Methods | A randomised, double‐blind, multi‐centre,
placebo‐controlled, parallel‐group study over 12 weeks from
April 2002 to April 2003, at 69 centres in 9 countries (Australia, France,
UK, Hungary, Ukraine, Italy, Philippines, Thailand, Russia) Study to compare the efficacy and tolerability of fluticasone propionate/salmeterol combination (SERETIDE/VIANI/ADVAIR) 88/42 μg once daily in the morning with fluticasone propionate 88 μg once daily in the morning and placebo (short‐acting beta₂‐agonist as required only) once daily in the morning, all via the HFA MDI as initial maintenance therapy in mild asthmatic patients |
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Participants |
Population: 464 adolescents and adults (12 to 80 years) with mild
asthma Baseline characteristics: mean age 34 years; FEV₁ not reported % predicted Concomitant ICS used by 0% of participants Inclusion criteria: documented clinical history of asthma for ≥ 6 months who were currently receiving short‐acting beta₂‐agonists alone Exclusion criteria: not reported |
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Interventions | • Fluticasone propionate and salmeterol 50/25 μg 2 puffs once
daily • Fluticasone propionate 50 μg 2 puffs once daily Delivery was MDI device with HFA propellant |
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Outcomes | Primary efficacy endpoint: morning PEF | |
Notes | No SAEs at all were reported in the double‐blind phase of the study | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding (performance bias and detection bias) All outcomes | Low risk | Double‐blind |
Independent Assessment of causation (detection bias) Asthma‐related events | High risk | Causation of SAEs not independently assessed |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 433/464 (93%) completed the study |
Selective reporting (reporting bias) | Low risk | Data on GSK website |