Donohue 2015b.
Methods | Design: randomised, double‐blind, parallel‐group, double‐dummy, placebo‐controlled trial. Countries: 7 countries (US and European countries and Russia). Site: 71 centres. Study duration: 12 weeks. Study start: June 2013. Run‐in period: 7 to 14 days. |
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Participants | Key inclusion criteria: %pred FEV1 30% to 70%, mMRC ≥ 2, no recent exacerbation. Numbers of randomised and completed cases: 700 and 638. Age: 63.6 (SD 8.9) years. Male/female: 528/169. %pred FEV1: 49.5% (SD 10.9). |
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Interventions | LAMA/LABA: umeclidinium/vilanterol (62.5/25 μg). LABA/ICS: salmeterol/fluticasone (50/250 μg) twice daily. |
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Outcomes | Primary endpoint: Change from baseline in 24‐h weighted‐mean serial FEV1 on treatment day 84. Umeclidinium/vilanterol (62.5/25 μg): 0.213 (SE 0.0137). Salmeterol/fluticasone (50/250 μg) twice daily: 0.112 (SE 0.0139). |
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Notes | Registration: NCT01879410, GSK‐DB2114951. COI: sponsored by GlaxoSmithKline. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Central randomisation schedule was generated using a validated computer system (RanAll, GSK). |
Allocation concealment (selection bias) | Low risk | Centralised randomisation prevented the foreknowledge of intervention assignments by neither researchers nor participants. |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Study was double‐blinded. Performance bias was not suspected. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Study was double‐blinded. Detection bias was not suspected. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 638/700 participants completed the study. Considerable attrition bias was not suspected because attrition was < 20%. Attrition was 6.9% in umeclidinium/vilanterol arm and 10.9% in salmeterol/fluticasone arm. |
Selective reporting (reporting bias) | Low risk | Study was registered and the prespecified outcomes were appropriately described. |
Other bias | High risk | COI: sponsored by GlaxoSmithKline. |