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. 2009 Jan 21;2009(1):CD006691. doi: 10.1002/14651858.CD006691.pub2
Characteristic Hamilton 2003 Sarnblad 2003
Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1) I1: oral metformin added to s.c. insulin 
 
 C1: placebo added to s.c. insulin I1: oral metformin added to s.c. insulin 
 
 C1: placebo added to s.c. insulin
Randomised controlled clinical trial (RCT) Y Y
Non‐inferiority / equivalence trial N N
Controlled clinical trial Y Y
Design: parallel, crossover, factorial RCT parallel parallel
Design: crossover study    
Design: factorial study    
Crossover study: wash‐out phase    
Crossover study: carryover effect tested    
Crossover study: period effect tested    
Method of randomisation (specify) Y: computer generated block random number table ??
Unit of randomisation (individuals, cluster ‐ specify) Individual 
 block randomization by sex and pubertal status Individual 
 stratified according to gender
Randomisation stratified for centres N N
Randomisation ratio 1:1 1:1
Concealment of allocation (specify) Y 
 clear 
 adequate ?
Stated blinding (open; single, double, triple blind) double double
Actual blinding: participant ? ?
Actual blinding: caregiver / treatment administrator ? ??
Actual blinding: outcome assessor ? ?
Actual blinding: others ? ?
Blinding checked: participant ? ?
Blinding checked: caregiver / treatment administrator ? ?
Primary endpoint defined N Y (HbA1c)
[n] of primary endpoint(s) not specified 1
[n] of secondary endpoints not specified 8
Total [n] of endpoints 13 9
Prior publication of study design ? ?
Outcomes of prior and current publication identical ? ?
Power calculation Y: <80%? Y: <80%?
[n] participants per group calculated I: 14 
 C: 13 I: 16 
 C: 14
Non‐inferiority trial: interval for equivalence specified    
Intention‐to‐treat analysis (ITT) N N
Per‐protocol‐analysis Y Y
ITT defined N N
Missing data: last‐observation‐carried‐forward (LOCF) N N
Missing data: other methods N N
LOCF defined N N
[n] of screened participants (I1/ I2 / C1 / total) ? ?
[n] of randomised participants (for primary endpoint) I1: 15 
 C1: 15 
 Total: 30 I1: 16 
 C1: 14 
 Total: 30
[n] of participants finishing the study 27 24
[n] of patients analysed (for primary endpoint) 27 26
Description of discontinuing participants Y Y
Drop‐outs (reasons explained) Y Y
Withdrawals (reasons explained) Y Y
Losses‐to‐follow‐up (reasons explained) Y Y
[n] of participants who discontinued 3 6
[%] discontinuation rate 3/30= 10% 6/30=20%
Discontinuation rate similar between groups N 
 I:1(6.7%) 
 C:2 (13.4%) N 
 I:5/16: 31% 
 C:1/14: 7%
[%] crossover between groups N N
Differences [n] calculated to analysed patients 7 7
Adjustment for multiple outcomes / repeated measurements N N
Baseline characteristics: clinically relevant differences N N
Treatment identical (apart from intervention) Y Y
Compliance measured Y Y
Other important covariates measured (specify) N N
Co‐morbidities measured N N
Co‐medications measured N N
Specific doubts about study quality N Y: method of randomisation not specified, allocation concealment not mentioned, attrition bias (drop‐out: 20%), detection bias (outcome assessors not mentioned to be blind)
Funding: commercial Y: grants from the Hospital for Sick Children Research Institute and the Order of the Eastern Star of Ontario N
Funding: non‐commercial Y: Drug and Placebo were provided by Aventis Pharma Y: Drug and Placebo were provided by Merck AB, Pharma division
Publication status: peer review journal Y Y
Publication status: journal supplement N N
Publication status: abstract N N
Publication status: other N N
Footnotes: Y = yes; N = no; ? = unclear I = intervention; C = control