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

Juniper 1990.

Methods Setting: Canada, hospital outpatient clinic 
 Randomisation: yes, method not stated 
 Allocation concealment: yes 
 Design: parallel 
 Intervention period: 12 months 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score=4
Participants 32 adults: 13M 19F 
 Mean (SD) age: budesonide 42.4(11.6) years, placebo 35.1(15.8) years 
 Inclusion criteria: 
 Clinical diagnosis of asthma 
 Methacholine BHR (PC20 FEV1) <8mg/ml 
 FEV1 (% predicted) 70 or greater 
 Exclusion criteria: 
 Use of inhaled or oral steroids or cromoglycate within last 6 weeks 
 Pregnancy
Interventions BUD: 200 mcg 1 pf 2xdaily (400mcg/d)
Placebo: 1 pf 2xdaily
Dlievery device: MDI+spacer
Outcomes FEV1 (% predicted) 
 Methacholine BHR (PC20 FEV1) 
 Asthma severity score 
 Daily beta2 agonist use 
 No. of asthma exacerbations 
 Withdrawal due to asthma exacerbation 
 Requiring one or more courses of oral prednisolone for asthma exacerbation (number of patients) 
 Incidence of oropharyngeal side effects 
 Incidence of oropharyngeal Candidasis
Notes Reply from author confirming use of allocation concealment.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate