Skip to main content
. 2000 Apr 24;2000(2):CD003271. doi: 10.1002/14651858.CD003271

Pauwels 1997a.

Methods Formoterol and Corticosteroids Establishing Therapy (FACET) International Study Group 
 Setting: multicentre study (Canada, Europe, Israel) hospital outpatient clinic 
 Randomisation: yes, computer generated sequence 
 Allocation concealment: yes 
 Design: parallel group 
 Length of intervention period: 12 months 
 Masking: double blind 
 Excluded: stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score: 4
Participants 852 adults: 416 M 436F 
 Age range: 18‐70 years 
 Inclusion criteria: 
 Adult patients with asthma for at least 6 months 
 Treatment with an inhaled corticosteroid for at least 3 months 
 FEV1 (% predicted) 50 or greater 
 15% or greater improvement in FEV1 following inhaled beta2 agonist 
 Asthma stable by a priori defined criteria. 
 Exclusion criteria: 
 Requirement for > 2000 mcg BDP or 1600 mcg BUD daily via MDI or > 800 mcg BUD or 800 mcg FP via DPI daily. 
 3 or more courses of oral corticosteroids in past 
 Hospitalized due to asthma in previous 6 months
Baseline asthma control 
 Symptom frequency: symptoms well controlled 
 FEV1 (% predicted): > 50
Interventions 1. BUD 100 mcg 2xdaily (200 mcg daily) via Turbuhaler DPI
2. BUD 400 mcg 2xdaily (800 mcg daily) via Turbuhaler DPI
Outcomes Severe asthma exacerbations/patient/year 
 Mild asthma exacerbations/patient/year 
 Patients without severe exacerbation (%) 
 FEV1 (% predicted) 
 Morning PEFR 
 Daytime asthma symptom score 
 Nighttime asthma symptom score 
 Daytime use of beta2 agonist 
 Nighttime use of beta2 agonists 
 Nighttime awakenings (No. per night) 
 Withdrawal due to asthma exacerbation 
 Hospital admission due to asthma exacerbation
Notes Reply from author clarifying method of random order generation, use of allocation concealment and provided data for FEV1 and PEFR. 
 Four week run‐in period during which patients received BUD 1600 mcg daily via DPI with terbutaline as needed. 
 Severe exacerbations defined as one requiring oral steroids, decrease on morning PEFR of 30% or more below baseline on two consecutive days. Mild exacerbations defined as morning PEFR 20% or more below baseline, requiring > 3 additional puffs short‐acting beta2 agonist or wakening at night due to asthma. Patients with three or more severe exacerbations within 3 months or a total of 5 or more exacerbations were withdrawn.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate