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. 2004 Jan 26;2004(1):CD003133. doi: 10.1002/14651858.CD003133.pub2

Finn 2000.

Methods DESIGN 
 ‐parallel‐group 
 ‐multicentre trial 
 ‐Analysed by co‐treatment with ICS 
 ALLOCATION 
 ‐Random 
 ‐Methods of randomisation: not described 
 ‐Means of treatment assignment: not described
BLINDING 
 ‐double‐blind 
 ‐Means of concealment: not described
WITHDRAWAL/DROPOUT 
 ‐not described
JADAD's Quality Score =2
‐Confirmation of methodology: not obtained
Participants SYMPTOMATIC PARTICIPANTS
RANDOMISED 
 N = 479 
 of which only 98 were co‐treated with inhaled glucocorticoids 
 Zafirlukast + ICS = 56 
 ICS alone = 42
WITHDRAWALS AMONG CHILDREN WITH CO‐TX WITH ICS 
 not described 
 Zafirlukast: % 
 Control: %
AGE: 5‐11 years old 
 Zafirlukast: years 
 Control: years
GENDER (% male) 
 not described
SEVERITY: 
 mild‐moderate asthma
BASELINE % predicted FEV1 
 Zafirlukast: 72 ± 12 (SD) 
 Control: 71 ± 12
ALLERGIC RHINITIS: 
 Zafirlukast: 76% 
 Control: 74%
EXERCISE‐INDUCED ASTHMA: 
 Zafirlukast: 88% 
 Control: 83%
ASTHMA DURATION: Zafirlukast: 19 (0.5 to 62) years 
 Control: 18 (0.5 to 59) years
ELIGIBILITY CRITERIA 
 ‐Age: > 15 years old 
 ‐healthy, non‐smoking 
 ‐history of >= one year of intermittent or persistent asthma symptoms 
 ‐ICS treatment >= 6 wks prior to pre‐study visit (ICS dose comparable to beclomethasone 400 to 500 mcg) 
 ‐50 to 85% FEV1 Pred 
 ‐improvement > 15% FEV1 after B2‐agonist 
 ‐ >= 1 puff/day of B2‐agonist
EXCLUSION CRITERIA: 
 ‐Upper respiratory tract infection < 3 weeks
Interventions PROTOCOL: 
 AL + ICS vs SAME dose ICS
DURATION: 
 ‐Run‐in Period: 7‐14 days 
 ‐Intervention Period: 10 weeks
TEST GROUP 
 Accolate 10 mg bid +/‐ ICS (dose not specified)
CONTROL GROUP 
 Placebo +/‐ ICS (dose not specified)
DEVICE 
 ‐not specified
‐CO‐TREATMENT: not described
Outcomes INTENTION‐TO‐TREAT ANALYSES: not described
PULMONARY FUNCTION TESTS 
 ‐*change in AM PEF (L/min)
SYMPTOM SCORES (PP) 
 ‐not reported
FUNCTIONAL STATUS (PP) 
 ‐change in mean daily use of B2‐agonist (puffs/day) 
 ‐change in nocturnal awakenings/week
INFLAMATORY MARKERS 
 ‐not described
ADVERSE EFFECTS 
 ‐not reported
WITHDRAWALS 
 ‐not reported
* primary outcome
Notes ‐Abstract 2000
‐Funded by Astra‐Zenece
‐Confirmation of methodology and data extraction: not obtained.
User‐defined order: not specified 
 (mean intervention ICS dose in mcg/day X 0.1)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Information not available (Cochrane Grade B)