Verberne 1998 b.
Methods | Double‐blind, randomised, parallel‐group trial; multi‐centre | |
Participants | SYMPTOMATIC PARTICIPANTS RANDOMLY ASSIGNED: N = 90 ANALYSED: N = 90 INTERVENTION: ICS (beclomethasone + salmeterol 400 μg/d): 60 CONTROL: ICS (beclomethasone 800 μg/d): 30 WITHDRAWALS: reported AGE: mean (range) years INTERVENTION: ICS (beclomethasone 400 μg/d): 10.8 (6‐16) CONTROL: ICS (beclomethasone 800 μg/d): 11.4 (6‐16) GENDER: male N (%) INTERVENTION: ICS (beclomethasone 400 μg/d): 40 (60) CONTROL: ICS (beclomethasone 800 μg/d): 36 (60) ASTHMA SEVERITY: mild to moderate asthma ASTHMA DURATION: mean (range) years INTERVENTION: ICS (beclomethasone 400 μg/d): 7.8 years CONTROL: ICS (beclomethasone 800 μg/d): 9.0 years MEAN (± SD) β2‐AGONIST USE (puffs/d): not reported DOSE OF ICS AT STUDY ENTRY AND AT RUN‐IN: 200‐800 μg/d at least 3 months before the start of the study ATOPY (% of participants): 89% ELIGIBILITY CRITERIA
EXCLUSION CRITERIA: not reported WITHDRAWAL CRITERIA
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Interventions | PROTOCOL DURATION
DEVICE: All drugs were administered as Rotadisks in combination with a Diskhaler (Glaxo Wellcome, Greenford, UK) DOSE OF ICS
CRITERIA FOR WITHDRAWAL FROM STUDY: reported |
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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: "Randomization was stratified by sex, age, center, baseline FEV1 and prior dose of ICS, using a computerized minimization method" |
Allocation concealment (selection bias) | Low risk | Central allocation (including telephone, web‐based and pharmacy‐controlled randomisation): "independent randomisation center" |
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 |