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. 2014 Jul 16;2014(7):CD009878. doi: 10.1002/14651858.CD009878.pub2

Doniec 2004.

Methods DESIGN: randomised, parallel‐group clinical study
Participants SYMPTOMATIC PARTICIPANTS
RANDOMLY ASSIGNED: N = 22
INTERVENTION: ICS (budesonide 200 μg/d): 9
CONTROL: ICS (budesonide 800 μg/d): 11
WITHDRAWALS: reported
AGE: mean (years) (range):
INTERVENTION: ICS (budesonide 200 μg/d): 11.8 ± 2.0
CONTROL: ICS (budesonide 800 μg/d): 13.2 ± 2.3
GENDER: N (male %):
INTERVENTION: ICS (budesonide 200 μg/d): 6 (66.6)
CONTROL: ICS (budesonide 800 μg/d): 6 (54.5)
ASTHMA SEVERITY: mild asthma
ASTHMA DURATION: median (months) (range): not reported
MEAN (± SD) β2‐AGONIST USE (puffs/d): not reported
DOSE OF ICS AT STUDY ENTRY AND AT RUN‐IN: none (steroid naive)
ATOPY (% of participants): not reported
ELIGIBILITY CRITERIA
  • Mild asthma diagnosed according to GINA protocol

  • Steroid naive

  • Treated with disodium cromoglycate


EXCLUSION CRITERIA: not reported
Interventions PROTOCOL
DURATION
  • Run‐in = not reported

  • Intervention = 12 weeks


DEVICE: dry powder inhaler (Pulmicort Turbuhaler)
DOSE OF ICS
  • INTERVENTION: budesonide 200 μg/d

  • CONTROL: budesonide 800 μg/d


CRITERIA FOR WITHDRAWAL FROM STUDY: reported
Outcomes ANALYSIS: Student's t test
OUTCOMES
GROWTH MEASUREMENT TECHNIQUE: not reported
PULMONARY FUNCTION TESTS: at start of study and at 12 weeks
  • FEV1; FVC


FUNCTIONAL STATUS: not reported
BIOMARKERS: at start of study and at 12 weeks
  • Plasma levels of native and cryptic met‐enkephalin


ADVERSE EVENTS: not reported
WITHDRAWALS: reported
Notes PUBLICATION: full paper (2004)
FUNDING: not reported
CONFIRMATION OF METHODOLOGY: not received
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information on sequence generation
Allocation concealment (selection bias) Unclear risk Insufficient information
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Insufficient information
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing outcome data
Selective reporting (reporting bias) Low risk Study protocol not available but published reports include all expected outcomes, including those that were prespecified
Other bias Unclear risk Insufficient information to assess whether an important risk of bias exists