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. 2017 Feb 23;2017(2):CD010746. doi: 10.1002/14651858.CD010746.pub2

Robin 1987.

Methods Study design: parallel‐group RCT
Country: US
Number randomized:
Total: 73
Per group: apraclonidine = 39, placebo = 34
Exclusions after randomization: none reported
Number analyzed:
Total: 73
Per group: apraclonidine = 39, placebo = 34
Unit of analysis (participants vs eyes): participant (1 eye per participant); if a participant required bilateral therapy, the eye treated first was selected
Losses to follow‐up: none reported
How was missing data handled?: not reported
Reported power calculation: no
Unusual study design?: none
Participants Age (mean ± SD; years): apraclonidine = 60.9 ± 14.3, placebo = 68.8 ± 12.4
Females: apraclonidine = 54%, placebo = 74%
Inclusion criteria: pre‐existing OAG and poor IOP control despite maximum tolerated medical therapy
Exclusion criteria: prior ALT
Equivalence of baseline characteristics: no, "There was no statistically significant difference in any variable except for mean patient age, (P<0.25)"
Interventions Intervention 1: topical 1% apraclonidine, 1 hour prior and immediately after 360° ALT
Intervention 2: placebo, 1 hour prior and immediately after 360° ALT
Length of follow‐up:
Planned: 1 month
Actual: 1 month
Outcomes Primary outcomes: visual acuity, IOP, anterior segment inflammation
Secondary outcome: heart rate
Adverse events reported: authors reported that there were no adverse events
Intervals at which outcomes assessed: 1, 2, 3 hours; 1 week; 1 month
Notes Trial registration: not reported
Funding sources: "This study was funded in part by a grant from Alcon Laboratories."
Disclosures of interest: "Betty House is an employee of Alcon Laboratories, Fort Worth, Tex. None of the authors as any financial, commercial, or proprietary interest in ALO 2145 [apraclonidine]."
Study period: not reported
Reported subgroup analyses: no
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "A computer‐generated random‐number table was utilized, and the selected medication was masked to both the physician and the patient."
Allocation concealment (selection bias) Unclear risk Allocation concealment not reported.
Masking of participants and personnel (performance bias) Low risk "A computer‐generated random‐number table was utilized, and the selected medication was masked to both the physician and the patient."
Masking of outcome assessment (detection bias) Unclear risk No information on efforts to mask the outcome assessors reported.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No mention of loss to follow‐up.
Selective reporting (reporting bias) Unclear risk Unclear whether there was selective outcome reporting.
Other bias High risk Study funded in part by Alcon Laboratories, who manufacture the study drug apraclonidine.