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. 2000 Apr 24;2000(2):CD002048. doi: 10.1002/14651858.CD002048

Wenger 1983.

Methods Allocation: randomized 
 Blinding: First phase double blind, 2nd open label 
 Design: parallel study 
 Sample size at entry 304: auranofin 152; placebo 152 
 Analysis: completers, 60.5% follow‐up (auranofin 106, placebo 78)
Participants Country: USA, multicentre (K=14) 
 Patients with active RA on NSAIDs 
 Age: median 53 yrs 
 Duration of disease: median 4 yrs 
 Females: 69% 
 RF: not reported 
 Concomitant use of steroids: 13.5% 
 Concomitant use of other DMARDS: none 
 Previous use of DMARDS: none
Interventions Auranofin 6 mg/day vs identical placebo 
 Treatment duration: 26 wk.
Outcomes Tender joint count 
 Swollen joint count 
 Physician global efficacy: 4 pt scale 4=worse 
 ESR 
 Xray results reported in text of review
Notes Wenger 1983 reports final analysis of data from Katz et al 1982 Wenger results included 
 Quality score: 3 
 Allocation concealment: unclear 
 Only blinded phase included 
 Reported: end of trial results. No SDs included 
 Converted global efficacy to 4 point scale and combined groups = worse with therapeutic failure. Mean & SD calculated. Numbers of ADRs not requiring withdrawal not reported except for diarrhea.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear