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. 2021 Dec 6;2021(12):CD011300. doi: 10.1002/14651858.CD011300.pub3

Stanley 1986.

Study characteristics
Methods International randomised multicentre trial
Participants Number of participants: 441 (February 1979 to October 1981)
Number randomised
  • Experimental group (BCG + isoniazid): not specified in the report

  • Control group (saline): not specified in the report


Number evaluated
  • Experimental group: 198, age: < 70 years

  • Control group: 209, age: < 70 years


Diagnosis: patients with a completely resected stage I and stage II non‐small cell bronchogenic carcinom
Inclusions: this trial included only those participants with a resected non‐small cell carcinoma pT1N0M0, pT2N0M0, pT1N1M0, or pT2N1M0 (stages I and 11). Participants < 70 years of age, and those without history of previous malignancy, radiotherapy, chemotherapy, or immunosuppressive treatment.
Interventions Experimental group: a single dose of 1 X 10⁷ units of BCG Tice were given into the pleural space between day 6 and day 12 postoperatively. Isoniazid (INH) 300 mg/day by mouth, starting on the 14th postinjection day and continuing for 12 weeks.
Control group: 35 cc of saline injected through the pleural catheter and no INH was given.
Outcomes Duration of follow‐up (median): 4.7 years
  • Disease‐free interval

  • Overall survival

  • Adverse events

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Had placebo comparator without detailed explanation of blinding of participants or researchers
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk 407 randomised participants were included in analysis (90.8%)
Selective reporting (reporting bias) High risk No protocol was available, and no prespecified primary outcome was reported.
Other bias Low risk No obvious potential source of bias