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a6f07aad-d8d3-4020-9b2f-574c49834601
10.1097/HJH.0b013e328334c126
# Riboflavin lowers blood pressure in cardiovascular disease patients homozygous for the $677 \mathrm{C} \rightarrow \mathrm{T}$ polymorphism in MTHFR Geraldine Horigana, Helene McNultya, Mary Warda, J.J. Straina, John Purvisb and John M. Scottc Objective The purpose was to examine the effect of intervention with r...
Systolic blood pressure
Low risk of bias
No information about allocation concealment, but a statement that the study is randomised. We judged that the allocation sequence was probably concealed until participants were enrolled and assigned to the intervention. There was no information on baseline differences between the groups – a table of baseline characteri...
High risk of bias
Excluded 18 participants from the analyses after randomisation (including 2 outliers).
High risk of bias
BP data was presented for 179 of 197 participants (91%). Data excluded from 2 participants because their values for BP were outliers. Data also excluded from 16 other paritipcnats for a variety of resaons, the most common being 'not contactable or withdrew voluntaryily' (n=7).
Low risk of bias
BP measured in standard way (two separate measurements taken 15 min apart with patient at rest). Outcome assessor was blinded to intervention status.
Some concerns
No information about whether data were analysed in accordance with a pre-specified analysis plan that was finalised before unblinded outcome data were available.
High risk of bias
b4f4d777-2b63-4252-a76f-40fbf01244da
10.1212/wnl.50.2.466
# Effectiveness of high-dose riboflavin in migraine prophylaxis A randomized controlled trial J. Schoenen, MD, PhD; J. Jacquy, MD; and M. Lenaerts, MD Article abstract—A deficit of mitochondrial energy metabolism may play a role in migraine pathogenesis. We found in a previous open study that high-dose riboflavin wa...
Adverse events
Low risk of bias
The allocation sequence was concealed and known only to the pharmacist who prepared the study material.
Low risk of bias
Participants and investigators were blinded and there was no apparent deviations from the intended intervention.
Low risk of bias
5 people were excluded from the analysis after randomisation out of 55 people randomised.
Low risk of bias
Investigators were blinded to intervention status.
Some concerns
No information about whether data were analysed in accordance with a pre-specified analysis plan that was finalised before unblinded outcome data were available.
Some concerns
3ce32920-d4f7-4b67-84ef-50330dedd6e8
10.1093/eurheartj/ehz745.0428
P3566 # Ambulatory blood pressure response to riboflavin supplementation in adults with the C677T polymorphism in the folate metabolising enzyme methylenetetrahydrofolate reductase (MTHFR) M. Ward<sup>1</sup>, C.F. Hughes<sup>1</sup>, A. Mc Mahon<sup>1</sup>, M. Rooney<sup>1</sup>, J.J. Strain<sup>1</sup>, R. Plumb<s...
Systolic blood pressure
High risk of bias
No information about allocation concealment, but a statement that the study is randomised. Large imbalances in sex and moderate differences in BP that were very unlikely to be due to chance, and most likely because only the results from participants with SBP of 125 mmHg or more at baseline were presented.
High risk of bias
Analyses excluded eligible participants who had baseline SBP under 125 mmHg.
High risk of bias
No outcome data was presented for participants who had baseline SBP under 125 mmHg.
Low risk of bias
Trial registry information describes the trial as double-blind (participants and investigators blinded).
High risk of bias
The results from only a subset of participants are presented, which suggests the numerical result may have been selected on the basis of multiple analyses of the data.
High risk of bias
c1f1f0d8-6e51-4e6d-a36f-a470162f4522
10.1161/HYPERTENSIONAHA.111.01047
# Stratified Treatment of Hypertension # Blood Pressure in Treated Hypertensive Individuals With the MTHFR 677TT Genotype Is Responsive to Intervention With Riboflavin Findings of a Targeted Randomized Trial Carol P. Wilson, Helene McNulty, Mary Ward, J.J. Strain, Tom G. Trouton, Birgit A. Hoeft, Peter Weber, Franz F...
Systolic blood pressure
Low risk of bias
No information about allocation concealment, but a statement that the study is randomised. We judged that the allocation sequence was probably concealed until participants were enrolled and assigned to the intervention. There are some differences in baseline characteristics between group, although none are statisticall...
High risk of bias
4 outliers were removed for BP.
High risk of bias
There were 3 drop outs. In addition data from 4 participants was excluded because their values for BP were outliers.
Low risk of bias
Outcome assessor was blinded to intervention status.
Some concerns
No information about whether data were analysed in accordance with a pre-specified analysis plan that was finalised before unblinded outcome data were available.
High risk of bias
2ac14668-0317-41e4-b567-daebbd19a146
10.1097/HJH.0b013e328334c126
# Riboflavin lowers blood pressure in cardiovascular disease patients homozygous for the $677 \mathrm{C} \rightarrow \mathrm{T}$ polymorphism in MTHFR Geraldine Horigana, Helene McNultya, Mary Warda, J.J. Straina, John Purvisb and John M. Scottc Objective The purpose was to examine the effect of intervention with r...
Diastolic blood pressure
Low risk of bias
No information about allocation concealment, but a statement that the study is randomised. We judged that the allocation sequence was probably concealed until participants were enrolled and assigned to the intervention. There was no information on baseline differences between the groups – a table of baseline characteri...
High risk of bias
Excluded 18 participants from the analyses after randomisation (including 2 outliers).
