Characteristic | Kahn 2006 | Ko 2006 | Lebovitz 2001 | Ovalle 2004 | Phillips 2001 | Raskin 2004 |
Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1) | I1: rosiglitazone I2: metformin C1: glyburide | I1: rosiglitazone + (sulfonylurea +/‐ metformin) C1: bedtime isophane insulin + (sulfonylurea +/‐ metformin) | I1: rosiglitazone 2 mg I2: rosiglitazone 4 mg C1: placebo | I1: rosiglitazone + glimepiride + metformin + C1: glimepiride + metformin + 70/30 mixed human insulin | I1: rosiglitazone 4 mg od I2: rosiglitazone 2 mg bid I3: rosiglitazone 8 mg od I4: rosiglitazone 4 mg bid C1: placebo | I1: rosiglitazone I2: repaglinide C1: rosiglitazone + repaglinide |
Randomised controlled clinical trial (RCT) | Y | Y | Y | Y | Y | Y |
Non‐inferiority / equivalence trial | N | N | N | N | Primary hypothesis: superiority of rosiglitazone vs placebo; secondary hypothesis: equivalence of once daily vs twice daily administration of rosiglitazones | ? |
Controlled clinical trial | N | N | N | N | N | N |
Design: parallel study | Y | Y | Y | Y | Y | Y |
Design: crossover study | N | N | N | N | N | N |
Design: factorial study | N | N | N | N | N | N |
Crossover study: wash‐out phase | NA | NA | NA | NA | NA | NA |
Crossover study: carryover effect tested | NA | NA | NA | NA | NA | NA |
Crossover study: period effect tested | NA | NA | NA | NA | NA | NA |
Method of randomisation | stratified according to sex in blocks of six | ? | ? | ? | ? | ? |
Unit of randomisation (individuals, cluster ‐ specify) | individuals | individuals | individuals | individuals | individuals | individuals |
Randomisation stratified for centres | N | NA | ? | NA | ? | ? |
Randomisation ratio | 1:1:1 | 1:1 | 1:1 | 1:1 | 1:1:1:1:1 | 1:1:2 |
Concealment of allocation | Y | ? | ? | ? | ? | ? |
Stated blinding (open; single, double, triple blind) | double‐bind | open | double‐blind | ? | double‐blind | open |
Actual blinding: participant | ? | NA | Y | ? | ? | N |
Actual blinding: caregiver / treatment administrator | ? | NA | ? | ? | ? | N |
Actual blinding: outcome assessor | ? | ? | ? | ? | ? | ? |
Actual blinding: others | Y | ? | N | N | N | ? |
Blinding checked: participant | N | NA | N | N | N | NA |
Blinding checked: caregiver / treatment administrator | N | NA | N | N | N | NA |
Primary endpoint defined (power calculation) | Y | Y | N | N | N | Y |
[n] of primary endpoint(s) | 1 | 1 | 1 | 1 | 1 | 1 |
[n] of secondary endpoints | ? | ? | 10 | 6? | 8 | 7 |
Total [n] of endpoints | ? | 9 | 11 | 7 | 9 | 8 |
Prior publication of study design | Y | N | N | N | N | N |
Outcomes of prior/current publication identical | ? | NA | NA | NA | NA | NA |
Power calculation | Y | Y | N | N | N | Y |
[n] participants per group calculated | 3600 (initially); 4182 (March 2002); further extension of trial was decided in February 2004 to compensate withdrawals | 50 | NA | NA | NA | total: 190 |
Non‐inferiority trial: interval for equivalence specified | NA | NA | NA | NA | Y | NA |
Intention‐to‐treat analysis (ITT) | Y | Y | Y | ? | Y | Y |
Per‐protocol‐analysis | NA | N | ? | ? | N | ? |
ITT defined | N | N | Y | NA | Y | Y |
Missing data: last observation carried forward (LOCF) | N | ? | Y | ? | Y | N |
Missing data: Other methods | N | ? | N | N | N | Y |
LOCF defined | NA | ? | Y | NA | N | NA |
Analysis stratified for centres | N | NA | Y | NA | N | N |
[n] of screened patients (I1 / I2/ C1/ total) | total: 6676 | ? | total: 623 | total: ? | total: 1503 | total: ? |
