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

Tomari 2001.

Methods DESIGN 
 ‐parallel‐group
ALLOCATION 
 ‐random: not specified 
 ‐Mode of allocation (not described)
BLINDING 
 ‐not described
WITHDRAWALS/ DROPOUTS 
 ‐described
JADAD's Quality Score = 2
Confirmation of methodology not obtained
Participants SYMPTOMATIC PARTICIPANTS
RANDOMISED 
 ‐N=41 
 ‐BDP + pranlukast = 21 
 ‐2 X BDP = 20
WITHDRAWALS 
 ‐none
AGE years (SEM) 
 ‐BDP + pranlukast = 53.7 (3.1) (SEM) 
 ‐2 X BDP = 56.1 (3.2) (SEM)
GENDER (% male) 
 ‐BDP + pranlukast = 38% 
 ‐2 X BDP = 45%
SEVERITY 
 ‐ moderate asthma
BASELINE % PREDICTED FEV1 
 ‐not documented
BASELINE % PREDICTED PEF 
 ‐BDP + pranlukast = 72.1 ± 2.8 (SEM) 
 ‐2 X BDP =69.5 ± 3.1 (SEM)
ALLERGEN TRIGGERS 
 ‐not reported
ASTHMA DURATION years (SEM) 
 ‐BDP + pranlukast = 14.8 (2.7) (SEM) 
 ‐2 X BDP = 14.1 (2.7) (SEM)
ELIGIBILITY CRITERIA 
 ‐diagnosis of asthma 
 ‐treated with 800 mcg/day of BDP 
 ‐PEFR < 80% predicted
EXCLUSION CRITERIA 
 ‐pulmonary or bronchial diseases for 2 weeks before study
Interventions PROTOCOL: 
 AL + ICS vs DOUBLE dose ICS
DURATION 
 ‐2 week run‐in period 
 ‐16 week treatment period
TEST GROUP 
 ‐BDP 800 mcg/day + 450 mg/day pranlukast
CONTROL GROUP 
 ‐2 X BDP (1600 mcg/day)
DEVICE 
 ‐not specified
CO‐TREATMENT 
 ‐theophylline and B2‐agonists if previously in use
Outcomes INTENTION‐TO‐TREAT ANALYSES 
 ‐outcome reported at 16 weeks
PULMONARY TESTS 
 ‐pre and post treatment am PEFR (%) 
 ‐pre and post treatment in daily variability of PEFR (%)
SYMPTOM SCORES 
 ‐pre and post treatment symptom score 
 (sum of 7 symptoms scored from 0‐3)
FUNCTIONAL STATUS 
 ‐pre and post treatment B2‐agonists use/week
INFLAMATORY MARKERS 
 ‐not reported
ADVERSE EFFECTS 
 ‐reported
WITHDRAWALS 
 ‐no withdrawals
* Primary outcome not mentioned
Notes ‐Full text 2001
‐Funding not specified (information requested)
‐Confirmation of methodology and data extraction not obtained.
‐User‐defined order: 80 
 (mean intervention ICS dose of 800 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)