High risk of bias
BP data was presented for 179 of 197 participants (91%). Data excluded from 2 participants because their values were outliers. Data excluded from 16 other participants for a variety of reasons, the most common being 'not contactable or withdrew voluntarily' (n=7).
Low risk of bias
BP measured in standard way (two separate measurements taken 15 min apart with patient at rest). Outcome assessor was blinded to intervention status.
Some concerns
No information about whether data were analysed in accordance with a pre-specified analysis plan that was finalised before unblinded outcome data were available.
High risk of bias
6b06eef4-8524-4b97-b1b6-416d9ef15b9b
10.1161/HYPERTENSIONAHA.111.01047
# Stratified Treatment of Hypertension # Blood Pressure in Treated Hypertensive Individuals With the MTHFR 677TT Genotype Is Responsive to Intervention With Riboflavin Findings of a Targeted Randomized Trial Carol P. Wilson, Helene McNulty, Mary Ward, J.J. Strain, Tom G. Trouton, Birgit A. Hoeft, Peter Weber, Franz F...
Diastolic blood pressure
Low risk of bias
No information about allocation concealment, but a statement that the study is randomised. We judged that the allocation sequence was probably concealed until participants were enrolled and assigned to the intervention. There are some differences in baseline characteristics between group, although none are statisticall...
High risk of bias
4 outliers were removed for DBP.
High risk of bias
There were 3 drop outs and 4 outliers excluded out of 91 randomised.
Low risk of bias
Outcome assessor was blinded to intervention status.
Some concerns
No information about whether data were analysed in accordance with a pre-specified analysis plan that was finalised before unblinded outcome data were available.
High risk of bias
831f1327-9019-4db6-b625-26231f7c5533
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
clinical worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
36979232-c25d-43e2-ac00-1a5f7d99677c
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
clinical worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
dc00bdfa-bfd9-4c1f-a981-72237fcf5730
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
clinical worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
d1cae5ac-c6d1-4dfe-bdc9-29c93bc7d775
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
2519c0ea-b8a1-4c7b-98c5-f028c1510d9e
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
fec7b863-e04a-4fc6-bbb2-9c7b91fd8c53
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
71e1b252-cbc1-4fbb-8eea-25365d1c37ef
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
5ccbfa7e-fa67-4513-a0e3-485ca8555343
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
f7b85174-529d-4a32-b2ab-5013115e4f31
10.1016/j.healun.2010.11.009
# Tadalafil monotherapy and as add-on to background bosentan in patients with pulmonary arterial hypertension Robyn J. Barst, MD, $^{a}$ Ronald J. Oudiz, MD, $^{b}$ Anthony Beardsworth, MD, $^{c}$ Bruce H. Brundage, $^{d}$ Gerald Simonneau, MD, $^{e}$ Hossein A. Ghofrani, MD, $^{f}$ David P. Sundin, PhD, $^{c}$ ...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
4bf68ede-fefc-4685-8f8f-ecb71b51f8fd
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Clinical worsening
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
787c43c3-e069-4c21-b368-3092cdd2959e
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Clinical worsening
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
f2191f10-9572-42b0-a86b-e52ee30c0ced
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Clinical worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
e160a120-0834-40d1-862b-2bfdc7dc85ab
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Death
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
5473ad8a-93c5-44a0-87ee-165bddff0e76
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Death
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
215778c4-feae-4965-baca-8124860d6e9a
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
536cd7a1-3c05-4737-87d2-8cc268223b41
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Hospitalization
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
1973ce34-32b3-414d-9f05-65e2777038d4
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Hospitalization
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
a41a8f8b-d9aa-49b2-a02b-bef2251543d0
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Hospitalization
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
c3a6ac8e-16eb-46e5-8671-4cc2a79e939f
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
f3253e05-2bc6-467f-9a99-885be4b526a7
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
37eded25-5770-473a-b03b-2a164a4afa0e
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
78992481-fc30-4f17-ac0c-279838910015
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
CFB in BDS
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
f6b0d458-add2-4db5-bff3-960f0321f837
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
CFB in BDS
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
4c23480e-25d7-471e-a367-eb0d6d49a30c
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
CFB in BDS
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
aa498833-4e35-47e4-9279-b8aaa88eaa31
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
a8321fcc-b8ed-4754-a556-c50ba4a8de73
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
High risk of bias
High dropout rates ranging 21% to 29%.
