
 Dropouts: none (in the subgroup of interest)
 Co‐interventions and other potential confounders were not observed
Participants There was a total of 84 participants, including 46 children, which was our subgroup of interest
 Inclusion criteria: children within families consisting of 2 to 5 members with at least 1 adult (ranging in age from 18 to 75 years and 1 child aged between 1 to 17 years during a naturally occurring outbreak of influenza A
 Exclusion criteria: participants who had a history of amantadine hypersensitivity, chronic respiratory disease, severe medical illness, neuropsychiatric disorder; were pregnant or lactating; had a recently documented influenza A virus infection; required long‐term drug therapy with amantadine or drugs that could interfere with rimantadine or with clinical assessments (e.g. aspirin, tranquillisers, antihistamines and decongestants
 Gender: unclear
 Disease stage: all the eligible participants were given the assigned drug as soon as influenza was first recognised in family members (the index patient) and after the member had been evaluated by a study nurse
Interventions Rimantadine: 5 mg/kg/d, max: 150 mg/d (= or < 10 years or weighing less than 30 kg) or 200 mg/d (> 9 years who weighed more than 30 kg). Oral route. Duration: 10 days
Outcomes The outcome of interest was laboratory‐proven infection cases
Notes 1 to 17 years old
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Authors stated it was a randomised study and that randomisation is described in another article (Hayden 1989): "all eligible family members ... randomly assigned as a block to receive either rimantadine or PB". The method used is not described
Allocation concealment (selection bias) Low risk Randomisation was carried out in one of the centres where this multicentric trial was conducted
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Reasons for missing outcome data are unlikely to be related to true outcome
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Authors stated it was a double‐blinded trial as described in the other article (Hayden 1989): "the study was double‐blind ... trial". Nevertheless, the specific people who were blinded are not listed
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Authors stated it was a double‐blinded trial as described in the other article (Hayden 1989): "the study was double‐blind ... trial". Nevertheless, the specific people who were blinded are not listed