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. 2022 Apr 7;2022(4):CD007216. doi: 10.1002/14651858.CD007216.pub2

Aoki 2012.

Study characteristics
Methods Study design: RCT
Settings: NR
Study period: January 2006 to January 2011
Trial/protocol registration and availability: not available
Participants Inclusion criteria: active UC, refractory to corticosteroids
Exclusion criteria: NR
Disease activity: NR
Disease duration: NR
Extent of disease: NR
Age: mean: IG: 41.4 (SD 15.7) years; CG: 34.7 (SD 13.9) years
Sex (M/F): IG: 23/10; CG: 40/40
Concurrent therapies: NR
Number randomised: IG: 33; CG: 80
Number reaching end of study: 113
Interventions IG: tacrolimus 0.05–0.15 mg/kg bodyweight/day, IV
CG: ciclosporin 2 mg/kg bodyweight/day, IV
Outcomes Length of intervention and follow‐up points: 14 days of remission induction therapy, followed up for 12 months
Primary outcomes
Definition of remission or clinical improvement by study authors: participants who achieved a CAI score ≥ 3 were considered to have achieved remission. A decrease in CAI by ≥ 4 points was considered clinical improvement
Number of participants who achieved remission: IG: 15; CG: 24
Number of participants who achieved clinical improvement: IG: 23; CG: 62
Secondary outcomes
Number of participants who required other rescue medication: NR
Number of participants who underwent surgery: NR
Adverse events: NR
Withdrawal due to adverse events: NR
Serious adverse events: NR
Time to adverse events from beginning of study: NR
Notes Author contact details: no details found
Conflict of interest: NR
Sponsor: NR
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk RCT but randomisation method not specified.
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk No information provided. Likely high as tacrolimus was provided orally and ciclosporin IV.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No information provided.
Incomplete outcome data (attrition bias)
All outcomes Low risk All participants reached end of study.
Selective reporting (reporting bias) Low risk Authors stated outcomes in their methods were reflected in their results.
Other bias High risk Major differences in numbers randomised between groups. Also, the ratio of M:F in the CG was 1:1 (40 M and 40 F); however, in the IG, the ratio was about 2:1 (23 M and 10 F).