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. 2004 Apr 19;2004(2):CD004109. doi: 10.1002/14651858.CD004109.pub2

Miyamoto 2000.

Methods Study Design: Parallel RCT
 Randomisation: Computer generated sequence in blocks of four.
 Concealment of Allocation: sequentially administered coded containers.
 Double Blinding: Yes
 Withdrawals / dropouts: Described
 Adverse events: Described
 Statistical analysis: Described
 Jadad Score: 5
Participants Study site: multicentre trial in 62 medical centres
 No eligible: Not stated
 No randomised: 267 (67/67/63/70)
 No completed: 224 (61/55/56/52)
 Sex: Male 126/238 (53%), Female 112/238 (47%)
 Age: mean (SD) Intervention 1: 50.4(15); Intervention 2: 47.8(15.9); Intervention 3: 50.9 (15.5); Intervention 4: 50.6 (14.2)
 Diagnostic criteria for asthma: Not stated
 Inclusion criteria: PEF 50‐80% predicted, stable perennial symptoms of asthma > 3 days/week during run in
 Exclusion criteria: Glucocorticoid use within 1 month of study, respiratory tract infection in previous 4 weeks, other dominant respiratory disease, cardiovascular disease, hepatic or renal disease.
 Baseline severity of asthma: mild asthma 147/238 (62%); Mod asthma 88/238 (37%); Severe asthma 3/238 (1%)
Interventions 1:BUD 800mcg/day (400mcg bd)
 2: BUD 400mcg/day (200mcg bd)
 3: BUD 200mcg/day (100mcg bd)
 4: Placebo
 Delivery device: DPI
 Duration of treatment: 6 weeks
 Run in phase: 2 weeks
 Other: oropharyngeal rinsing after each dose to minimise oral candidiasis
Outcomes PEF, FEV1, symptoms, safety, Doctor efficacy assessment, adverse events, hospitalisations, ER visits, lost production, symptoms, costs
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer generated sequence in blocks of four.