Skip to main content
. 2012 Sep 12;2012(9):CD006829. doi: 10.1002/14651858.CD006829.pub2
Methods RCT, parallel group design. Trial duration: 24 weeks. Baseline characteristics: comparable. Intention‐to‐treat analysis: stated.
Participants
  1. Setting: 135 centres in Europe and Asia Pacific.

  2. Participants randomised: 1050 (two groups: FPS combination: 518; salmeterol: 532).

  3. Baseline characteristics: Mean age: 64 years; FEV1: 1.67L; am PEF: 274; SGRQ: 48.

  4. Inclusion criteria: M/F 40‐80 years of age; diagnosis of COPD (according to GOLD criteria); ≥ 2 on MRC dyspnoea scale; poor reversibility of < 10% predicted normal (and < 200 mL); FEV1/FVC ratio < 70% predicted; ≥10 pack year smoking history.

  5. Exclusion criteria: Not described.

Interventions
  1. salmeterol 50 mcg bid.

  2. FPS 500/50 mcg bid.


Inhaler device: DPI.
Outcomes Withdrawals; FEV1; morning PEF; quality of life (SQRG); symptoms (TDI) adverse events.
Notes Unpublished study downloaded from ctr.gsk.co.uk
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Described as randomised; other information not available.
Allocation concealment (selection bias) Unclear risk Information not available.
Blinding (performance bias and detection bias) All outcomes Low risk Identical inhaler devices.
Incomplete outcome data (attrition bias) Mortality Unclear risk 14% withdrew on salmeterol and 11% on FPS.
Incomplete outcome data (attrition bias) All other outcomes Unclear risk 14% withdrew on salmeterol and 11% on FPS.
Selective reporting (reporting bias) High risk Does not contribute data to analysis of exacerbations as rate ratio, dichotomous data or hospitalisations.