Low risk of bias
null
Low risk of bias
null
High risk of bias
58f72bde-061f-4e5b-b729-cf61b4a58a2c
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
2f645d90-065d-4b4e-82c5-216cb533b819
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
b59485e4-dba3-42d9-b9d5-109da876cd47
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
6a76f904-0ecd-4272-aa92-381b07a6cd30
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
a7c2b87d-20a0-44cd-8775-ce70988b0595
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
4f03d0e0-b8f3-4567-b15a-f170e5120701
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
99024596-7a2f-49a8-bf7d-ed62d8370bc5
10.1056/NEJMoa1413687
# ORIGINAL ARTICLE # Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension N. Galiè, J.A. Barberà, A.E. Frost, H.-A. Ghofrani, M.M. Hoeper, V.V. McLaughlin, A.J. Peacock, G. Simonneau, J.-L. Vachiery, E. Grünig, R.J. Oudiz, A. Vonk-Noordegraaf, R.J. White, C. Blair, H. Gillies, K.L. Miller, J.H...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
121323aa-9760-494a-872d-101ad9f09ea3
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
e146c2a1-161e-42c9-a2f5-97cfbb582ea1
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
61e5a0de-6a6f-4165-95a7-7553be3b398b
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
86a1fd11-d41e-4b8c-9f1b-8d5854df4d71
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
d21fcdfb-51f9-4ce2-a6f7-c516f3633cfb
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
f12fee1b-2e6a-4e63-8d89-2c67bc586047
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
d2487457-fb27-49e2-a4a2-651265490d9f
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
b073f4e9-ec48-4fec-a2b4-befb15e7c58a
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
b2e2c6f2-e969-4a81-9faa-088c32257c6a
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
85971afe-a332-4017-9c7e-cf61087fffeb
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
3fb4a06e-bcd2-45de-9cf6-f01d223058b9
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
172fa207-d2c9-4a9c-b148-3a2fdec7c4a1
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
e209f087-cb99-438f-a52c-ee06db2a0a3c
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
a78ff6f5-c6af-44e9-9fbd-f1cd9854d2b5
10.1016/j.jacc.2023.10.045
# Randomized Trial of Macitentan/Tadalafil Single-Tablet Combination Therapy for Pulmonary Arterial Hypertension ![](10.1016:j.jacc.2023.10.045/vlm/images/21686a8ba3d75292bd8f88ebeef3e722662991f28b813208057541edaf45341b.jpg) Ekkehard Grünig, MD, $^{a}$ Pavel Jansa, MD, PHD, $^{b}$ Fenling Fan, MD, PHD, $^{c}$ Jako...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
1273437e-3290-4ed4-ad54-3edff678fe4f
10.1183/13993003.02044-2014
# Bosentan added to sildenafil therapy in patients with pulmonary arterial hypertension Vallerie McLaughlin<sup>1</sup>, Richard N. Channick<sup>2</sup>, Hossein-Ardeschir Ghofrani<sup>3</sup>, Jean-Christophe Lemarie<sup>4</sup>, Robert Naeije<sup>5</sup>, Milton Packer<sup>6</sup>, Rogério Souza<sup>7</sup>, Victor ...
Clinical worsening
Low risk of bias
null
Low risk of bias
null
High risk of bias
null
Low risk of bias
null
Low risk of bias
null
High risk of bias
a4bda677-8653-4243-a804-2469aa379bb3
10.1183/13993003.02044-2014
# Bosentan added to sildenafil therapy in patients with pulmonary arterial hypertension Vallerie McLaughlin<sup>1</sup>, Richard N. Channick<sup>2</sup>, Hossein-Ardeschir Ghofrani<sup>3</sup>, Jean-Christophe Lemarie<sup>4</sup>, Robert Naeije<sup>5</sup>, Milton Packer<sup>6</sup>, Rogério Souza<sup>7</sup>, Victor ...
Death
Low risk of bias
null
Low risk of bias
null
High risk of bias
null
Low risk of bias
null
Low risk of bias
null
High risk of bias
824cb1d2-e50a-4533-ab02-bab4daf14bd4
10.1183/13993003.02044-2014
# Bosentan added to sildenafil therapy in patients with pulmonary arterial hypertension Vallerie McLaughlin<sup>1</sup>, Richard N. Channick<sup>2</sup>, Hossein-Ardeschir Ghofrani<sup>3</sup>, Jean-Christophe Lemarie<sup>4</sup>, Robert Naeije<sup>5</sup>, Milton Packer<sup>6</sup>, Rogério Souza<sup>7</sup>, Victor ...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
High risk of bias
null
Low risk of bias
null
Low risk of bias
null
High risk of bias
6426d552-dde2-4ce8-9c1b-c30dd41ac812
10.1183/13993003.02044-2014
# Bosentan added to sildenafil therapy in patients with pulmonary arterial hypertension Vallerie McLaughlin<sup>1</sup>, Richard N. Channick<sup>2</sup>, Hossein-Ardeschir Ghofrani<sup>3</sup>, Jean-Christophe Lemarie<sup>4</sup>, Robert Naeije<sup>5</sup>, Milton Packer<sup>6</sup>, Rogério Souza<sup>7</sup>, Victor ...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
46479345-1cae-46c8-a7d1-5bfb94299b49
10.1183/13993003.02044-2014
# Bosentan added to sildenafil therapy in patients with pulmonary arterial hypertension Vallerie McLaughlin<sup>1</sup>, Richard N. Channick<sup>2</sup>, Hossein-Ardeschir Ghofrani<sup>3</sup>, Jean-Christophe Lemarie<sup>4</sup>, Robert Naeije<sup>5</sup>, Milton Packer<sup>6</sup>, Rogério Souza<sup>7</sup>, Victor ...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
f14d569b-948b-43d9-834a-a3e9d1a981a7
10.1016/j.ihj.2021.07.007
Research Brief # A randomized, double-blind, placebo-controlled study to evaluate sildenafil, ambrisentan combination therapy in pulmonary hypertension, particularly of Eisenmenger syndrome ![](10.1016:j.ihj.2021.07.007/vlm/images/f036acc2cc7a95cf1dc38bb07659605a1e8424568985b01033efb84860f62cd0.jpg) Shaadab Mohammed...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
81d2f06b-249f-4217-b250-3b39127cbd4b
10.1056/NEJMoa1213917
# ORIGINAL ARTICLE # Macitentan and Morbidity and Mortality in Pulmonary Arterial Hypertension Tomás Pulido, M.D., Igor Adzerikho, M.D., Richard N. Channick, M.D., Marion Delcroix, M.D., Nazzareno Galie, M.D., Hossein-Ardeschir Ghofrani, M.D., Pavel Jansa, M.D., Zhi-Cheng Jing, M.D., Franck-Olivier Le Brun, M.Sc., Sa...
