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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Grammer 1984.

Methods Design: three group parallel trial 
 Purpose: examine whether patients with allergic rhinitis would have lower or higher symptom scores depending upon the presence of asthma
Participants Patients: out‐patients with allergic, ragweed rhinitis 
 Baseline comparability: NS
Interventions Placebo: injections without ragweed (caramelised glucose) 
 Untreated: no injections 
 Experimental: injections with polymerised ragweed (Co‐intervention: histamine, dosage part of composite outcome score)
Outcomes Rhinitis symptom‐medication scores (sneeze, nasal congestion, histamine medication)
Notes Relevant outcome data not accessible
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk Relevant outcome data not accessible
Free of other bias? Low risk  
Trial size > 49? High risk N = 31
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49