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. 2011 Oct 5;2011(10):CD004184. doi: 10.1002/14651858.CD004184.pub2

White 1999a.

Methods randomized, double blind , double‐dummy, crossover design. 3‐week single blind, placebo run‐in period, 8‐week double‐blind crossover treatment period (each 4 weeks) 
 sample size calculation: yes 
 carryover effects: not reported 
 no washout period between treatment arms
Participants Country: the United States 
 Number randomised: 85,75 completed 
 Mean age: 57.8±9.1(SD) years 
 gender: 43 men, 32 women, . 
 Ethnicity: 46 White, 26 Black, 2 Hispanic, 1 Asian. 
 Inclusion criteria: age≥21 years, seated office DBP≥90 mm Hg and ≥109 mm Hg 
 exclusion criteria: secondary hypertension, SBP>200 mm Hg or DBP≥110 mm Hg, bradycardia , tachycardia , stroke or myocardial infarction in the previous 6 months, congestive heart failure, clinically significant hepatic or renal disease, uncontrolled diabetes mellitus, life‐style factors such as night‐shift work or regular naps during the daytime, or history of allergy or intolerance to study medications.
Interventions 20 mg nisoldipine ER in the morning , and matching placebo in the evening, N=85 
 20 mg nisoldipine ER in the evening, and matching placebo in the morning: N=85
Outcomes Mortality: not reported
Morbidity: not reported
Blood Pressure data: 24h BP change by 24h ABPM (table 3 on page 809)
Adverse Events: not reported
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk randomization schedule
Allocation concealment (selection bias) Unclear risk not reported
Blinding (performance bias and detection bias) 
 All outcomes Low risk double‐dummy, matching placebo
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Data in all patients were reported. eight patient withdrawn for adverse events, two patients were lost to follow‐up.
Selective reporting (reporting bias) Low risk All outcomes were reported.
Other bias Unclear risk carryover effects were not reported.

BP: blood pressure

SBP: Systolic blood pressure

DBP: diastolic blood pressure

MI: Myocardial infarction

GITS: gastrointestinal therapeutic system

HR: heart rate

ABPM: ambulatory blood pressure monitoring

JNC: Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

ER: extended‐release

SD: standard deviation

SE: standard error

h: hour

BMI: body mass index

WHO: World Health Organization

COER: controlled onset extended release

GRD: graded‐release diltiazem HCl extended‐release

PROBE: prospective, randomized, open‐label, blinded end point

MAPEC: Ambulatory Blood Pressure Monitoring in the Prediction of Cardiovascular Events and Effects of Chronotherapy