de Jong 2007.
Methods | Randomized, double‐blind, parallel group, multicenter trial | |
Participants | Patients 18‐75 years old with CD confined to ileum or colon in remission for 3‐18 months (N = 157) METHOD OF INDUCTION OF REMISSION: Any, except no small bowel resections > 80 cm within 6 months of enrollment (remission defined as CDAI < 150) EXCLUSION CRITERIA: 1) Rectal or perianal disease, 2) Bowel surgery within 6 months of enrollment, 3) History of small bowel resections >80 cm, 4) Disease locations proximal to ileum, 5) Severe hepatic/renal disease, 6) Contraindication to corticosteroids, 7) Need for parenteral nutrition, 8) Presence of active infection, 9) Pregnancy or inadequate use of contraception | |
Interventions | Group 1: pH‐modified release budesonide (Budenofalk) 6 mg once daily for 52 weeks (n = 76) Group 2: pH‐modified release budesonide (Budenofalk) 9 mg once daily for 52 weeks (n = 81) |
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Outcomes | 1) Relapse of disease (defined as CDAI > 150 and an increase of at least 60 points from baseline) 2) Time to relapse 3) Adverse events |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Patients were randomized using a computer‐generated list |
Allocation concealment (selection bias) | Low risk | Sealed, opaque envelopes were used to assign treatment |
Blinding (performance bias and detection bias) All outcomes | Low risk | Described as double blind Appearance of placebo was identical to that of the study mediation Blinding of outcome assessors was not described; however, the primary outcome (based on the CDAI) is predominately based on patient reports (diary) and is consequently at low risk of bias |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Withdrawals were similar across groups |
Selective reporting (reporting bias) | Low risk | All key outcomes included |
Other bias | Low risk | No additional sources of bias were identified |