Clinical worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
15d69ffb-8714-49d5-ab9b-8855785263b3
10.1056/NEJMoa1213917
# ORIGINAL ARTICLE # Macitentan and Morbidity and Mortality in Pulmonary Arterial Hypertension Tomás Pulido, M.D., Igor Adzerikho, M.D., Richard N. Channick, M.D., Marion Delcroix, M.D., Nazzareno Galie, M.D., Hossein-Ardeschir Ghofrani, M.D., Pavel Jansa, M.D., Zhi-Cheng Jing, M.D., Franck-Olivier Le Brun, M.Sc., Sa...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
048ccf77-e748-41ba-b605-d4f68b6dd690
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
Clinical worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
6d0a345e-2e7b-4ba3-821b-59c38fa8fee7
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
4fe58e6b-17c0-407c-9dec-03fa401e433a
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
Hospitalization
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
2afe98d2-1458-4cd1-a922-2cb9f314b297
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
9cb13015-a3a0-4050-ab2e-f32640cf649f
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
CFB in BDS
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
b689f144-55dc-4250-9b91-0b13f25962ab
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
WHO FC worsening
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
9a14e419-cf61-4a09-9a1c-93ea9ea57c90
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
SAE
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
60b7aa77-8654-4ea2-be1b-f4884b1b95e0
10.1186/s12872-017-0674-3
# Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial ![](10.1186:s12872-017-0674-3/vlm/images/7a30ca664941abd7920d5d2227d3cb6774ef642d4027678a58e693ecc8da40cc.jpg) Carmine Dario Vizza $^{1*}$ , Pavel Jansa $^{2}$ , Simon Teal $^{3}$ , Theresa Dombi ...
Withdrawal
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
7feffc58-33bd-4df0-93a7-4852757d9398
10.1164/rccm.200410-1411OC
# Sildenafil versus Endothelin Receptor Antagonist for Pulmonary Hypertension (SERAPH) Study Martin R. Wilkins, Gideon A. Paul*, Julian W. Strange*, Nina Tunariu, Wendy Gin-Sing, Winston A. Banya, Mark A. Westwood, Alexander Stefanidis, Leong L. Ng, Dudley J. Pennell, Raad H. Mohiaddin, Petros Nihoyannopoulos, and J. ...
Death
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
25618629-1893-42d2-b4af-b0838c5cf36a
10.1164/rccm.200410-1411OC
# Sildenafil versus Endothelin Receptor Antagonist for Pulmonary Hypertension (SERAPH) Study Martin R. Wilkins, Gideon A. Paul*, Julian W. Strange*, Nina Tunariu, Wendy Gin-Sing, Winston A. Banya, Mark A. Westwood, Alexander Stefanidis, Leong L. Ng, Dudley J. Pennell, Raad H. Mohiaddin, Petros Nihoyannopoulos, and J. ...
Hospitalization
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
f25f26fd-ed2b-4231-8f96-9eb3830474f5
10.1164/rccm.200410-1411OC
# Sildenafil versus Endothelin Receptor Antagonist for Pulmonary Hypertension (SERAPH) Study Martin R. Wilkins, Gideon A. Paul*, Julian W. Strange*, Nina Tunariu, Wendy Gin-Sing, Winston A. Banya, Mark A. Westwood, Alexander Stefanidis, Leong L. Ng, Dudley J. Pennell, Raad H. Mohiaddin, Petros Nihoyannopoulos, and J. ...
CFB in 6MWD
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
c69acd0c-d3c5-4bd0-b99c-a2ddac20a2f1
10.1038/hr.2014.28
# ORIGINAL ARTICLE # Randomized study of adding tadalafil to existing ambrisentan in pulmonary arterial hypertension Yugang Zhuang $^{1,3}$ , Bojie Jiang $^{1,3}$ , Hui Gao $^{2}$ and Wei Zhao $^{1}$ This prospective, double-blinded, randomized controlled study aimed to investigate the efficacy and safety of oral t...
Clinical worsening
Some concerns
The details of the randomization process were not provided.
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Some concerns
bfcd1bb6-1035-4acd-b383-74bfd080fdd6
10.1038/hr.2014.28
# ORIGINAL ARTICLE # Randomized study of adding tadalafil to existing ambrisentan in pulmonary arterial hypertension Yugang Zhuang $^{1,3}$ , Bojie Jiang $^{1,3}$ , Hui Gao $^{2}$ and Wei Zhao $^{1}$ This prospective, double-blinded, randomized controlled study aimed to investigate the efficacy and safety of oral t...
Death
Some concerns
The details of the randomization process were not provided.
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Some concerns
4ded6329-159b-492b-8ca8-c7df7e0dd290
10.1038/hr.2014.28
# ORIGINAL ARTICLE # Randomized study of adding tadalafil to existing ambrisentan in pulmonary arterial hypertension Yugang Zhuang $^{1,3}$ , Bojie Jiang $^{1,3}$ , Hui Gao $^{2}$ and Wei Zhao $^{1}$ This prospective, double-blinded, randomized controlled study aimed to investigate the efficacy and safety of oral t...
Hospitalization
Some concerns
The details of the randomization process were not provided.
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Some concerns
8f53d311-cad5-4a28-8e50-d76e904f85cd
10.1038/hr.2014.28
# ORIGINAL ARTICLE # Randomized study of adding tadalafil to existing ambrisentan in pulmonary arterial hypertension Yugang Zhuang $^{1,3}$ , Bojie Jiang $^{1,3}$ , Hui Gao $^{2}$ and Wei Zhao $^{1}$ This prospective, double-blinded, randomized controlled study aimed to investigate the efficacy and safety of oral t...