[n] of randomised participants (I1/ I2 / C1 / total) ‐ primary endpoint | I1: 1456 I2: 1454 C1: 1441 total: 4351 | I1: 56 C1: 56 total: 112 | I1: ? I2: ? C1: ? total: 533 | I1: 9 C1: 8 total: 17 | I1: ? I2: ? I3: ? I4: ? C1: ? total: 959 | I1: 62 I2: 63 I3: 127 total: 252 |
[n] of participants finishing the study (I1/ I2 / C1 / total) | I1: 917 I2: 903 C1: 807 total: 2627 | I1: 50 C1: 52 total: 102 | I1: ? I2: ? C1: ? total: 365 | I1: ? C1: ? total: ? | I1: ? I2: ? I3: ? I4: ? C1: ? total: ? | I1: 37 I2: 38 I3: 106 total: 181 |
[n] of participants analysed (I1/ I2 / C1 / total) ‐ primary endpoint | I1: 1393 I2: 1397 C1: 1337 total: 4127 | I1: ? C1: ? total: ? | I1: ? I2: ? C1: ? total: 472 | I1: ? C1: ? total: ? | I1: 181 I2: 186 I3: 181 I4: 187 C1: 173 total: 908 | I1: 55 I2: 59 I3: 126 total: 240 |
Description of discontinuing participants | N | Y | N | N | N | N |
Drop‐outs (reasons explained) | N | Y partly | N | N | N | Y |
Withdrawals (reasons explained) | Y | N | N | N | Y | N |
Losses‐to‐follow‐up (reasons explained) | N | N | N | N | N | N |
[n] of participants who discontinued (I1/ I2 / C1 / total) | I1: 539 I2: 551 C1: 634 total: 1724 | I1: 6 C1: 2 total: 8 | I1: 46 I2: 45 C1: 77 total: 168 | I1: ? C1: ? total: ? | I1: ? I2: ? I3: ? I4: ? C1: ? total: 51 | I1: 25 I2: 25 I3: 21 total: 71 |
[%] discontinuation rate (I1/ I2 / C1 / total) | I1: 37 I2: 38 C1:44 total: 44 | I1: 10.7 C1: 3.6 total: 7.1 | I1: 26 I2: 25 C1: 44 total: 32 | I1: ? C1: ? total: ? | I1: ? I2: ? I3: ? I4: ? C1: ? total: 5% | I1: 40.3 I2: 39.7 I3: 16.5 total: 28.2 |
Discontinuation rate similar between groups | ? | N | N | ? | N "patients who withdrew from treatment were more poorly controlled at baseline" | N discontinuation rate lower for repaglinide/rosiglitazone combination therapy due to lack of efficiency in the monotherapy groups |
[%] crossover between groups | ? | ? | ? | ? | ? | ? |
Differences [n] calculated to analysed patients | additional patients were recruited during the study | N | NA | NA | NA | N |
Adjustment for multiple outcomes / repeated measurements | N | ? | Y | N | Y | N |
Baseline characteristics: Clinically relevant differences | Y | Y gender, HbA1c, metformin dosage, antihypertensive and lipid‐lowering agents | N | ? only few characteristics reported, numerical differences in age | N | previous sulfonylurea / metformin treatment |
Treatment identical (apart from intervention) | Y | Y | Y | there was no titration period in the rosiglitazone group | Y | Y |
Compliance measured | N | N | N | N | N | N |
Other important covariates measured (specify) | N | N | N | N | N | N |
Co‐morbidities measured | N | N | N | N | N | N |
Co‐medications measured | N | Y | N | N | N | N |
Specific doubts about study quality | N | N | N | Y | N | N |
Funding: commercial | Y | ? | ? | Y | ? | Y |
Funding: non‐commercial | ? | ? | ? | ? | ? | ? |
Publication status: peer review journal | Y | Y | Y | Y | Y | Y |
Publication status: journal supplement | N | N | N | N | N | N |
Publication status: abstract | N | N | N | N | N | N |
Publication status: other | N | N | N | N | N | N |
Notes | 24 weeks treatment duration as inclusion criterion | ./. | authors from a pharmaceutical company | ./. | two authors hold stocks in pharmaceutical companies | ./. |
Footnotes Y = yes; N = no; ? = unclear I = intervention; C = control; (baseline) = if numbers for certain features could ne be derived from the text, numbers from baseline characteristics were used |