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Table 1 Description of studies

From: Withdrawal of inhaled corticosteroids in individuals with COPD - a systematic review and comment on trial methodology

Trial/Country/Publication date

Type of study

Duration & follow-up

Number of patients randomised

Run-in period

Trial period medication

Outcomes

    

Duration

Treatment

Steroid group

Withdrawn group

 

WISP14/United Kingdom/2007

Parallel

12 months (follow up every 3 months)

260

2 weeks

Patient's usual medication

FP 500 ug twice daily

Placebo

Exacerbation frequency*

Time to first exacerbations

Respiratory symptoms

PEFR

Reliever inhaler use

Lung function

HRQL

O'Brien 17 /USA/2001

Crossover

12 weeks (follow up every 3 weeks)

24

None

n/a

BDP 84 ug 4 times daily

Placebo

Lung function*

Exercise capacity*

HRQL

Sputum analysis

COPE 15 /Netherlands/2002

Parallel

6 months (follow up at 3& 6 months)

244

4 months

FP 500 ug twice daily & ipratropium bromide 40 ug four times daily

FP 500 ug twice daily and Ipratropium

Placebo and Ipratropium

First and second exacerbations*

Rapid recurrent exacerbation*

HRQL*

Lung function

Exercise tolerance

Use of healthcare facilities

Respiratory symptoms

COSMIC 16 /Netherlands/2005

Parallel

12 months (follow up at weeks 0, 4, 11, 12, 16, 28, 40, 52, 64 & 66)

373

3 months

Combined salmeterol 50 ug & fluticasone 500 ug twice daily

Combined salmeterol 50 ug & fluticasone 500 ug twice daily

Salmeterol 50 ug twice daily

Lung function*

Exacerbation & use of rescue medication

Respiratory symptoms

HRQL

  1. *Primary outcome measures.