Schröder 2006.
Methods | Randomized, open‐label, pilot study | |
Participants | Eligible patients had a history of chronic active CD, as defined by refractoriness to or dependency on corticosteroids and resistance or intolerance to azathioprine (N = 19) | |
Interventions | Infliximab infusion, 5 mg/kg (week 0 and 2) for all patients Methotrexate 20 mg/week (IV infusions for weeks 0 to 5, then switch to oral administration) for patients randomly assigned at study entry (n = 11) Patients in the control group did not receive a methotrexate placebo (n = 8) |
|
Outcomes | The primary outcome: clinical remission at the end of the trial as defined by a CDAI score of less than 150 Secondary outcomes: the time to clinical remission and the corticosteroid‐tapering effect of treatment Safety parameters: incidence of adverse events, changes in vital signs, and routine laboratory measures monitored during each infusion and at each study visit |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | The published report did not describe the method used for randomization |
Allocation concealment (selection bias) | Unclear risk | The methods used for allocation concealment were not described |
Blinding (performance bias and detection bias) All outcomes | High risk | The study design was open‐label |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All patients were accounted for in the study |
Selective reporting (reporting bias) | Low risk | All expected outcomes were reported in the published reports |
Other bias | Low risk | The study appeared to be free of other sources of biases |