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Duarte A, Mebrahtu T, Goncalves PS, et al. Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people: systematic review and economic evaluation. Southampton (UK): NIHR Journals Library; 2017 Nov. (Health Technology Assessment, No. 21.64.)
Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people: systematic review and economic evaluation.
Show detailsItem | Period | |||
---|---|---|---|---|
Placebo crossover and active treatment (12–52 weeks) | Follow-up (52–60 weeks) | |||
Judgement | Justification | Judgement | Justification | |
Is the population based on a representative sample selected from a relevant population? | Yes | All participants from the initial blinded period were eligible to enter the crossover phase of the study | Yes | All participants from previous phases were eligible for follow-up |
Are the criteria for inclusion explicit? | Yes | All participants from the initial blinded period were eligible to enter the crossover phase of the study | Yes | All participants from previous phases were eligible for follow-up |
Were groups similar at baseline in terms of important confounding variables? If not, was the analysis adjusted to account for the imbalance? | NA | This phase of the study did not aim for comparative analysis | NA | This phase of the study did not aim for comparative analysis |
Was knowledge of the allocated intervention by outcome assessors adequately prevented during the study? | Yes | The sponsor, investigative study sites and participants remained blinded to treatment assignment until the last participant enrolled had completed the study | Yes | The sponsor, investigative study sites and participants remained blinded to treatment assignment until the last participant enrolled had completed the week 60 evaluations and the database was locked |
Were losses to follow-up < 20%? | Yes | Only 7 out of 110 participants withdrew by the end of this phase | Unclear | The total loss to follow-up or withdrawals at this phase of the study were not reported |
Were all patients accounted for at the end of study follow-up? | Yes | Withdrawals and reasons (e.g. AEs, death and lack of efficacy) were reported | Unclear | The total loss to follow-up for this phase of the study was not reported |
Were reliable methods used to measure outcomes? | Yes | PASI scores were reported | NA | The follow-up was aimed only at safety reports |
Was the study sufficiently powered to detect a treatment effect? | NA | The follow-up period did not aim for comparative analyses | NA | The follow-up period did not aim for comparative analyses |
Was the study follow-up duration sufficient to detect a long-term treatment effect? | Yes | Participants were followed up for 40 weeks | No | Participants were followed up for only 8 weeks |
NA, not applicable.
- Ustekinumab risk-of-bias assessment for trial extension periods - Adalimumab, et...Ustekinumab risk-of-bias assessment for trial extension periods - Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people: systematic review and economic evaluation
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