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. 2015 Mar 6;2015(3):CD003443. doi: 10.1002/14651858.CD003443.pub3

Collins 1967.

Methods Allocation: randomised.
 Blindness: unclear.
 Duration: 10 weeks, preceded by 2 weeks wash‐out .
 Setting: hospital, single‐centre.
Participants Diagnosis: chronic schizophrenia.
 N = 87.
 Age: mean ˜ 41 years.
 Sex: all male.
 History: chronic 'long‐stay' inpatient.
Included: no details.
 Excluded: no details.
Consent: not stated.
Interventions 1. Perphenazine: 4 mg/day for five weeks, then 8 mg/day for another five weeks, n = 29.
 2. Placebo: one tablet daily for the first five weeks, then two tablets daily for another five weeks, n = 29.
[3. Perphenazine and amitriptyline: 4 mg/day and 25 mg/day for five weeks, then 8 mg/day and 50 mg/day for another five weeks, n = 29 ‐ not included in data and analysis, combined with anti‐depressant].
Outcomes Leaving the study early.
 Behaviour: Wing‐Scale B ‐ social withdrawal, socially embarrassing behaviour (SD imputed from standard error).
 Adverse events.
Unable to use ‐
 Global state: overall improvement; relative improvement (unusable data).
 Physical: body weight (no SD).
Other side effects: nausea; dizziness; skin rash (no data reported).
Notes *Night sedatives as needed, but no other medication administered.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Random – “allotted to treatment groups at random”.
Allocation concealment (selection bias) Unclear risk No details.
Blinding (performance bias and detection bias) 
 All outcomes Low risk Double – quote, “neither nursing staff nor doctors concerned knew which tablets were which” (p1428).
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No losses ‐ N = 29 participants in each treatment group completed the trial.
Selective reporting (reporting bias) Low risk Not all adverse effects reported in full; not all means and SD reported.
Other bias Unclear risk Funding: Messrs. Allen & Hanburys Ltd supplied matching tablets of Triptafen Forte, Fentazin and placebo.
Raters: not stated to be independent of treatment.