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. 2002 Jan 21;2002(1):CD003530. doi: 10.1002/14651858.CD003530

Boe 1989.

Methods Setting: multicentre study Sweden, hospital outpatient clinic
 Length of intervention: 4 weeks
 Design: crossover, no washout
 Randomisation: yes, random number table
 Allocation concealment: unclear
 Masking: double blind
 Excluded: not stated
 Withdrawals: stated
 Baseline characteristics: no details
 Jadad score: 4
Participants 128 adults: 67M 61F
 Age range 18‐77 years
 Inclusion criteria: 
 Asthma as defined by ATS criteria
 Requirement for inhaled steroids in a dose range of 400‐800 mcg/d
 Exclusion criteria:
 Cardiovascular disease or diabetes mellitus
Interventions Four treatment allocations:
 1) BDP 200 micrograms 2xdaily (400 mcg/day)
 2) BUD 200 micrograms 2xdaily (400 mcg/day)
 3) BDP 500 micrograms 2xdaily (1000 mcg/day)
 4) BUD 400 micrograms 2xdaily (800 mcg/day)
 All via MDI
Outcomes FEV1
 FVC
 Morning PEFR
 Evening PEFR
 Daily asthma symptom score
Notes No reply from author to clarify if allocation concealment was employed
 Not stated if carryover effects were tested for.
 Significant improvements in morning/evening PEFR, beta2 agonist use, symptoms in BDP and BUD groups compared to non‐randomised placebo.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear