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. 2000 Apr 24;2000(2):CD003271. doi: 10.1002/14651858.CD003271

Aaronson 1998.

Methods Setting: multicentre study, USA, hospital outpatient clinic 
 Randomisation: yes, method not stated 
 Allocation concealment: unclear 
 Design: parallel group 
 Length of intervention period: 6 weeks 
 Masking: double blind, double dummy 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score: 3
Participants 64 adults: 49M 15F 
 Age range: 18‐56 years 
 Inclusion criteria: 
 Adults patients with diagnosis of asthma (not otherwise defined) 
 FEV1 (% predicted) 65 or greater 
 Able to use Turbuhaler effectively and achieve inspiratory flow rate of at least 50 litres/min 
 Exclusion criteria: 
 Hospitalization due to asthma or respiratory tract infection in last 4 weeks 
 Serious concurrent illness 
 Any corticosteroid therapy in last 6 months or investigational drug in last 4 weeks 
 Significantly abnormal cortisol levels (basal or post cosyntropin) 
 Pregnancy/lactation
Baseline asthma control 
 Symptom frequency: not stated 
 FEV1 (% predicted): >65
Interventions 1. BUD 200 mcg 2 pfs 2xdaily (800 mcg/d) via Turbuhaler DPI
2. BUD 400 mcg 2pfs 2xdaily (1600 mcg/d) via Turbuhaler DPI
3. BUD 800 mcg 2 pfs 2xdaily (3200 mcg/d) via Turbuhaler DPI
all with placebo tablet 1xdaily to maintain blinding
Outcomes Basal plasma cortisol
Plasma cortisol at 6 hours following continuous iv cosyntropin infusion, 0.25 mg/500 ml saline over 6 hours 
 Withdrawal due to asthma exacerbation
Notes No reply from author to clarify details of randomisation method. 
 Placebo and oral prednisolone intervention groups were also studies: results not considered here.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear