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. 2004 Jul 19;2004(3):CD003269. doi: 10.1002/14651858.CD003269.pub2

Philip‐Joet 1990.

Methods Parallel design; duration 8 weeks. Overall, 48/196 patients withdrew from study, but 77/196 were not analysed at 8w. "A double blind design was not used"; not stated if outcome assessor blinded. Concurrent asthma medication: steroids (unspecified), methylxanthines; inhaled bronchodilators withdrawn.
Participants Inclusion criteria: patients had asthma ‐ diagnosis according to ATS criteria and >15% reversibility after beta‐agonist; exclusions: pregnancy, respiratory failure, diabetes, contraindications to study drugs. Patient details: 196 participants (M/F group B 56% M; group S 57% M); age: Group B 45 (mean), Group S 48; moderate asthma ( fairly heterogeneous severity); atopy not stated; no information on concurrent COPD.
Interventions 2 interventions: Berodual, Salbutamol 200µg; both interventions q.i.d. (times not stated).
Outcomes PEF (daily) over 7 days (1,2,3,4,5,6,7,8w), symptom scores (not daily), FEV1, PEFR, FVC at 30 and 60 days; adverse effects (but too much data missing); standard deviations.
Notes Many withdrawals and missing patient data, therefore only used week 1 data for PEFR; concealment: numbered boxes, serially allocated.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk Investigators blinde to randomisation sequence (Cochrane Grade A)