Section/Topic	Item No	Checklist Item	Reported on Page No
Title and abstract
	1a	Identification as a randomized trial in the title	1
	1b	Structured summary of trial design, methods, results, and conclusions (for specific guidance see CONSORT for abstracts)	1
Introduction
Background and objectives	2a	Scientific background and explanation of rationale	2
	2b	Specific objectives or hypotheses	2
Methods
Trial design	3a	Description of trial design (such as parallel, factorial) including allocation ratio	2, 11, Figure 1 and Figure 6 Table 1
	3b	Important changes to methods after trial commencement (such as eligibility criteria), with reasons	n/a
Participants	4a	Eligibility criteria for participants	10
	4b	Settings and locations where the data were collected	10
Interventions	5	The interventions for each group with sufficient details to allow replication, including how and when they were actually administered	12
Outcomes	6a	Completely defined pre-specified primary and secondary outcome measures, including how and when they were assessed	13,14 Figure 2
	6b	Any changes to trial outcomes after the trial commenced, with reasons	n/a
Sample size	7a	How sample size was determined	14
	7b	When applicable, explanation of any interim analyses and stopping guidelines	n/a
Randomization:
Sequence generation	8a	Method used to generate the random allocation sequence	12
	8b	Type of randomization; details of any restriction (such as blocking and block size)	12
Allocation concealment mechanism	9	Mechanism used to implement the random allocation sequence (such as sequentially numbered containers), describing any steps taken to conceal the sequence until interventions were assigned	12
Implementation	10	Who generated the random allocation sequence, who enrolled participants, and who assigned participants to interventions	12
Blinding	11a	If done, who was blinded after assignment to interventions (for example, participants, care providers, those assessing outcomes) and how	12
	11b	If relevant, description of the similarity of interventions	12
Statistical methods	12a	Statistical methods used to compare groups for primary and secondary outcomes	14
	12b	Methods for additional analyses, such as subgroup analyses and adjusted analyses	n/a
Results
Participant flow (a diagram is strongly recommended)	13a	For each group, the numbers of participants who were randomly assigned, received intended treatment, and were analyzed for the primary outcome	Figure 1
	13b	For each group, losses and exclusions after randomization, together with reasons	n/a
Recruitment	14a	Dates defining the periods of recruitment and follow-up	10, Figure 6
	14b	Why the trial ended or was stopped	n/a
Baseline data	15	A table showing baseline demographic and clinical characteristics for each group	Table 1
Numbers analyzed	16	For each group, number of participants (denominator) included in each analysis and whether the analysis was by original assigned groups	Figure 1
Outcomes and estimation	17a	For each primary and secondary outcome, results for each group, and the estimated effect size and its precision (such as 95% confidence interval)	9–13 Figure 2, Figure 3 and Figure 4 Table 2
	17b	For binary outcomes, presentation of both absolute and relative effect sizes is recommended	Figure 2, Figure 3 and Figure 4 Appendix A
Ancillary analyses	18	Results of any other analyses performed, including subgroup analyses and adjusted analyses, distinguishing pre-specified from exploratory	n/a
Harms	19	All important harms or unintended effects in each group	14, Appendix A
Discussion
Limitations	20	Trial limitations, addressing sources of potential bias, imprecision, and, if relevant, multiplicity of analyses	9
Generalizability	21	Generalizability (external validity, applicability) of the trial findings	8,9
Interpretation	22	Interpretation consistent with results, balancing benefits and harms, and considering other relevant evidence	8, 9
Other information
Registration	23	Registration number and name of trial registry	10
Protocol	24	Where the full trial protocol can be accessed, if available	15
Funding	25	Sources of funding and other support (such as supply of drugs), role of funders	15