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. 2015 Apr 20;2015(4):CD002286. doi: 10.1002/14651858.CD002286.pub3

Johnson 1985.

Study characteristics
Methods Randomised, placebo‐controlled, double‐blind trial. 2 parallel groups. Withdrawal study
Participants 17 patients (age range not reported). Data from all 17 patients available and evaluated. Common and classical migraine (diagnostic criteria not specified)
Interventions 2 capsules (25 mg each) of powdered feverfew leaves daily for 6 months
Outcomes Frequency of headache. Incidence of nausea and vomiting. Global assessment of efficacy. Adverse events
Notes All patients had taken raw feverfew leaves for the previous 3 to 4 years. Small sample size. Oxford score: 4/5 (R = 1, B = 2, WD = 1)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Successive patients were allocated randomly to receive either feverfew or identical placebo capsules in numbered packs
Allocation concealment (selection bias) Unclear risk No details provided
Blinding (performance bias and detection bias)
All outcomes Low risk Study described as double‐blind and study medications described as identical but no further details provided on who was blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk Data from all participants evaluated
Selective reporting (reporting bias) Low risk Results reported for all pre‐specified outcome measures (some outcome measures such as duration or intensity were not pre‐specified)
Other bias High risk High risk of bias due to small sample size (n = 17)