| 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 | ||