Study |
Bias |
Randomisation process |
Deviations from intended interventions |
Missing outcome data |
Measurement of the outcome |
Selection of the reported results |
Overall |
Authors' judgement |
Support for judgement |
Authors' judgement |
Support for judgement |
Authors' judgement |
Support for judgement |
Authors' judgement |
Support for judgement |
Authors' judgement |
Support for judgement |
Authors' judgement |
Support for judgement |
Subgroup 6.1.1 White |
Corral‐Gudino 2021 |
Some concerns |
We judged the domain some concerns due to missing information about the allocation concealment. |
Low risk of bias |
Open‐label design (participants and clinicians were aware of the assigned treatment). ITT data presented. |
Low risk of bias |
No substantial data missing. |
Low risk of bias |
Both groups were measured at the same time and the measurements were similar between groups. |
Some concerns |
Outcome was registered in Eudra‐CT as in‐hospital mortality but reported as 28‐day‐mortality in the supplemental material. |
Some concerns |
Overall judged some concerns due to selection of reported results and missing information about the allocation concealment. |
Horby 2021 |
Low risk of bias |
Randomisation was performed with the use of a web‐based system with concealment of the trial‐group assignment. No baseline differences between the groups. |
Some concerns |
8% of the participants in the control group received dexamethasone. |
Low risk of bias |
6425 participants were randomised and 6425 were analysed. |
Low risk of bias |
Both groups were measured at the same time. The measurements were similar between groups. |
Low risk of bias |
Protocol and statistical plan available. |
Some concerns |
Overall judged some concerns due to deviations from the intended intervention in the control group. |
Subgroup 6.1.2 Black, Asian or minority ethnic group |
Horby 2021 |
Low risk of bias |
Randomisation was performed with the use of a web‐based system with concealment of the trial‐group assignment. No baseline differences between the groups. |
Some concerns |
8% of the participants in the control group received dexamethasone. |
Low risk of bias |
6425 participants were randomised and 6425 were analysed. |
Low risk of bias |
Both groups were measured at the same time. The measurements were similar between groups. |
Low risk of bias |
Protocol and statistical plan available. |
Some concerns |
Overall judged some concerns due to deviations from the intended intervention in the control group. |
Subgroup 6.1.3 Unknown |
Horby 2021 |
Low risk of bias |
Randomisation was performed with the use of a web‐based system with concealment of the trial‐group assignment. No baseline differences between the groups. |
Some concerns |
8% of the participants in the control group received dexamethasone. |
Low risk of bias |
6425 participants were randomised and 6425 were analysed. |
Low risk of bias |
Both groups were measured at the same time. The measurements were similar between groups. |
Low risk of bias |
Protocol and statistical plan available. |
Some concerns |
Overall judged some concerns due to deviations from the intended intervention in the control group. |