CFB in 6MWD
Some concerns
The details of the randomization process were not provided.
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Some concerns
c9af7cfb-7c16-409b-a8d4-b25464d4d145
10.1038/hr.2014.28
# ORIGINAL ARTICLE # Randomized study of adding tadalafil to existing ambrisentan in pulmonary arterial hypertension Yugang Zhuang $^{1,3}$ , Bojie Jiang $^{1,3}$ , Hui Gao $^{2}$ and Wei Zhao $^{1}$ This prospective, double-blinded, randomized controlled study aimed to investigate the efficacy and safety of oral t...
WHO FC worsening
Some concerns
The details of the randomization process were not provided.
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Low risk of bias
null
Some concerns
a3ac814c-4e28-41f7-9579-609c7f3914e4
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Pre-eclampsia or pregnancy loss at any time after conception
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
291782ba-f88d-4d42-b278-991ca6a9027c
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Pre-eclampsia
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
4f785e7a-5c09-4665-bb19-265785b33862
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Pregnancy loss at any time after conception
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
65079b43-6fa5-4e04-892a-27de52d12858
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Maternal death
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
45f0d663-c8be-4436-93a8-171abee6a3d0
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Maternal death or severe morbidity
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
999f91bb-dbce-4f28-a845-cc445054dcf5
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Preterm delivery before 37 weeks
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
e898bba8-ec36-472e-9d11-cca4180ae9cb
10.1016/S0140-6736(18)31818-X
![](10.1016:S0140-6736(18)31818-X/vlm/images/d75bb34d22dc0340315e5f0d5e37cf247ef4f1f64642a670aff1b51da42f567a.jpg) # Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia: a multicentre, double-blind, randomised, placebo-controlled trial ![](10.1016:S0140-6736(18)31818-X/v...
Stillbirth
Low risk of bias
"The random allocation sequence was generated centrally at WHO headquarters in Geneva, Switzerland, using computer-generated random numbers in a ratio of 1:1 and in balanced blocks of variable size, stratified by site. "
Low risk of bias
Participants, care providers, and outcome assessors were all masked to group allocation.
Some concerns
There was a high loss to follow up (29% in the calcium group and 28% in the placebo group).
Low risk of bias
This outcome was defined and measured appropriately.
Low risk of bias
Outcomes were prespecified and analysed in accordance with an established plan.
Some concerns
774bb0c5-b95b-43a1-8067-e1d9365e1445
10.1056/NEJM199111143252002.
# CALCIUM SUPPLEMENTATION TO PREVENT HYPERTENSIVE DISORDERS OF PREGNANCY JOSE M. BELIZÁN, M.D., JOSE VILLAR, M.D., LAURA GONZALEZ, R.N., LIANA CAMPODONICO, M.Sc., AND EDUARDO BERGEL, B.S. Abstract Background. Calcium supplementation has been reported to reduce blood pressure in pregnant and nonpregnant women. We unde...
Pre-eclampsia
Low risk of bias
Randomised using a random-sample generator programme. Allocation concealment using numbered,sealed,opaque envelopes.
Low risk of bias
Participants, physicians and nurses were blinded to the intervention.
Low risk of bias
In this study, 7.7% of the placebo groups and 8.8% of the calcium group were lost to follow up. However we are unsure what information was missing and for which outcomes. The analyses was done on an intention to treat basis and the possible percentage of missing data for this outcome is small and balanced between group...
Low risk of bias
Trial authors describe consistent measurement techniques througout the trial that are appropriate for this outcome. Measurement tools were regularly calibrated and measurement techniques were closely monitored. Definition of the outcome was clearly defined and appropriate.
Low risk of bias
Protocol not available as trial co-author has no access to paper records. Numerical result assessed from one outcome measurement.
Low risk of bias
a8957299-e765-4f50-8be5-e4a13ac52975
10.1111/j.1479-828X.1999.tb03434.x
# Occasional Review # Calcium Supplementation In Nulliparous Women For The Prevention Of Pregnancy-Induced Hypertension, Preeclampsia And Preterm Birth: An Australian Randomized Trial Caroline A. Crowther<sup>1</sup> FRACOG, Janet E. Hiller<sup>2</sup> PhD, Brian Pridmore<sup>3</sup> FRACOG, Robert Bryce<sup>4</sup> ...
Pre-eclampsia
Low risk of bias
Randomisation schedule set up with stratification made by centre using variable blocks and women were enrolled by telephoning the central randomisation number.
Low risk of bias
All staff and researchers involved were blinded to the intervention and the treatment allocation codes were broken after exploratory data analyses.
Low risk of bias
Data was available for all women and babies.
Low risk of bias
The methods of measurement was appropriate and did not differ between groups.
Low risk of bias
The data was analysed in accordance with a pre-specified analysis plan. The trial was stopped early due to financial constraints and the target sample size was not reached.
Low risk of bias
4dc7a131-4be6-4346-a37e-475fe07dd763
10.1007/978-1-4757-4242-8_38
# IMPACT OF CALCIUM SUPPLEMENTATION IN THE PRECEDING PREGNANCY ON THE HUMAN MILK CALCIUM CONCENTRATION OF GAMBIAN WOMEN L.M.A. Jarjou, A. Prentice, and J. Bennett # 1. INTRODUCTION Following our detailed studies of human milk calcium concentration, we hypothesized that calcium intake in pregnancy may determine human...
