Introduction: The comparison of fluticasone propionate/formoterol (FP/FORM) with fluticasone propionate/salmeterol (FP/SAL) for paediatric asthma remains controversial.

Aim: We conduct a systematic review and meta-analysis to explore the efficacy and safety of FP/FORM versus FP/SAL for paediatric asthma.

Material And Methods: We have searched PubMed, Embase, Web of science, EBSCO, and Cochrane library databases through August 2019 for randomized controlled trials (RCTs) assessing the effect of FP/FORM versus FP/SAL for paediatric asthma. This meta-analysis is performed using the random-effects model.

Results: Three RCTs are included in the meta-analysis. Overall for paediatric asthma, FP/FORM and FP/SAL demonstrate a comparable influence on FEVj (Std. MD = -0.01; 95% CI: -0.04 to 0.03; = 0.62), FVC (Std. MD = 0; 95% CI: -0.07 to 0.06; = 0.87), FEF25 (Std. MD = -1.69; 95% CI: -6.69 to 3.31; = 0.51), FEF50 (Std. MD = 0.10; 95% CI: -0.12 to 0.33; = 0.37), FEF75 (Std. MD = 0.01; 95% CI: -0.21 to 0.24; = 0.91), asthma symptom scores (Std. MD = -0.03; 95% CI: -0.11 to 0.04; = 0.43), sleep disturbance scores (Std. MD = 0.03; 95% CI: -0.19 to 0.24; p = 0.81) and adverse events (RR = 1.07; 95% CI: 0.83 to 1.38; p = 0.61).

Conclusions: FP/FORM and FP/SAL show a comparable efficacy for paediatric asthma.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8330866PMC
http://dx.doi.org/10.5114/ada.2020.92519DOI Listing

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