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. 2008 Apr 23;2008(2):CD007031. doi: 10.1002/14651858.CD007031

Comparison 3. Ciclesonide versus Fluticasone (dose ratio 1:1).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Exacerbations requiring oral steroids 3 1537 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.40, 1.95]
1.1 Children 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.2 Adults 3 1537 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.40, 1.95]
2 Change from baseline in FEV1 5 2599 L (Fixed, 95% CI) ‐0.02 [‐0.04, 0.01]
2.1 Children 1 556 L (Fixed, 95% CI) 0.0 [‐0.04, 0.04]
2.2 Adults 4 2043 L (Fixed, 95% CI) ‐0.03 [‐0.07, 0.01]
3 Change in FEV1 predicted 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
3.1 Children 0   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
3.2 Adults 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Change in FVC 4 2051 Mean Difference (IV, Fixed, 95% CI) 0.00 [‐0.04, 0.04]
4.1 Children 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.2 Adults 4 2051 Mean Difference (IV, Fixed, 95% CI) 0.00 [‐0.04, 0.04]
5 Change in clinic PEF 3 1611 L/min (Fixed, 95% CI) ‐1.59 [‐7.43, 4.25]
5.1 Children 1 556 L/min (Fixed, 95% CI) ‐2.5 [‐10.34, 5.34]
5.2 Adults 2 1055 L/min (Fixed, 95% CI) ‐0.45 [‐9.22, 8.31]
6 Change in am PEF 4 2070 L/min (Fixed, 95% CI) 0.41 [‐4.71, 5.53]
6.1 Children 1 556 L/min (Fixed, 95% CI) ‐2.9 [‐11.33, 5.53]
6.2 Adults 3 1514 L/min (Fixed, 95% CI) 2.34 [‐4.10, 8.78]
7 Change in pm PEF 2 1023 L/min (Fixed, 95% CI) 1.30 [‐5.10, 7.70]
7.1 Children 1 556 L/min (Fixed, 95% CI) ‐0.2 [‐8.24, 7.84]
7.2 Adults 1 467 L/min (Fixed, 95% CI) 3.9 [‐6.69, 14.49]
8 Change in rescue medication 2 1085 puffs/d (Fixed, 95% CI) 0.0 [‐0.10, 0.10]
8.1 Children 1 556 puffs/d (Fixed, 95% CI) 0.0 [‐0.14, 0.14]
8.2 Adults 1 529 puffs/d (Fixed, 95% CI) 0.0 [‐0.14, 0.14]
9 Lack of efficacy (exacerbation requiring change in medication) 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
9.1 Children 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.2 Adults 0   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Worsening asthma 3 1552 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.61, 1.97]
10.1 Children 1 556 Risk Ratio (M‐H, Fixed, 95% CI) 1.26 [0.50, 3.14]
10.2 Adults 2 996 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.47, 2.14]
11 Change in asthma‐symptom free days 1   % (Fixed, 95% CI) Totals not selected
11.1 Children 1   % (Fixed, 95% CI) 0.0 [0.0, 0.0]
11.2 Adults 0   % (Fixed, 95% CI) 0.0 [0.0, 0.0]
12 Change in quality of life (AQLQ) 2 967 AQLQ (Fixed, 95% CI) 0.17 [0.04, 0.30]
12.1 Children 0 0 AQLQ (Fixed, 95% CI) 0.0 [0.0, 0.0]
12.2 Adults 2 967 AQLQ (Fixed, 95% CI) 0.17 [0.04, 0.30]
13 Adverse events 4 2058 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.87, 1.07]
13.1 Children 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
13.2 Adults 4 2058 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.87, 1.07]
14 Candidiasis 3 1529 Risk Ratio (M‐H, Fixed, 95% CI) 0.24 [0.10, 0.58]
14.1 Children 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
14.2 Adults 3 1529 Risk Ratio (M‐H, Fixed, 95% CI) 0.24 [0.10, 0.58]
15 Pharyngitis 5 2614 Risk Ratio (M‐H, Fixed, 95% CI) 1.25 [0.90, 1.74]
15.1 Children 1 556 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.49, 2.45]
15.2 Adults 4 2058 Risk Ratio (M‐H, Fixed, 95% CI) 1.29 [0.90, 1.85]
16 Upper resiratory tract infection 3 1613 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.74, 1.47]
16.1 Children 1 556 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.57, 1.98]
16.2 Adults 2 1057 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.68, 1.56]
17 Headache 3 1613 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.52, 1.49]
17.1 Children 1 556 Risk Ratio (M‐H, Fixed, 95% CI) 1.44 [0.56, 3.73]
17.2 Adults 2 1057 Risk Ratio (M‐H, Fixed, 95% CI) 0.70 [0.37, 1.34]
18 Rhinitis 2 1084 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.61, 1.61]
18.1 Children 1 556 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.55, 1.69]
18.2 Adults 1 528 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.41, 2.81]
19 Sinusitis 2 1084 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.41, 1.61]
19.1 Children 1 556 Risk Ratio (M‐H, Fixed, 95% CI) 0.56 [0.19, 1.65]
19.2 Adults 1 528 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.43, 2.65]
20 Withdrawals 5 2570 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.79, 1.28]
20.1 Children 1 511 Risk Ratio (M‐H, Fixed, 95% CI) 1.47 [0.70, 3.11]
20.2 Adults 4 2059 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.74, 1.24]
21 Withdrawals (adverse events) 2 1059 Risk Ratio (M‐H, Fixed, 95% CI) 1.78 [0.66, 4.79]
21.1 Children 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
21.2 Adults 2 1059 Risk Ratio (M‐H, Fixed, 95% CI) 1.78 [0.66, 4.79]
22 Withdrawals (lack of efficacy) 3 1570 Risk Ratio (M‐H, Fixed, 95% CI) 2.55 [0.86, 7.53]
22.1 Children 1 511 Risk Ratio (M‐H, Fixed, 95% CI) 2.02 [0.51, 8.00]
22.2 Adults 2 1059 Risk Ratio (M‐H, Fixed, 95% CI) 3.57 [0.59, 21.51]
23 Data not suitable for meta‐analysis (medians)     Other data No numeric data
24 Change in asthma‐symptom scores 1   symptoms (Fixed, 95% CI) Totals not selected
24.1 Children 0   symptoms (Fixed, 95% CI) 0.0 [0.0, 0.0]
24.2 Adults 1   symptoms (Fixed, 95% CI) 0.0 [0.0, 0.0]