Verhoeven 2002.
Methods | Design: parallel group Randomisation: yes, method not stated Blinding: double blind, double dummy Withdrawals: stated |
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Participants | Setting: single centre study, hospital outpatient clinic Number eligible: not stated Number enrolled: 23 COPD; also studied 6 asymptomatic smokers Number in treatment group: 10 Number in control group: 13 Number of withdrawals (treatment/control): 0/0 Number completing trial (treatment/control): 10/13 Age range: 42 to 67 yr Sex: 19M, 4F Ethnicity: not stated COPD diagnosis: chronic productive cough, FEV1 <=70% predicted Severity of COPD: mean FEV1 66% predicted FP, mean FEV1 61% predicted placebo Inclusion criteria: non‐specific BHR (PC20 histamine <=8 mg/ml), current smoker, FEV1 reversibility <10% after terbutaline, normal serological examination (Phadiatop test), negative skin prick tests for aeroallergens Exclusion criteria: asthma, respiratory tract infection in previous 4 weeks, serious or unstable concomitant disease Baseline characteristics of treatment/control groups: comparable |
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Interventions | FP 500 µg, 2 times a day (1,000 µg/d) placebo Diskhaler 6 months |
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Outcomes | BHR methacholine Bronchial biopsies Lung function tests Serum cortisol | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "randomly allocated" |
Allocation concealment (selection bias) | Unclear risk | Information not available |
Blinding (performance bias and detection bias) All outcomes | Low risk | Quote: "double blind" |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No withdrawals |
Selective reporting (reporting bias) | Low risk | All outcomes reported |