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

Pavia 1989.

Methods Crossover design; each phase 28 days. 1/11 asthma patients withdrew from study. Said to be double blind (vs placebo), but some patients could distinguish the OxBr by its taste, no other details. Concurrent asthma medication: no oral steroids; inhaled steroids and oral bronchodilators.
Participants Inclusion criteria: patients had asthma ‐ reversible (>15% increase in FEV1) after beta‐agonist; stable asthma medication. Patient details: 22 participants (11 with asthma(M/F for 10: 4/6), 11 with bronchitis ‐ not separated for most outcomes); age (asthmatics) mean 59; moderate asthma; atopy not stated.
Interventions 2 interventions: oxitropium bromide 200µg and placebo; both interventions t.i.d. (on rising, early pm and on retiring).
Outcomes PEF (am, early pm, retiring ‐ paired difference +SEM for am); FEV1 at 4 weeks; rescue medication (not for placebo) ‐ all these for mixed asthma/COPD; number of dropouts (asthma only).
Notes Most outcomes for athma and COPD combined; 1 author worked for Boehringer Ingelheim.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Information not available (Cochrane Grade B)