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. Author manuscript; available in PMC: 2014 Sep 21.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Apr 14;(4):CD005533. doi: 10.1002/14651858.CD005533.pub2
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
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
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
Notes Unpublished trial data from www.astrazenecaclinicaltrials.com
Funding source: AZ
Confirmation of data and methodology: Not obtained
User defined number: 400
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