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. 1999 Oct 25;1999(4):CD003274. doi: 10.1002/14651858.CD003274

Aaronson 1998.

Methods Setting: multicentre study, USA, hospital outpatient clinics 
 Length of intervention period: 6 weeks 
 Randomisation: yes, method not stated 
 Allocation concealment: unclear 
 Design: parallel 
 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) 
 Aged 18‐65 years 
 FEV1 (% predicted) 65 or greater 
 Able to use Turbuhaler effectively and achieve inspiratory flow rate of at least 50 L/min 
 Exclusion criteria: 
 Hospitalisation due to asthma or respiratory tract infection in last 4 weeks 
 Other significant disease 
 Any corticosteroid therapy in last 6 months 
 Significantly abnormal cortisol levels (basal or post cosyntropin)
Interventions BUD: 
 200 mcg 2 pfs 2xdaily (800 mcg/d) 
 400 mcg 2pfs 2xdaily (1600 mcg/d) 
 800 mcg 2 pfs 2xdaily (3200 mcg/d)
Placebo: 2 pfs 2xdaily
Delivery device: Turbuhaler DPI
Outcomes Plasma cortisol at 6 hours following continuous iv cosyntropin infusion, 0.25 mg/500 ml saline over 6 hours (nmol/L) 
 Basal plasma cortisol (nmol/L)
Notes No reply from author to clarify details of randomisation method. 
 Prednisolone treatment arm included in study: results not considered
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate