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. 2002 Jul 22;2002(3):CD003901. doi: 10.1002/14651858.CD003901

Lundback 1993.

Methods STUDY DESIGN: Parallel group‐ multicentre 47 in 11 countries. 12 weeks. 
 RANDOMISATION: Yes, no method stated. 
 BLINDING: double blind, double dummy, matching devices. 
 WITHDRAWALS/DROP OUTS: 85 described after randomization. 
 COMPLIANCE:. Not assessed 
 CONFOUNDERS: Groups well balanced by characteristics 
 QUALITY: Jadad 4. Cochrane B
Participants N = 460 ENROLLED, 388 RANDOMISED. ADULT , M = 187 F = 201 Median age: 44 (range 19 to 79) 
 BASELINE SEVERITY: Mild to moderate asthma 
 INCLUSION : Baseline FEV1 > 50% predicted, > 15% FEV1 reversibility to SABA. Symptoms on 4/7 days run in. 
 EXCLUSION: OS 20mg/day, uncontrolled illness.
Interventions LONG ACTING BETA AGONIST: Salmeterol 50 mcg BD 
 SHORT ACTING BETA AGONIST: Salbutamol 200 mcg QDS 
 PLACEBO: Placebo BD 
 DEVICE: Dry powder device‐ diskhaler. 
 TREATMENT PERIOD: 12 weeks 
 RESCUE: Salbutamol 200 mcg PRN 
 CO‐INTERVENTIONS: ICS 55%, os 10%. cromones stable dose
Outcomes OUTCOMES: FEV1, FVC, PEF, Rescue use, asthma symptom score, adverse events . 
 exacerbations
Notes Exacerbations defined as worsening of asthma symptoms that required treatment in addition to the study drug and rescue SABA.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk Information not available (Cochrane Grade B)