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. 2009 Oct 7;2009(4):CD003370. doi: 10.1002/14651858.CD003370.pub3

Alonso‐Munoz 1988.

Study characteristics
Methods Spain, multicentre, N = 105, Dec 1982 ‐ Dec 1985
Three arm trial (only two arms included in review N = 70)
Randomisation method not given
Baseline characteristics balanced
Participants Age range 37 ‐ 75y
Proven metastatic breast cancer, measurable disease sites
No previous endocrine therapy
Interventions AG (500mg for 2w, then 100mg) versus TAM 40mg versus AG + TAM 40mg
Numbers in each treatment arm: 35 versus 35 versus 35
(AG+TAM arm data excluded from review N = 35)
Assessable patients (two included arms): 31 versus 34
Patients evaluable for toxicity (two included arms): 33 versus 34
Outcomes Toxicity, TTP, response rate
Not survival
Notes 11 not evaluable (4 AG, 6 TAM + AG, 1 TAM) due to: 4 died within 6w, 1 discontinued treatment, 5 toxicity, 1 lost to FU
FU duration not given
TTP not given by treatment arm
Risk of bias
Bias Authors' judgement Support for judgement
Blinding (performance bias and detection bias)
All outcomes High risk