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

Rafferty 1985.

Methods Setting: UK, hospital outpatient clinic
 Length of intervention: variable 
 Design: crossover 
 Randomisation: yes, method not stated
 Allocation concealment: unclear
 Masking: double blind
 Excluded: not stated
 Withdrawals: stated
 Baseline characteristics: no data regarding baseline spirometry of subjects, wide range for duration of asthma, duration of oral steroid use and inhaled steroid use.
 Jadad score: 3
Participants 40 adults randomised, 26 completed study: 12 M 14F
 Age range: 23‐72 years
 Inclusion criteria:
 "Severe chronic asthma", being treated with at least 5mg oral prednisolone per day and inhaled BDP 400 mcg daily for at least 9 months
 Exclusion criteria:
 Any patient whose dose of oral prednisolone had been adjusted in the last 3 months
Interventions 1. BDP: 200 mcg 1puff 4xdaily (800 mcg/d) via MDI
2. BUD 200 mcg 2 puffs 2xdaily (800 mcg/d) via MDI+Inhalet spacer
3. BUD 200 mcg 4 puffs 1xdaily (800 mcg/d) via MDI+Inhalet spacer
Outcomes Reduction in daily prednisolone dose (mg/d)
Notes No reply from author to clarify details of randomisation procedure or regimen for tapering prednisolone dose.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear