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

O'Byrne 1996.

Methods Setting: Canada, multicentre study, primary care 
 Randomisation: yes, by computer‐generated randomisation sequence 
 Allocation concealment: yes (coding undertaken centrally by pharmaceutical company sponsors) 
 Design: parallel 
 Intervention period: 4 months 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score=4
Participants 47 adults: 25M 32F 
 Mean (SD) age: BUD 400 32(9.0) years, BUD 800 37(17.8) years, placebo 36(12.7) years 
 Inclusion criteria: 
 Adults over the age of 18 with asthma requiring the use of inhaled bronchodilators 
 Diurnal PEFR variability 10% or greater for at least 3 out of 7 days of the screening period 
 Exclusion criteria: 
 Inhaled or oral steroids in last 3 months 
 Felt to require inhaled corticosteroids by primary care physician at the time of enrolment
Interventions BUD: 
 1. 100mcg 2pfs 2xdaily (400 mcg/d) 
 2. BUD 200mcg 2pfs 2xdaily (800 mcg/d)
Placebo: 2 pfs 2xdaily
Delivery device: MDI+spacer
Outcomes Change in morning PEFR compared to baseline 
 Change in evening PEFR compared to baseline 
 % of patients reporting: any symptoms; waking at night; waking early due to asthma; requiring bronchodilators > 4xdaily during previous month 
 No. of patients attending hospital emergency dept due to acute asthma exacerbation 
 Withdrawal due to asthma exacerbation 
 Economic analysis
Notes Reply from author confirming use of allocation concealment.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate