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. 2015 Jun 1;2015(6):CD009566. doi: 10.1002/14651858.CD009566.pub2

James 2003.

Methods Parallel‐group RCT
Participants 144 participants with seasonal allergic conjunctivitis
Interventions Three treatment arms: azelastine; sodium cromoglycate; placebo. Duration of treatment 14 days
Outcomes Participants' assessment of symptoms (composite score): itching, redness, tearing, foreign body sensation, photophobia, soreness, discharge (range 0‐9) using participant's diary during treatment (14 days)
Investigator assessment of itching, tearing, conjunctival redness (range 0‐9, composite sum score)
Time points: at day 3, 7, and 14 after treatment
Country Germany and United Kingdom
Number randomised, gender (male:female) 144 participants randomised, 136 participants analysed. M:F 51:93
Age mean (SD), median, range Mean (range): azelastine 37.1 years (16‐65); sodium cromoglycate 35.5 years (18‐65); placebo 35.8 years (18‐64)
Notes Study conducted from April to September 1995. Source of funding: ASTA Medica AG (now VIATRIS GmbH & Co. KG). Declaration of interest by the authors was not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The method used to generate the allocation sequence was not described
Allocation concealment (selection bias) Unclear risk The method used to conceal the allocation sequence was not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Data were nearly fully reported, with less than 10% lost to follow‐up, and reasons were given
Selective reporting (reporting bias) Low risk Evidence was available of proper outcome reporting
Other bias Low risk No apparent evidence of other risk of bias
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Partial double‐masked (p.314 ‐ study design): "partial double‐blind, parallel‐group... The appearance and application regimen of placebo eye drops was identical to azelastine and the study was double‐blind in this respect."
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Partial double‐masked (p.314 ‐ study design): "However, the study was open in respect of sodium cromoglycate‐treated patients where the bottle size and dosage regimen identified this treatment to the investigator."