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. 2019 Jan 18;2019(1):CD011825. doi: 10.1002/14651858.CD011825.pub2

Wang 2012.

Methods Design: randomised, placebo‐controlled, parallel‐group trial
Participants Number assigned: 45 adults and elderly (macrolide n = 23, placebo n = 22)
Age in years (mean (range)): macrolide: 60 (27 to 80), placebo: 55 (27 to 80)
Setting: secondary care
Interventions Indication: non‐eosinophilic refractory asthma
Type of macrolide: clarithromycin
Route: per oral
Dose per day: 1000 mg
Duration of treatment: 56 days
Total treatment dose: 56,000 mg
Outcomes Adverse events stated as an outcome in trial registration/protocol/paper: unclear
Adverse events ascertainment: participants asked
Adverse events: not reported
Antimicrobial resistance: not reported
Death: not reported
Funding sources None stated.
Notes Concomitant medication: yes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Sequence generation not described.
Allocation concealment (selection bias) Unclear risk Allocation not described.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Unclear if placebo was identical appearing
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Unclear if participants and clinicians were blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 1 participant dropped out, reason unclear.
Selective reporting (reporting bias) High risk Adverse events not clearly stated as an outcome. Standardised ascertainment. However, no reporting about adverse events.
Other bias Low risk None were identified.