Probert 2003.
Methods | Randomized, double blind, placebo‐controlled study at 4 centers in the United Kingdom and Germany | |
Participants | 43 male and female patients (at least 18 years of age) with moderately severe glucocorticoid resistant UC Patients had to have received at least 30 mg prednisolone (or equivalent) for at least 1 week, for relapse but still had clinical activity Patients had to have an ulcerative colitis symptom score (UCSS) ≥6 and a sigmoidoscopy score of at least 2 on the Baron scale Patients had biopsies taken to verify the presence of active disease |
|
Interventions | Patients were randomized to receive either placebo or 5 mg of infliximab/kg of body weight at 0 and 2 weeks Consectuive patients were randomized in blocks of 4 within each center |
|
Outcomes | The primary outcome was the proportion of patients in remission at week 6 (UCSS ≤ 2 and a Baron score of 0) Secondary outcomes included change in the UCSS, Baron score, HRQL, C‐reactive protein levels and change in daily glucocorticoid dose HRQL was assessed with the IBDQ and EQ‐5D indices | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Consecutive patients randomized in blocks of 4 at each center |
Allocation concealment (selection bias) | Unclear risk | Method of randomisation and allocation was not described |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Pharmacists, investigators and participants were blinded to the treatment administered |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not described in the methods |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All patients completed the 6 week study and all results reported |
Selective reporting (reporting bias) | Low risk | Results of all outcomes and patients reported in the text |
Other bias | Low risk | No other apparent sources of bias |