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. 2021 Feb 3;2021(2):CD008684. doi: 10.1002/14651858.CD008684.pub3

Berman 2004.

Study characteristics
Methods RCT with parallel design
Participants 32 participants with end‐stage heart failure awaiting heart transplantation were randomly allocated to receive 60 mg U/day of ultrasome coenzyme Q10 or placebo for 3 months
Adults (> 18 years)
All participants continued their regular medication regimen
Interventions Intervention: oral coenzyme Q10 60 mg daily
Control: placebo
Outcomes Symptoms improvement (NYHA classification)
Symptoms improvement measured on the Minnesota Living with Heart Failure Questionnaire
Quality of life on 6‐minute walk test
Blood tests for atrial natriuretic peptide and tumor necrosis factor
Echocardiography
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, no details about random sequence generation
Allocation concealment (selection bias) Low risk Group allocation was done by a third (external) party. Participants were given a personal addressed, sealed envelope containing the words "code A" or "code B"
Blinding of participants and personnel (performance bias)
All outcomes Low risk Double‐blind
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No information given
Incomplete outcome data (attrition bias)
All outcomes High risk 5 participants failed to complete the study because of death, need for heart transplantation, drug‐induced intestinal upset, inconvenient travel connections and lack of compliance (1 participant each). Study also did not report the number of participants in the treatment and placebo groups
Selective reporting (reporting bias) Unclear risk No study protocol was available.
Other bias Low risk No other bias could be found