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. 2022 Nov 3;2022(11):CD013403. doi: 10.1002/14651858.CD013403.pub2

Gelfand 1976.

Study characteristics
Methods Design: randomised, double‐blind, single‐centre, cross‐over trial
Exclusions postrandomisation: none reported
Losses to follow‐up: 2 participants did not complete their series of treatment courses because the main study was terminated
Duration of study: 6–11 months
Unit of randomisation: participant
Participants Country: US
Setting: outpatient
Number: 5 women (aged 25–38 years) and 4 men (aged 28–63 years) with HAE were selected. Each had an attack frequency ≥ 1 per month. Diagnosis established on basis of characteristic clinical history, low serum C4 and low C1‐INH activity
Age (mean): 34.9 (SD 11.4) years
Sex: 4 men (44.4%); 5 women (55.6%)
Inclusion criteria: attack frequency ≥ 1 per month; diagnosis of HAE.
Exclusion criteria: not stated.
Interventions Danazol capsules 200 mg 3 times/day
Placebo capsules 3 times/day
9 people were randomised each 28‐day period to receive either danazol or placebo capsules for 28 days, for a total of 93 courses (46 courses in which participants were taking danazol, 47 courses where the participants were taking placebo).
Outcomes Rate of HAE attacks, functional C1‐INH, C4 concentrations
Funding Funded and carried out by NIH.
Declarations of interest No conflicting interest information provided.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation generation method not stated.
Allocation concealment (selection bias) Unclear risk Unclear whether allocation concealment took place.
Blinding of participants and personnel (performance bias) Low risk Participants and personnel were blinded to allocation.
Blinding of outcome assessment (detection bias) Unclear risk Unclear if outcome assessors were blinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk No evidence of attrition.
Selective reporting (reporting bias) Unclear risk Protocol was not published.
Other bias Low risk We identified no other sources of bias.