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

Roongpisuthip 1999.

Methods Design: three group parallel trial 
 Purpose: examine the effect of dexfenfluramine on weight loss and thermogenesis in obese individuals
Participants Patients: out‐patients with body mass index > 25 kilograms per square meter 
 Baseline comparability: yes
Interventions Placebo: capsules for three months 
 Untreated: no capsules 
 Experimental: capsules with dexfenfluramine 
 (Co‐intervention: 8 week behavioural weight loss program)
Outcomes Weight loss 
 Other weight outcomes (waist/hip ratio, biceps fold, subscapular fold, arm circumference, etc) 
 Daily activity and changes in behaviour 
 Side effects
Notes 13 of 32 patients in the no treatment group dropped out.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'Patients in group I were randomly stratified into 2 subgroups... in a double‐blind, placebo‐controlled manner'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? High risk N = 37
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49