Skip to main content
. 2004 Jul 19;2004(3):CD003269. doi: 10.1002/14651858.CD003269.pub2

Rebuck 1983.

Methods Crossover design; each phase 30 days. 4/22 patients withdrawn and 17 patients' results were analysed. Said to be double blind, with placebos and the code was not broken until the study was complete. Concurrent asthma medication: steroids (oral and inhaled), cromoglycate, theophylline (study drug in all arms); withdrawal of bronchodilators unclear.
Participants Inclusion criteria: patients had asthma ‐ diagnosis according to ATS criteria and reversibility >15% after beta‐agonist; all patients clinically stable for >1 month. Exclusions: cough and sputum during clinically stable periods, recent respiratory tract infections, cardiac, hepatic, renal, metabolic disease, and others; hypersensitivity to atropinic compounds. Patient details: 22 participants (M/F 9/13); age 17‐75 (mean for completers 47); moderate asthma (heterogeneous severity); 13/22 atopy; unclear if concurrent COPD.
Interventions 3 interventions: ipratropium bromide (40µg)+fenoterol (200µg) ‐ may be separate inhalers, fenoterol (200µg), ipratropium bromide (40µg); all interventions q.i.d. (times not clear) and all arms had oral theophylline (200mg) q.i.d.
Outcomes PEF (daily) over 30d (no results); FEV1 at 30days; patient preference and number of exacerbations (descriptive); adverse effects.
Notes Authors unable to provide any more data.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Information not available (Cochrane Grade B)