Barnes 1993.
| Methods | Setting: multicentre study Europe, hospital outpatient clinic Design: parallel group Length of intervention period: 6 weeks Randomisation: yes, computer generated sequence Allocation concealment: yes (coded, sealed envelopes) Masking: double blind Excluded: stated Withdrawals: stated Baseline characteristics: comparable Jadad score: 4 | |
| Participants | 154 adults randomised. FEV1: 2.95 (SD 0.83) (FEV1 % predicted: 80.0 (SD 21.4)); Mean FVC: 4.42 L (SD 0.94). 8 females. Inclusion criteria: either sex; 18‐60 years of age; ATS defined asthma; = 40% predicted value; Either post‐BD increase in FEV1 of at least 200ml or = 12% of baseline, OR dirunal variation of PEF = 15% on at least 2 days/week during run‐in. Exclusion criteria: Exacerbation 4 weeks before inclusion; use of oral steroids within 6 months ; use of ICS/other systemic steroids within 4 weeks |
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| Interventions | FP: 250 mcg 2 puffs 2xdaily (1000 mcg/d) BDP: 250 mcg 4 puffs 2xdaily (2000 mcg/d) Delivery device: MDI |
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| Outcomes | FEV1 (% predicted) FVC (% predicted) PEFR (% predicted) Morning PEFR Evening PEFR Diurnal variation in PEFR % symptom‐free days % symptom‐free nights % beta2‐agonist free days % beta‐2 agonist nights Daytime beta2 agonist use (puffs) Night‐time beta2 agonist use (puffs) Oral candidiasis Upper respiratory tract infection Oropharyngeal side effects Plasma cortisol (sample time during day not specified) | |
| Notes | Details concerning randomisation method provided by Glaxo Wellcome | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Adequate sequence generation? | Low risk | See Appendix 2 |
| Allocation concealment? | Low risk | See Appendix 2 |
| Blinding? All outcomes | Low risk | Identical inhaler devices |