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. 2021 Mar 18;2021(3):CD010804. doi: 10.1002/14651858.CD010804.pub3

Forget 2014.

Study characteristics
Methods Study design: randomised controlled trial, parallel, single centre
Study dates: not reported
Country: not reported
Participants Total participants: 54
Inclusion criteria: people with performance status 0, 1 or 2 on chemotherapy for various cancer; have cachexia (weight loss ≥ 5% bodyweight within prior 6 months) or at high risk for cachexia (radiochemotherapy planned on upper part of digestive tract)
Exclusion criteria: not reported
Participants characteristics: not reported
Interventions Experimental group: participants received mirtazapine 30 mg/day, weekly advice from a dietician and physical exercise. Psychological support available if needed
  • Type of exercise: not reported

  • Duration of exercise programme: 3 months

  • Intensity of exercise: not reported

  • Frequency of exercise (day/week): daily (no other information)

  • Volume of exercise (minutes/day): not reported

  • Supervision: daily alone and weekly with a physiotherapist

  • Setting: not reported


Comparator group: best supportive care (no other information)
Concomitant interventions: unclear
Follow‐up: 3 months
Outcomes Primary outcomes
Body mass index
How measured: not reported
Time points measured: baseline, 3 months
Secondary outcomes
Hand grip strength
How measured: not reported
Time points measured: baseline, 3 months
Mid‐upper muscle circumference
How measured: not reported
Time points measured: baseline, 3 months
Quality of life
How measured: QLQc‐30
Time points measured: baseline, 3 months
PG‐SGA
How measured: not reported
Time points measured: baseline, 3 months
Notes Conference abstract
It was not possible to extract any data since authors presented only mean values with no measure of variability.
No funding or conflict of interest were stated in the conference abstract.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported.
Allocation concealment (selection bias) Unclear risk Not reported.
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not reported.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported.
Incomplete outcome data (attrition bias)
All outcomes High risk 23/54 participants were included in final analysis; 9 participants died.
Selective reporting (reporting bias) Unclear risk The data provided in the table regarded only mean values, authors did not provide confidence interval, standard deviation or standard errors.
Other bias Unclear risk Lack of information to make a judgement.