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. 2020 Nov 3;2020(11):CD003229. doi: 10.1002/14651858.CD003229.pub4

MacLennan 1994.

Study characteristics
Methods Study design: multicenter, international, parallel, randomised, double‐blind, placebo‐controlled trial
Method of randomisation: not stated
Exclusions post randomisation: none
Losses to follow‐up: 16/104 (15%)
Participants Country: UK, Germany, Netherland and Belgium
Setting: hospital
Number: 104 patients
Age: ≥ 65 years
Gender: 24 M:62 F
Inclusion criteria: unilateral or bilateral symptoms and signs of CVI. Compression stockings allowed
Exclusion criteria: bed‐bound or with cardiac or renal or hepatic disease or clinically important obesity; arterial insufficiency of the legs
Interventions Treatment
  • Oxirutoside 900 mg per day for 180 days

  • Oxirutoside 1000 mg per day for 180 days

  • Oxirutoside 1200 mg per day for 180 days

  • Placebo for 180 days


Follow‐up: 180 days
Participants who wore elastic support stockings had to continue to wear them throughout the study
Outcomes Primary
  • Oedema, by reduction of leg volume

  • Symptoms ‐ tenseness, heaviness, swelling, pain, paraesthesia, cramps, burning feet, restless legs and itching


Secondary
  • Side effects

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomization was made according to a computer‐generated randomization list in blocks of 10"
Comment: computer‐generated randomisation list generally accepted as an appropriate way to generate a random sequence of participants
Allocation concealment (selection bias) Unclear risk Comment: no method of allocation concealment stated
Blinding (patients) Low risk Quote: "Patients from each centre in the randomised control group were given placebo capsules identical in appearance"
Comment: Identical placebo ensures double‐blinding
Blinding (study researchers) Low risk Quote: "Patients from each centre in the randomised control group were given placebo capsules identical in appearance"
Comment: Identical placebo ensures double‐blinding
Blinding (outcome assessment) Low risk Quote: "Patients from each centre in the randomised control group were given placebo capsules identical in appearance"
Comment: Identical placebo ensures double‐blinding
Incomplete outcome data Low risk Comment: number of participants described, along with the most important characteristics, number of drop‐outs, adverse events and information on compliance
Selective reporting Low risk Comment: no published protocol identified, and no differences between outcomes reported in the methods section and those reported in the results section
Other bias Low risk Comment: none detected