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

Kerwin 2008 b.

Methods DESIGN: randomised, parallel‐group, double‐blind, placebo‐controlled trial; in multiple centres
Participants SYMPTOMATIC PARTICIPANTS
RANDOMLY ASSIGNED: N = 204
INTERVENTION: ICS (budesonide 180 μg/d): 108
CONTROL: ICS (budesonide 360 μg/d): 96
WITHDRAWALS: reported
AGE: mean (SD) years:
INTERVENTION: ICS (budesonide 180 μg/d): 11.7 (2.9)
CONTROL: ICS (budesonide 360 μg/d): 11.5 (2.9)
GENDER: male N (%)
INTERVENTION: CS (budesonide 180 μg/d): 76 (70.4)
CONTROL: ICS (budesonide 360 μg/d): 67 (69.8)
ASTHMA SEVERITY: mild asthma
ASTHMA DURATION: mean (SD) years
INTERVENTION: ICS (budesonide 180 μg/d): 7.1 (4.2)
CONTROL: ICS (budesonide 360 μg/d): 7.2 (4.1)
MEAN (± SD) β2‐AGONIST USE (puffs/d):
INTERVENTION: ICS (budesonide 180 μg/d): 0.4 (0.9)
CONTROL: ICS (budesonide 360 μg/d): 0.5 (1.0)
DOSE OF ICS AT STUDY ENTRY AND AT RUN‐IN: Participants continued their usual ICS therapies (if any) and added a once‐daily placebo treatment
ATOPY (% of participants): not reported
ELIGIBILITY CRITERIA
  • As above


EXCLUSION CRITERIA
  • As above

Interventions PROTOCOL
DURATION
  • Run‐in = 11 to 17 days

  • Intervention = 12 weeks


DEVICE: dry powder inhaler
DOSE OF ICS
  • INTERVENTION: budesonide 180 μg/d

  • CONTROL: budesonide 360 μg/d


CRITERIA FOR WITHDRAWAL FROM STUDY: reported
Outcomes As above
Notes As above
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Using a computer random number generator
Allocation concealment (selection bias) Unclear risk Insufficient information
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Blinding of participants and key study personnel ensured
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Blinding of participants and key study personnel ensured
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 Low risk Study apparently free of other sources of bias