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

Wempe 1992b.

Methods Setting: The Netherlands, hospital outpatient clinic 
 Randomisation: yes, method not stated 
 Allocation concealment: unclear 
 Design: crossover, no washout 
 Intervention period: 4 weeks 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: stated (none) 
 Baseline characteristics: comparable 
 Jadad score=3
Participants 9 adults: 6M 3F 
 Age range: 18 ‐39 years 
 Inclusion criteria: 
 Adult patients with asthma 
 Positive skin prick test and elevated specific IgE to house dust mite 
 FEV1 (% predicted) > 60 
 Histamine BHR (PC20 FEV1) < 8 mg/ml 
 Diurnal PEFR variability < 15% 
 Exclusion criteria: 
 Asthma exacerbation within last 2 months
Interventions BUD: 200mcg 2 pfs 2 xdaily (800mcg/d)
Placebo: 2 pfs 2xdaily
Delivery device: Turbuhaler DPI
Bambuterol: 20mg tablet 1xdaily
Each group received appropriate addtional placebo tablet or inhaler to maintain blinding
Outcomes 24 hour mean FEV1 (% predicted) 
 Diurnal change in FEV1 (% predicted) 
 Histamine BHR (PC20 FEV1) 
 Diurnal change in histamine BHR (PC20 FEV1) 
 Daytime cough, breathlessness and wheeze scores 
 Night‐time cough, breathlessness and wheeze scores
Notes Patient group with daily PEFR variability < 15%
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear