Trenkwalder 2007.
Methods | Randomised active controlled parallel‐group trial of levodopa versus cabergoline Dropouts/withdrawals: ITT (361) and PP (204) with premature discontinuations of 83 (levodopa) and 74 (cabergoline) |
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Participants | Included/analysed: long term: 361 patients (178 cabergoline, 183 levodopa), short term: 204 (104 cabergoline, 100 levodopa) Demographics: 46 (levodopa)/58 (cabergoline) male, age 56.9 (levodopa)/58.7 (cabergoline) Diagnosis: RLS according to IRLSSG, symptom severity on IRLS ≥ 10 and RLS‐6 "severity at night" ≥ 4. Setting: 51 centres in 4 European countries Baseline: IRLS score of 25.6 (levodopa) and 25.8 (cabergoline) |
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Interventions | Intervention 1: fixed uptitration of single dose cabergoline to 2.0 mg which could be increased to 3.0 mg (in 2 weeks), maintenance up to 6/ 8 weeks and to 24 weeks Intervention 2: fixed uptitration of single dose levodopa/benserazide 200 mg/50 mg (in 8 days) which could be increased to to 300 mg/75 mg, maintenance up to 6/ 8 weeks and to 24 weeks |
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Outcomes | Change of symptoms: IRLS, CGI‐I Self rated quality of sleep: RLS‐6 satisfaction with sleep Daytime tiredness: RLS‐6 daytime tiredness Quality of life: RLS‐QoL Safety: number of dropouts due to adverse events, number of patients with adverse events |
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funding source | The study was supported by Pfizer GmbH. | |
Notes | RLS‐QoL: Restless Legs Syndrome Quality of Life questionnaire | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Low risk | Sequentially assigned to one of the two treatments by the investigators using medication numbers in ascending order for each block of 4 which was allocated to the study site after central randomisation using the program SAS Proc. Plan Version v8.2. |
Allocation concealment? | Low risk | Medication numbers in ascending order. See above. |
Blinding? All outcomes | Low risk | Identical looking tablets. |
Incomplete outcome data addressed? All outcomes | Low risk | Dropouts and reasons described. |
Free of selective reporting? | Low risk | All results reported as prespecified with further report of short term data for secondary outcomes following request. |
Free of other bias? | Low risk | Low indication of other bias. |