Methods | Parallel-group, multicentre study (151 centres in USA). Five treatment arms of which 2 are considered here | |
Participants | % ELIGIBLE OF SCREENED POPULATION: 28 % RUN-IN PARTICIPANTS RANDOMISED: 63 RANDOMISED: 297 (BUD/F 200 qd: 152; BUD 400 qd: 145) WITHDRAWALS: BUD/F 200 qd: 19;BUD/F 400 qd: 28 AGE mean: 38 SEVERITY: Not reported BASELINE % PREDICTED FEV1: 75.3% BASELINE DOSE OF ICS: 382 ASTHMA DURATION: 19.7 ATOPY (%): Not reported ELIGIBILITY CRITERIA: > 16 years; documented clinical diagnosis of asthma for at least 6 months prior to screening; stable condition; maintenance asthma treatment with a low to medium dose ICS for at least 4 weeks prior to the screening; FEV1 60% to 90% predicted EXCLUSION CRITERIA: Not reported ELIGIBILITY CRITERIA DURING RUN-IN: Stable during run-in period |
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Interventions | OUTCOMES: 12 weeks RUN-IN PERIOD: 4 to 5 weeks DOSE OPTIMISATION PERIOD: None INTERVENTION PERIOD: 12 weeks TEST GROUP: Combination budesonide and formoterol (200/12 mcg) qd CONTROL GROUP: Budesonide 400 mcg qd NUMBER OF DEVICES: 2 (double-dummy design; LABA co-delivered with ICS in 1 inhaler) COMPLIANCE: Not assessed CO-TREATMENT prn SABA |
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Outcomes | PULMONARY FUNCTION TEST: am PEF; pm PEF; FEV1 SYMPTOM SCORES: Day symptoms; night symptoms FUNCTIONAL STATUS: Quality of life (AQLQ) INFLAMMATORY MARKERS: Not reported ADVERSE EFFECTS: Reported WITHDRAWALS: Reported |
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Notes | Unpublished trial data from www.astrazenecaclinicaltrials.com
Funding source: AZ Confirmation of data and methodology: Not obtained User defined number: 400 |
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Risk of bias | ||
Item | Authors’ judgement | Description |
Adequate sequence generation? | Unclear | Described as randomised; other information not available |
Allocation concealment? | Unclear | Information not available |
Blinding? All outcomes |
Yes | Double-dummy |
Incomplete outcome data addressed? All outcomes |
Unclear | “The efficacy analysis set (EAS), defined as all randomised subjects who took at least 1 dose of double-blind treatment and who contributed at least 1 evening PEF diary entry after receiving randomised study medication, was used in the primary analysis. Sensitivity analyses of evening PEF were performed using the per protocol (PP) analysis set.” |
Free of selective reporting? | Unclear | Not clear whether OCS-treated exacerbations collected in the study |