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

Gauvreau 1996.

Methods Setting: Canada, hospital outpatient clinic 
 Randomisation: yes, computer‐generated randomisation schedule 
 Allocation concealment: yes, randomisation sequence concealed in envelopes. 
 Design: crossover, 3 week washout 
 Intervention period: 1 week 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline data: no data according to treatment sequence 
 Jadad score=4
Participants 9 adults: 4M 5F 
 Age range: 19‐24 years 
 Inclusion criteria: 
 Mild asthma 
 FEV1 (% predicted) > 70 
 Non‐smokers 
 Exclusion criteria: 
 Respiratory tract infection or exacerbation of asthma in previous 6 weeks
Interventions BUD: 400 mcg/d
Placebo
Delivery device: DPI
Outcomes Methacholine BHR (PC20 FEV1) pre and 24 hr post allergen challenge
Largest % fall in FEV1 within 2 hrs of inhaled allergen (house dust mite, rag weed or cat): early allergen response
Largest % fall in FEV1 3‐7 hrs after inhaled allergen: late allergen response
Sputum eosinophil count
Blood eosinophil count
Notes Reply from author confirming use of allocation concealment, delivery device used. Author also provided log transformed data for pre‐allergen challenge methacholine bronchial responsiveness (log 10 PC20 FEV1). 
 Only the pre‐allergen challenge data for methacholine bronchial challenge is included in the meta‐analysis.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate