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 |
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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 |