Pre-eclampsia
Some concerns
The senior trial author provided additional information via email. Randomisation was managed by an off-site trial author who was not involved in data collection. “The randomisation was by colour coding (ie 4 groups, 2 for active, 2 for placebo), stratified by the 3 clinics to ensure equal distribution, and in blocks of...
Low risk of bias
This was a double-blinded study.
Low risk of bias
Data was available for most participants.
Low risk of bias
Measurement and definition of the outcome was appropriate.
Low risk of bias
Analysis was prespecified.
Some concerns
0c11060c-5aca-40a3-8997-204569d8ac0e
10.1056/NEJM199707103370201
# The New England Journal of Medicine © Copyright, 1997, by the Massachusetts Medical Society VOLUME 337 JULY 10, 1997 NUMBER 2 ![](10.1056:NEJM199707103370201/vlm/images/3ee009881a70fae5a10489441345d323b816beb761f027f470f5446e3b798c62.jpg) # TRIAL OF CALCIUM TO PREVENT PREECLAMPSIA RICHARD J. LEVINE, M.D., JOHN...
Pre-eclampsia
Low risk of bias
"Packages of study tablets were prepared and numbered by the pharmaceutical manufacturer according to a computer-generated simple randomization sequence developed by the study statisticians. The packages were then shipped to the medical centers. On enrollment, each woman was assigned the next numbered package of medica...
Low risk of bias
Personnel were unaware of treatment-group assignments. Review authors assume that women were blinded as they received placebo tablets.
Low risk of bias
"Two hundred fifty-three women (5.5 percent) were lost to follow-up: 132 in the calcium group and 121 in the placebo group." Review authors judged this to be small and balanced between groups.
Low risk of bias
Preeclampsia was defined as pregnancy-associated hypertension and pregnancy-associated proteinuria occurring within seven days of each other. "Pregnancy-associated hypertension was defined as a diastolic blood pressure of 90 mm Hg or greater on two occasions 4 to 168 hours (one week) apart". Proteinuria was measured in...
Low risk of bias
This was a pre-specified outcome.
Low risk of bias
e1377751-7c83-4077-b5c7-4fbdf50eb210
10.1016/0002-9378(90)90669-x
# Calcium supplementation during pregnancy may reduce preterm delivery in high-risk populations Jose Villar, MD,\* and John T. Repke, MDb Bethesda and Baltimore, Maryland Results are presented of a randomized, double-blinded controlled clinical trial of calcium supplementation (2.0 gm of elemental calcium as calcium...
Pre-eclampsia
Low risk of bias
Computer generated list of random numbers. Opaque envelopes with the bottles numbered were located at the clinic.
Low risk of bias
In this double-blind trial, tablets of placebo were identical to calcium tablets.
Low risk of bias
There was missing data for this outcome (5/94 in the calcium group and 7/95 in the placebo. Review authors judged this to be small and relatively balanced between groups (5.3% versus 7.4%).
Low risk of bias
Preeclampsia was defined as pregnancy-induced hypertension (Diastolic blood pressure at ≥ 30 weeks >90 or ≥140/90 mmHg ) plus ≥ 300mg proteinuria at >30 weeks. Whilst the study does not specify how measurements were taken, review authors accept that this was likely done in an appropriate and consistent way.
Low risk of bias
Protocol not available as trial co-author has no access to paper records. Numerical result assessed from one outcome measurement.
Low risk of bias
10a0a5d4-366f-4349-ab01-348165761eeb
10.1016/j.ajog.2006.01.068
# Calcium supplementation during pregnancy may reduce preterm delivery in high-risk populations Jose Villar, MD,\* and John T. Repke, MDb Bethesda and Baltimore, Maryland Results are presented of a randomized, double-blinded controlled clinical trial of calcium supplementation (2.0 gm of elemental calcium as calcium...
Pre-eclampsia
Low risk of bias
Randomization lists for each site were produced with computer-generated random number blocking to restrict randomization within the strata (country). Consecutively numbered treatment boxes were allocated to each participant. "Complete sets, all of which were identical, were shipped by WHO to centers and kept in a desig...
Low risk of bias
"Randomization codes remained at the WHO Clinical Trial Unit until the time of analysis and were not available to any person until the analyses were completed."
Low risk of bias
"Delivery information was unavailable for 143 women (3.4%) in the calcium group and 155 women (3.7%) in the placebo group; therefore, they did not contribute to the preterm analyses, but the available data were included in the analyses for other outcomes. Thus, 4151 women in the calcium group and 4161 women in the plac...
Low risk of bias
Preeclampsia was defined as de novo hypertension plus new-onset proteinuria, both after gestational week 20. Hypertension was defined as a blood pressure of R140 mm Hg and/or R90 mm Hg (5th Korotkoff sound) that occurred on 2 occasions at least 4 hours to a week apart. Proteinuria was defined qualitatively as >2+ by di...
Low risk of bias
This was a pre-specified outcome.
Low risk of bias
2cf68576-7126-4690-9be5-8a5c19d6376b
10.1111/j.1479-828X.1999.tb03434.x
# Occasional Review # Calcium Supplementation In Nulliparous Women For The Prevention Of Pregnancy-Induced Hypertension, Preeclampsia And Preterm Birth: An Australian Randomized Trial Caroline A. Crowther<sup>1</sup> FRACOG, Janet E. Hiller<sup>2</sup> PhD, Brian Pridmore<sup>3</sup> FRACOG, Robert Bryce<sup>4</sup> ...
Maternal death
Low risk of bias
Randomisation schedule set up with stratification made by centre using variable blocks and women were enrolled by telephoning the central randomisation number.
Low risk of bias
All staff and researchers involved were blinded to the intervention and the treatment allocation codes were broken after exploratory data analyses.
Low risk of bias
Data was available for all women and babies.
Low risk of bias
The methods of measurement was appropriate and did not differ between groups.
Low risk of bias
The data was analysed in accordance with a pre-specified analysis plan. The trial was stopped early due to financial constraints and the target sample size was not reached.
Low risk of bias
ced92431-0b86-445f-bd73-63f6cf4c389d
10.1007/978-1-4757-4242-8_38
# IMPACT OF CALCIUM SUPPLEMENTATION IN THE PRECEDING PREGNANCY ON THE HUMAN MILK CALCIUM CONCENTRATION OF GAMBIAN WOMEN L.M.A. Jarjou, A. Prentice, and J. Bennett # 1. INTRODUCTION Following our detailed studies of human milk calcium concentration, we hypothesized that calcium intake in pregnancy may determine human...
Maternal death
Some concerns
The senior trial author provided additional information via email. Randomisation was managed by an off-site trial author who was not involved in data collection. “The randomisation was by colour coding (ie 4 groups, 2 for active, 2 for placebo), stratified by the 3 clinics to ensure equal distribution, and in blocks of...
Low risk of bias
This was a double-blinded study.
Low risk of bias
Data was available for most participants.
Low risk of bias
Measurement and definition of the outcome was appropriate.
Low risk of bias
Analysis was prespecified.
Some concerns
b2043cf4-eb5e-4ff1-aed4-59b72a3a3e54
10.1016/j.ajog.2006.01.068
# Calcium supplementation during pregnancy may reduce preterm delivery in high-risk populations Jose Villar, MD,\* and John T. Repke, MDb Bethesda and Baltimore, Maryland Results are presented of a randomized, double-blinded controlled clinical trial of calcium supplementation (2.0 gm of elemental calcium as calcium...
Maternal death
Low risk of bias
Randomization lists for each site were produced with computer-generated random number blocking to restrict randomization within the strata (country). Consecutively numbered treatment boxes were allocated to each participant. "Complete sets, all of which were identical, were shipped by WHO to centers and kept in a desig...
Low risk of bias
"Randomization codes remained at the WHO Clinical Trial Unit until the time of analysis and were not available to any person until the analyses were completed."
Low risk of bias
"Delivery information was unavailable for 143 women (3.4%) in the calcium group and 155 women (3.7%) in the placebo group; therefore, they did not contribute to the preterm analyses, but the available data were included in the analyses for other outcomes. Thus, 4151 women in the calcium group and 4161 women in the plac...
Low risk of bias
One objective method of measuring this method.
Low risk of bias
This was a pre-specified outcome.
Low risk of bias
6352bd1b-f272-4b81-86df-f69ab6b388c3
10.1016/j.ajog.2006.01.068
# Calcium supplementation during pregnancy may reduce preterm delivery in high-risk populations Jose Villar, MD,\* and John T. Repke, MDb Bethesda and Baltimore, Maryland Results are presented of a randomized, double-blinded controlled clinical trial of calcium supplementation (2.0 gm of elemental calcium as calcium...
Maternal death or severe morbidity
Low risk of bias
Randomization lists for each site were produced with computer-generated random number blocking to restrict randomization within the strata (country). Consecutively numbered treatment boxes were allocated to each participant. "Complete sets, all of which were identical, were shipped by WHO to centers and kept in a desig...
Low risk of bias
“Randomization codes remained at the WHO Clinical Trial Unit until the time of analysis and were not available to any person until the analyses were completed.”
Low risk of bias
"Delivery information was unavailable for 143 women (3.4%) in the calcium group and 155 women (3.7%) in the placebo group; therefore, they did not contribute to the preterm analyses, but the available data were included in the analyses for other outcomes. Thus, 4151 women in the calcium group and 4161 women in the plac...
Low risk of bias
This outcome was well defined as "at least 1 of the following: Admission to intensive care or any special care unit, eclampsia, severe preeclampsia, placental abruption, HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome, renal failure, or death. This measure is objective and would not differ be...
Low risk of bias
This was a pre-specified outcome.
Low risk of bias
6b0c5f60-ac58-46ad-9b67-7bec98d80d4e
10.1007/978-1-4757-4242-8_38
# IMPACT OF CALCIUM SUPPLEMENTATION IN THE PRECEDING PREGNANCY ON THE HUMAN MILK CALCIUM CONCENTRATION OF GAMBIAN WOMEN L.M.A. Jarjou, A. Prentice, and J. Bennett # 1. INTRODUCTION Following our detailed studies of human milk calcium concentration, we hypothesized that calcium intake in pregnancy may determine human...
Adverse effects
Some concerns
The senior trial author provided additional information via email. Randomisation was managed by an off-site trial author who was not involved in data collection. “The randomisation was by colour coding (ie 4 groups, 2 for active, 2 for placebo), stratified by the 3 clinics to ensure equal distribution, and in blocks of...
Low risk of bias
This was a double-blinded study.
Low risk of bias
Data was available for most participants.
Low risk of bias
Measurement and definition of the outcome was appropriate.
Low risk of bias
Analysis was prespecified.
Some concerns
e7c788e4-df1b-4a37-9050-22bee6731884
10.1056/NEJM199111143252002.
