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Analysis of the statistical validity of clinical effectiveness data of a systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent (Insadol)

J Korean Dent Assoc > Volume 53(7); 2015 > Article
The Journal of The Korean Dental Association 2015;53(7):476-484.
Published online July 31, 2015.
경구용 옥수수불검화정량추출물 치료제(인사돌)의 임상적 유효성 데이터의 통계적 타당성에 대한 연구
최용근1, 2, 이정열3, 신상완4
1고려대학교 임상치의학연구소
2메이요 클리닉
3고려대학교 임상치의학연구소
4고려대학교 임상치의학연구소
Analysis of the statistical validity of clinical effectiveness data of a systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent (Insadol)
Yong-Geun Choi1, Steven E Eckert2, Jeong-Yol Lee3, Sang-Wan Shin4
1Korea University Institute of Clinical Dental Research
2Mayo Clinic
3Korea University Institute of Clinical Dental Research
4Korea University Institute of Clinical Dental Research
Abstract
Purpose
This study intended to analyze the validity of clinical effectiveness data of clinical trials testing systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent. Material and Methods: Among 5 clinical trials claimed as proof of clinical effectiveness on the Web site of the manufacturer of this chemotherapeutic agent, a review of 4 clinical trials, written in either Korean or English, was conducted. Data were extracted from studies for the following variables: year of publication, age, sample size, follow-up period, combination with contemporary periodontal treatments, randomization, randomization check, blinded measurement, and statistical test type. Results: The study subjects' age intervals were too diverse to decide a common target population to generalize the findings. No study stated clearly the rationale for the sample size determination. Follow-up period to observe the start of clinical effectiveness was inconsistent and decided without any rationale of pathophysiological latent period. Randomization to make the comparisons on the same start line was performed but failed in a study. Randomization effect was not checked in 4 studies. Performance of blinded measurement of clinical outcomes to prevent bias was unclear in 2 studies. Type of statistical test was inappropriate in 3 studies. Conclusions: Based on the analysis of the validity of data on clinical and demographic variables, the four available clinical trials have not demonstrated compelling evidence of therapeutic effectiveness of systemic titrated extract of Zea Mays L. unsaponifiable fraction chemotherapeutic agent to improve prognosis of periodontal disease either with the contemporary periodontal treatment or without it.
Key Words: Clinical effectiveness;Titrated extract of Zea Mays L. unsaponifiable fraction;Periodontal disease;
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