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. 2023 Mar 6;2023(3):MR000055. doi: 10.1002/14651858.MR000055.pub2

Fangman 1963.

Study characteristics
Methods Type: preclinical
Design: 12‐period cross‐over design (4 repetitions of standard placebo, 2 repetitions of 2 doses of active placebo, 2 repetitions of 2 doses of experimental drug)
Objective: to investigate the effects of morphine on radiant heat pain thresholds and ischaemic muscle pain thresholds
Treatment duration: instant (single bolus per cross‐over period)
Follow‐up duration (including treatment duration): 2 hours per cross‐over period
Washout between cross‐over periods: each cross‐over treatment probably on separate days
Data Country: USA
Condition: experimental pain (radiant heat pain and ischaemic muscle pain)
Number of people randomised: 4 randomised to a sequence of interventions
Number of people analysed: 4
Comparisons Active placebo: phenobarbital (2 groups: 30 mg and 60 mg)
Standard placebo: water
Experimental intervention: morphine (2 groups: 7.5 mg and 10 mg)
Administration: IV
Outcomes Participant‐reported outcome: radiant heat pain threshold (pricking pain) and ischaemic muscle pain threshold (both probably assessed during the 2‐hour cross‐over period)
Observer‐reported outcome: none
Harm outcome: qualitative summary effect and side‐effect experienced by each participant
Co‐intervention outcome: none
Terminology for active placebo "Active placebo" a priori
Scores and unpleasantness of the active placebo Adequacy: 3
Risk of therapeutic effect: 1
Unpleasant/neutral/pleasant: unpleasant
Funding and conflicts of interest Funding and conflicts of interest not reported
Notes Not in meta‐analysis for any outcome
Risk of bias
Item Authors' judgement Support for judgement
Free from risk of bias arising from the randomisation process Unclear No information.
Free from risk of bias in selection of the reported result
All outcomes Unclear No information.