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. 2015 Jun 4;2015(6):CD009191. doi: 10.1002/14651858.CD009191.pub3

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.
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 All outcomes Low risk Intention‐to‐treat analysis was used. 2 participants were withdrawn from the study.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.