# CALCIUM SUPPLEMENTATION TO PREVENT HYPERTENSIVE DISORDERS OF PREGNANCY JOSE M. BELIZÁN, M.D., JOSE VILLAR, M.D., LAURA GONZALEZ, R.N., LIANA CAMPODONICO, M.Sc., AND EDUARDO BERGEL, B.S. Abstract Background. Calcium supplementation has been reported to reduce blood pressure in pregnant and nonpregnant women. We unde...
Perinatal loss
Low risk of bias
Randomised using a random-sample generator programme. Allocation concealment using numbered,sealed,opaque envelopes.
Low risk of bias
Participants, physicians and nurses were blinded to the intervention.
Low risk of bias
Information for this outcome was available for 94% of women randomsied in each group. This is a small loss to follow up and is balanced across groups.
Low risk of bias
One objective method of measuring this method.
Low risk of bias
Protocol not available as trial co-author has no access to paper records. Numerical result assessed from one objective outcome measurement.
Low risk of bias
d3eae99b-71d0-450d-8c01-937ab42ff462
10.1111/j.1479-828X.1999.tb03434.x
# Occasional Review # Calcium Supplementation In Nulliparous Women For The Prevention Of Pregnancy-Induced Hypertension, Preeclampsia And Preterm Birth: An Australian Randomized Trial Caroline A. Crowther<sup>1</sup> FRACOG, Janet E. Hiller<sup>2</sup> PhD, Brian Pridmore<sup>3</sup> FRACOG, Robert Bryce<sup>4</sup> ...
Perinatal loss
Low risk of bias
Randomisation schedule set up with stratification made by centre using variable blocks and women were enrolled by telephoning the central randomisation number.
Low risk of bias
All staff and researchers involved were blinded to the intervention and the treatment allocation codes were broken after exploratory data analyses.
Low risk of bias
Data was available for all women and babies.
Low risk of bias
The methods of measurement was appropriate and did not differ between groups.
Low risk of bias
The data was analysed in accordance with a pre-specified analysis plan. The trial was stopped early due to financial constraints and the target sample size was not reached.
Low risk of bias
094f86e6-d1ce-43d7-8ec2-eba6a168e4e8
10.1007/978-1-4757-4242-8_38
# IMPACT OF CALCIUM SUPPLEMENTATION IN THE PRECEDING PREGNANCY ON THE HUMAN MILK CALCIUM CONCENTRATION OF GAMBIAN WOMEN L.M.A. Jarjou, A. Prentice, and J. Bennett # 1. INTRODUCTION Following our detailed studies of human milk calcium concentration, we hypothesized that calcium intake in pregnancy may determine human...
Perinatal loss
Some concerns
The senior trial author provided additional information via email. Randomisation was managed by an off-site trial author who was not involved in data collection. “The randomisation was by colour coding (ie 4 groups, 2 for active, 2 for placebo), stratified by the 3 clinics to ensure equal distribution, and in blocks of...
Low risk of bias
This was a double-blinded study.
Low risk of bias
Data was available for most participants.
Low risk of bias
Measurement and definition of the outcome was appropriate.
Low risk of bias
Analysis was prespecified.
Some concerns
c28019cc-6e2e-4c3f-ac9f-c183032e15e3
10.1056/NEJM199707103370201
# The New England Journal of Medicine © Copyright, 1997, by the Massachusetts Medical Society VOLUME 337 JULY 10, 1997 NUMBER 2 ![](10.1056:NEJM199707103370201/vlm/images/3ee009881a70fae5a10489441345d323b816beb761f027f470f5446e3b798c62.jpg) # TRIAL OF CALCIUM TO PREVENT PREECLAMPSIA RICHARD J. LEVINE, M.D., JOHN...
Perinatal loss
Low risk of bias
"Packages of study tablets were prepared and numbered by the pharmaceutical manufacturer according to a computer-generated simple randomization sequence developed by the study statisticians. The packages were then shipped to the medical centers. On enrollment, each woman was assigned the next numbered package of medica...
Low risk of bias
Personnel were unaware of treatment-group assignments. Review authors assume that women were blinded as they received placebo tablets.
Low risk of bias
"Two hundred fifty-three women (5.5 percent) were lost to follow-up: 132 in the calcium group and 121 in the placebo group." Review authors judged this to be small and balanced between groups.
Low risk of bias
One objective method of measuring this method.
Low risk of bias
This was a pre-specified outcome.
Low risk of bias
ce4ef540-f09d-4ba7-8828-2227026040eb
10.1056/NEJM199111143252002.
# CALCIUM SUPPLEMENTATION TO PREVENT HYPERTENSIVE DISORDERS OF PREGNANCY JOSE M. BELIZÁN, M.D., JOSE VILLAR, M.D., LAURA GONZALEZ, R.N., LIANA CAMPODONICO, M.Sc., AND EDUARDO BERGEL, B.S. Abstract Background. Calcium supplementation has been reported to reduce blood pressure in pregnant and nonpregnant women. We unde...
Preterm delivery at or before 37 weeks
Low risk of bias
Randomised using a random-sample generator programme. Allocation concealment using numbered,sealed,opaque envelopes.
Low risk of bias
Participants, physicians and nurses were blinded to the intervention.
Low risk of bias
In this study, 7.7% of the placebo groups and 8.8% of the calcium group were lost to follow up. However we are unsure what information was missing and for which outcomes. The analyses was done on an intention to treat basis and the possible percentage of missing data for this outcome is small and balanced between group...
Low risk of bias
O=There is one objective method of measuring this method.
Low risk of bias
Protocol not available as trial author has no access to paper records. Numerical result assessed from one outcome measurement.
Low risk of bias