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. 2007 Oct 17;2007(4):CD002310. doi: 10.1002/14651858.CD002310.pub4

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
Interventions FP: 250 mcg 2 puffs 2xdaily (1000 mcg/d)
BDP: 250 mcg 4 puffs 2xdaily (2000 mcg/d)
Delivery device: MDI
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