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

Bel 1991.

Methods Setting: The Netherlands, hospital outpatient clinic 
 Randomisation: yes, method not stated 
 Allocation concealment: unclear 
 Design: parallel 
 Intervention period: 4 weeks 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score=3
Participants 16 patients: 8M 8F. 
 Age range: 19‐34 years 
 Inclusion criteria: 
 History of episodic wheezing and dyspnoea, positive skin prick test to one or more airborne allergens. 
 FEV1 (% predicted) > 80 and methacholine BHR (PC20 FEV1) 1‐7 mg/ml 
 Symptoms controlled with bronchodilators only 
 Exclusion criteria: 
 Prior use of oral or inhaled corticosteroids
Interventions BUD: 200 mcg 2pfs 2xdaily (800 mcg/d)
Placebo: 2 pfs 2xdaily
Delivery device: Turbuhaler DPI
Outcomes FEV1 (% predicted) 
 Methacholine BHR (PC20 FEV1) 
 Withdrawal due to asthma exacerbation
Notes Reply from author but unable to clarify details of randomisation method. 
 Unclear whether methacholine challenge data log transformed prior to analysis.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear