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. 2006 Apr 19;2006(2):CD003558. doi: 10.1002/14651858.CD003558.pub2

Hoshino 1998.

Methods RCT: parallel group design. 
 Blinding: none.
Participants ICS: 10 at entry, 10 at completion (100% completed). 
 SCG: 9 at entry, 9 at completion (100% completed). 
 Mean age: 28 
 Age range: 16‐50 
 Gender: 63% male. 
 Race/ethnicity: not reported. 
 Setting: Tokyo, Japan; clinical setting not reported. 
 Asthma severity: mild or moderate persistent. 
 Inclusion: 1) asthma diagnosis based on chest tightness, wheezing, coughing, or shortness of breath and reversible airflow obstruction; 2) 2 or more positive skin tests and presence of aeroallergen‐specific IgE; 3) no inhaled or oral corticosteroids or any other anti‐inflammatory drugs in previous 2 mos. 
 Exclusion: 
 1) smoking; 2) FEV1 <50% pred; 3) upper/lower respiratory tract disease in previous 2 weeks.
Interventions Patients were randomly allocated to receive either ketotifen, DSCG, or BDP for 12 weeks of treatment. B2‐agonists were used as necessary. 
 Duration: 12 weeks. 
 Dose: 100 mcg (ICS); 2 mg (SCG). 
 Daily dose: 400 mcg (ICS) Low dose; 8 mg (SCG). 
 Doses/day: 4 
 Cumulative dose: 33600 mcg (ICS); 672 mg (SCG). 
 Delivery device: not reported
Outcomes (change in) FEV1% pred, (change in) PEF, *symptom score, cell counts (eosinophils, mast cells, and T cells).
Notes Jadad Quality Score: 2 
 Possible selection bias (PEF and FEV1 baseline measurements higher in BDP group) and performance/detection bias (open label trial).
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate