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. 2004 Jul 19;2004(3):CD003269. doi: 10.1002/14651858.CD003269.pub2

Coe 1986.

Methods Crossover design; each phase 14 days. All patients completed the study correctly. Said to be double blind (vs placebo), but no details. Concurrent asthma medication unclear, but none had oral steroids or anticholinergics; 200µg salbutamol given each morning and evening as part of test procedure.
Participants Inclusion criteria: patients had documented nocturnal asthma ‐ difference of >20% in PEFR between evening and morning readings; nocturnal asthma. Patient details: 18 participants (M/F 7/11); age 18‐76; mild‐severe asthma (heterogeneous severity); 10:8 atopy; no information on concurrent COPD.
Interventions 3 interventions: oxitropium bromide 200 and 400µg, placebo ; all interventions taken once at night.
Outcomes Daily PEF, morning and evening (no results or SDs); difference in PEFR (evening‐morning) ‐ not analysed; rescue medication ‐ no results; daily symptom scores ‐ no data.
Notes 200µg salbutamol given each morning and evening as part of test procedure.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Information not available (Cochrane Grade B)