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. 2012 Sep 12;2012(9):CD001781. doi: 10.1002/14651858.CD001781.pub3

Vance 1986.

Study characteristics
Methods This study was carried out in a secondary care setting, and it was multicentre.
This study was blinded.
Intention‐to‐treat analysis was not carried out.
This study was conducted in the USA.
Participants 111 participants were recruited: 11 dropped out.
Inclusion criteria of the trial
  • Adults

  • Ordinary or refractory warts not specified

  • Warts on the feet only

Interventions
  • IFN‐alpha: high‐dose 10 millionU/ml versus

  • Low‐dose 1 millionU/ml versus

  • Placebo


Warts were injected intralesionally with 0.1 mL of 1 of the 3 solutions 3 times weekly for 3 weeks.
Outcomes Outcomes of the trial
  1. Cure at 12 weeks

Notes 1 wart per participant was injected.
McEwen 1983 was a conference abstract of an RCT of interferon subsequently published in 1986 with Vance as first author (Vance 1986).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details were given.
Allocation concealment (selection bias) Unclear risk There was no information about the how the randomisation sequence was concealed (sealed envelopes etc).
Comment: Vials were sequentially numbered; therefore, it was unclear if the allocation order was concealed.
Blinding of participants and personnel (performance bias)
All outcomes Low risk The content of the vials were prepared by the manufacturers and were not revealed to participants or personnel. (page 273)
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk It was unclear who did the outcome assessment and if outcome assessors were blinded.
Incomplete outcome data (attrition bias)
All outcomes High risk 100/111 participants completed and were analysed. 5 participants in the 10 IFN group discontinued because of adverse reactions; 6 participants terminated for extraneous reasons, as well as 2 in each treatment group.
Comment: Withdrawals because of adverse events in the intervention arm were likely to introduce bias.
Selective reporting (reporting bias) Low risk All outcomes were reported.