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

Swystun 1998.

Methods Setting: Canada, hospital outpatient clinic 
 Length of intervention period: 7 days 
 Randomisation: yes, computer‐generated randomisation sequence 
 Allocation concealment: yes 
 Design: 4 way crossover with 6 day washout periods 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: comparable 
 Jadad score=4
Participants 12 adults: 5M 7F 
 Age range: 20‐48 years 
 Inclusion criteria: 
 Adults with mild to moderate atopic asthma 
 Documented response to a specific allergen in skin prick testing or inhalation challenge 
 FEV1 (% predicted FEV1) > 70 
 Methacholine BHR (PC20 FEV1) 8 mg/ml or less 
 Exclusion criteria: 
 Requirement for any asthma medication in last 4 weeks 
 Respiratory tract infection within last 4 weeks
Interventions BUD: 
 1. 100 mcg 1 actuation 2xdaily (200 mcg/d) 
 2. 200 mcg 1 actuation 2xdaily (400 mcg/d) 
 3. 400 mcg 1 actuation 2xdaily (800 mcg/d)
Placebo: 1 actuation 2xdaily
Delivery device: Turbuhaler DPI
Outcomes Allergen BHR (PC15 FEV1) 
 Methacholine BHR (PC15 FEV1) 
 FEV1
Notes Reply from author to clarifying method of random order generation and that allocation concealment was employed.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate