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 |
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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. |
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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). |
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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. |