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. 2015 Sep 22;2015(9):CD008655. doi: 10.1002/14651858.CD008655.pub3

Sandborn 2014.

Methods An integrated double‐blind phase 2 dose‐finding and phase 3 dose‐confirmation trial
Participants 1064 adults with UC (Mayo score: 6‐12; endoscopic subscore > 2; n=774 patients in phase 3) were included
Interventions Patients were randomized (1:1:1:1) to receive subcutaneous injections of placebo or golimumab 100/50 mg, 200/100 mg or 400/200 mg in phase 2
Patients were randomized (1:1:1) to received subcutaneous injections of placebo or golimumab 200/100 mg or 400/200 mg at weeks 0 and 2 in phase 3
Outcomes The phase 3 primary end point was week‐6 clinical response
 Secondary end points included week‐6 clinical remission, mucosal healing, and Inflammatory Bowel Disease Questionnaire (IBDQ) score change
Notes NCT00487539
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Central randomization using an interactive voice response system
 In phase 2 patients were allocated using an adaptive randomization procedure with stratification by investigative site
 Following phase 2 allocation was performed using a permuted block randomization schema
Allocation concealment (selection bias) Low risk Central allocation was performed
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Double‐blind and matched placebo but further detail not provided
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Methods not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 13/774 (1.7%) patients were excluded from the efficacy analysis due to noncompliance with good clinical practice (e.g. source documentation, informed consent process) at the study site
Selective reporting (reporting bias) Low risk Results of all outcomes were reported
Other bias Low risk No other apparent sources of bias