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

Lorentzen 1996.

Methods Setting: multicentre study Europe, hospital outpatient clinic 
 Design: parallel group 
 Length of intervention period: 12 months 
 Randomisation: yes, computer generated sequence 
 Allocation concealment: yes (central coding by pharmaceutical company sponsors) 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score: 5
Participants 213 patients randomised 104 male 109 female 
 Age range: 18 to 77 years 
 Inclusion criteria: 
 Clinical history of severe chronic asthma 
 Requiring and responding to inhaled beta2 agonists and high doses of ICS 
 No change in regular asthma medication for at least one month 
 Exclusion criteria: 
 Recent hospital admission due to asthma 
 Systemic corticosteroids or respiratory tract infection within last month 
 Hypersensitivity to corticosteroids 
 Pregancy 
 Inability to use aersol MDI
Interventions FP: 250 mcg 2 puffs 2xdaily (1000 mcg/d)
BDP: 250mcg 4 puffs 2xdaily (2000 mcg/d)
Delivery device: MDI
Outcomes Morning plasma cortisol 
 FEV1 
 FVC 
 Clinic PEFR 
 Oral Candidiasis 
 Oropharyngeal side effects 
 Asthma exacerbations (No. of patients)
Notes Details of 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