Volume 389, Issue 10079, Pages (April 2017)

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Volume 389, Issue 10079, Pages 1630-1638 (April 2017) Doxycycline versus prednisolone as an initial treatment strategy for bullous pemphigoid: a pragmatic, non-inferiority, randomised controlled trial  Prof Hywel C Williams, DSc, Prof Fenella Wojnarowska, PhD, Gudula Kirtschig, MD, Prof James Mason, PhD, Thomas R Godec, MSc, Prof Enno Schmidt, MD, Joanne R Chalmers, PhD, Margaret Childs, Prof Shernaz Walton, MD, Karen Harman, DM, Anna Chapman, MSc, Diane Whitham, Prof Andrew J Nunn, MSc J Adams, V Akhras, A Anstey, C Barnard, H Bell, S Blackford, E Bröcker, A Carmichael, R R Coelho, F Craig, K Davies, R Ellis, J English, R Gläser, R Groves, C Günthert, P J Hampton, N Hepburn, R Hügel, K Hussain, J Ingram, A M Layton, N J Levell, V Lewis, H Malhomme, A Omerod, G Patel, R Rallan, J Ravenscroft, H Santander, K Steinbrink, M Sticherling, C Thomas, M Vatve, N van Beek, V Venning, E Veysey, R Wachsmuth, S Wahie, B Walker, M Walsh, J Wee, M Westmoreland, G Wong, Adam Ferguson, Indre Verpetinske, Emilia Duarte-Williamson, Fiona Antony, Chris Bower, David Gawkrodger, Kathy Taghipour, M G S Dunnill, Alex Waters, Walter Bottomley, Andrew Wright, Jane Sterling, Adzura Azam, Sam Gibbs, Thomas Luger, Ingrid Salvary, Chris Lovell, Andrew Ilchyshyn, Karen Gibbon, Marinella Nik, Robert Charles-Holmes, A Lloyd Lavery Prof Hywel C Williams, DSc, Prof Fenella Wojnarowska, PhD, Gudula Kirtschig, MD, Prof James Mason, PhD, Thomas R Godec, MSc, Prof Enno Schmidt, MD, Joanne R Chalmers, PhD, Margaret Childs, Prof Shernaz Walton, MD, Karen Harman, DM, Anna Chapman, MSc, Diane Whitham, Prof Andrew J Nunn, MSc J Adams, V Akhras, A Anstey, C Barnard, H Bell, S Blackford, E Bröcker, A Carmichael, R R Coelho, F Craig, K Davies, R Ellis, J English, R Gläser, R Groves, C Günthert, P J Hampton, N Hepburn, R Hügel, K Hussain, J Ingram, A M Layton, N J Levell, V Lewis, H Malhomme, A Omerod, G Patel, R Rallan, J Ravenscroft, H Santander, K Steinbrink, M Sticherling, C Thomas, M Vatve, N van Beek, V Venning, E Veysey, R Wachsmuth, S Wahie, B Walker, M Walsh, J Wee, M Westmoreland, G Wong, Adam Ferguson, Indre Verpetinske, Emilia Duarte-Williamson, Fiona Antony, Chris Bower, David Gawkrodger, Kathy Taghipour, M G S Dunnill, Alex Waters, Walter Bottomley, Andrew Wright, Jane Sterling, Adzura Azam, Sam Gibbs, Thomas Luger, Ingrid Salvary, Chris Lovell, Andrew Ilchyshyn, Karen Gibbon, Marinella Nik, Robert Charles-Holmes, A Lloyd Lavery  The Lancet  Volume 389, Issue 10079, Pages 1630-1638 (April 2017) DOI: 10.1016/S0140-6736(17)30560-3 Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 1 Trial profile for the primary outcome population Those patients excluded from analysis at week 6 due to missing their week 6 assessment are included in the denominator at week 52, as they had the possibility of attending a visit after week 6 and therefore were not considered lost to follow-up at week 6. Patients who did not attend their week 52 visit are called lost to follow-up at week 52. The primary safety analysis (mITT) was based on 121 and 113 participants allocated to initial doxycycline and prednisolone, respectively, who had at least one return visit. Multiple imputation was used for missed visits as specified in the protocol. mITT=modified intention to treat. The Lancet 2017 389, 1630-1638DOI: (10.1016/S0140-6736(17)30560-3) Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 2 Proportion of participants who achieved treatment success at 6 weeks: the modified intention-to-treat and per-protocol analyses The Lancet 2017 389, 1630-1638DOI: (10.1016/S0140-6736(17)30560-3) Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions