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. 2011 Feb 15;2011(2):CD005504. doi: 10.1002/14651858.CD005504.pub2

Trenkwalder 1995.

Methods Randomised controlled crossover trial of levodopa versus placebo
Dropouts/withdrawals: PP of 28, 4 premature discontinuations (2 before drug intake)
Participants Included/analysed: 32/28
Demographics: 18 male, age 52.0 years
Diagnosis: primary and secondary RLS according to descriptive criteria, PLMS‐AI > 5, sleep onset latency > 25 and/or sleep efficiency < 85%
Setting: 1 centre in Germany
Baseline: severity on RLS rating scale 7.9 (0 to 10 points = severe)
Interventions Intervention: flexible uptitration of single dose levodopa/benserazide from 100 mg/25 mg to 200 mg/50 mg in 2 weeks, maintenance for 2 weeks
Control: single dose placebo capsules for 4 weeks
No washout between treatment periods
Outcomes Change of symptoms: CGI‐I, VAS on severity of RLS symptoms during the night
Objective quality of sleep: TST, PLMSI (using PSG)
Self rated quality of sleep: VAS on quality of sleep
Quality of Life: VAS on life satisfaction
Safety: Number of dropouts due to adverse events, number of patients experiencing adverse events
funding source No funding stated.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Randomisation was done by the sponsor with a computer based system.
Allocation concealment? Low risk Patient randomisation numbers were allocated sequentially in the order of recruitment of patients. The allocated number was then the patient code.
Blinding? 
 All outcomes Unclear risk Unblinding was done after the complete database had been transferred to the sponsor.
Incomplete outcome data addressed? 
 All outcomes Low risk No incomplete outcome data.
Free of selective reporting? Low risk All results reported as prespecified with additional questionnaire data.
Free of other bias? Low risk Low indication of bias.