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. 2020 Oct 16;2020(10):CD005262. doi: 10.1002/14651858.CD005262.pub4

Gallus 1985.

Study characteristics
Methods Study design: double‐blind, randomised. Cross‐over after 8 weeks; no washout period
Country: Australia
Setting: single centre
Intention‐to‐treat: not mentioned
Participants Number of participants randomly assigned: 47
Number of participants analysed: 38 (19 in each group)
Exclusions postrandomisation: 9
Losses to follow‐up: 0
Age (mean): group A: 68 years, group B: 66 years
Sex: group A: 17 males, 2 females, group B: 14 males, 5 females
Inclusion criteria: stable claudication distance > 6 months; presence of peripheral vascular disease documented through clinical examination by vascular surgeon and supplemented by angiography or non‐invasive testing; aged > 50 years; pledge not to change smoking habits during trial; informed consent
Exclusion criteria: vascular surgery or sympathectomy within previous 6 months; ischaemic leg ulcer or rest pain; exercise tolerance limited by conditions other than peripheral vascular disease; treatment with lipid‐lowering or antiplatelet drugs
Interventions Treatment: pentoxifylline 400 mg bid for 1 week, then 400 mg tid for 7 weeks
Control: placebo
Duration: 8 weeks, then cross‐over for another 8 weeks; no washout phase
(group A: placebo followed by pentoxifylline; group B: pentoxifylline followed by placebo)
Outcomes Primary: geometric mean TWD and PFWD
Secondary: ABI
Notes Treadmill protocol: 4 km/h at 10% inclination
Geometric mean PFWD and TWD expressed in metres only
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "A random number sequence was used to form the two treatment groups."
Allocation concealment (selection bias) Unclear risk Not mentioned.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Participants and personnel blinded from allocation and held by hospital pharmacy.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "Results were withheld from investigators during the study."
Incomplete outcome data (attrition bias)
All outcomes Low risk No incomplete outcome data.
Selective reporting (reporting bias) Unclear risk Protocol not available; insufficient information available to permit judgement.
Other bias Low risk Study appeared free of other bias.