Foucan 1998.
| Methods | Double‐blind, randomized, parallel, placebo‐controlled trial. | |
| Participants | 22 participants were enrolled into the study, in which 12 were in the treatment group and 10 were in the placebo group. All were homozygous for hemoglobin SS. Ages >18 years. Urinary albumin excretion between 30 mg and 300 mg per 24 hours on 3 different occasions in the 6 months prior to the study. | |
| Interventions | Participants were were randomized into either: 1. captopril 6.25 mg/day for month 1, 12.5 mg/day for months 2 ‐ 3 and 25 mg/day for months 3 onward; or 2. placebo. |
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| Outcomes | Primary outcomes include: urinary albumin (24 h), serum creatinine, sodium (results not stated), potassium Secondary outcomes include: hemoglobin concentration; blood pressure. | |
| Notes | ‐ | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Random assignment. No process of generating allocation sequence was described. |
| Allocation concealment (selection bias) | Unclear risk | Not stated. |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat analysis was used. 2 participants were withdrawn from the study. Full reasons for withdrawal were given in the published paper. |
| Selective reporting (reporting bias) | High risk | Results for sodium level were not reported. Exact serum creatinine level and hemoglobin concentration were not reported. |
| Other bias | Low risk | No difference in baseline characteristics between the captopril group and placebo group. |
| Blinding of participants and personnel (performance bias) All outcomes | Low risk | Participants were blinded. Treating physicians were blinded. |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessors were blinded. |