Evidence map›Paper›PMID 41886500›Full record

ArticleJournal of glaucoma2026

Design and Baseline Characteristics of Participants in the Clarifying the Optimal Application of Selective Laser Trabeculoplasty (SLT) Therapy (COAST) Trial 1.

Tony Realini, Goundappa Balasubramani, Tanya Kenkre, Jenny Wolsk, Michael A Kass, Gus Gazzard, Stephen R Wisniewski, COAST Study Investigators

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of glaucoma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04967989 (Clarifying the Optimal Application of SLT Therapy Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04967989 phase3recruitingnot on this map

Clarifying the Optimal Application of SLT Therapy Trial

TypeinterventionalSponsorUniversity of PittsburghRan2021 to 2027Enrolled790ConditionsGlaucoma and Ocular HypertensionArmsLow Energy SLT, Standard Energy SLT
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tony RealiniDepartment of Ophthalmology and Visual Sciences, School of Medicine, West Virginia University, Morgantown, WV.ORCID 0000-0002-6911-567
Goundappa BalasubramaniEpidemiology Data Center, School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Tanya KenkreEpidemiology Data Center, School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Jenny WolskEpidemiology Data Center, School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Michael A KassDepartment of Ophthalmology and Visual Sciences, School of Medicine, Washington University, Saint Louis, MO.
Gus GazzardNIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Stephen R WisniewskiEpidemiology Data Center, School of Public Health, University of Pittsburgh, Pittsburgh, PA.
COAST Study Investigators

Funding

Clarifying the Optimal Application of SLT Therapy (COAST) TrialUG1EY031651 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Balasubramani K Goundappa, Stephen R Wisniewski · 2020 to 2026
$20.4M
Clarifying the Optimal Application of SLT Therapy (COAST)UG1EY031654 · NEI · WEST VIRGINIA UNIVERSITY · PI Anthony D Realini · 2020 to 2026
$3.5M
NEI NIH HHS UG1 EY031651NEI NIH HHS UG1 EY031654
6 · The paper itself

Abstract

prcisCOAST was designed to investigate alternate approaches to SLT to provide more effective long-term disease control without the need for alternate therapies such as medications or surgery. Methodology and baseline participant characteristics are described. PURPOSE: To describe the hypothesis and methodology for the ongoing Clarifying the Optimal Application of selective laser trabeculoplasty (SLT) therapy (COAST) Trial 1 and participants' baseline characteristics.

methodsCOAST Trial 1 is a multicenter randomized trial comparing standard-energy versus low-energy SLT as initial therapy for newly diagnosed ocular hypertension (OHT) or mild-moderate primary open angle glaucoma (POAG). The hypothesis is that 12-month survival following low-energy SLT will be noninferior to 12-month survival with standard-energy SLT.

resultsWhen enrollment ceased, 418 participants had been randomized to low-energy (n=203) or standard-energy (n=215) SLT. Demographic and clinical characteristics were similar between groups. Most participants were White (66.5% and 67.9%, respectively) or Black/African American (25.1% and 21.4%, respectively). Qualifying diagnoses were mild POAG (59.6% and 62.1%, respectively), ocular hypertension (32.8% and 30.5%), and moderate POAG (7.6% and 7.4%). Mean optical coherence tomography retinal nerve fiber layer thickness was 81.9 and 82.0 µm, respectively; mean visual field mean deviation was -1.6 dB in both groups. Mean baseline IOP was highest among eyes with ocular hypertension (24.5 and 24.4 mm Hg, respectively) and lower in eyes with mild (21.8 and 21.4 mm Hg) and moderate POAG (22.0 and 21.0 mm Hg).

conclusionsCOAST is a timely and potentially highly impactful trial that will clarify the optimal utilization of SLT for long-term glaucoma management without the need for alternative therapies such as medications or surgery. The COAST sample closely resembles the population of newly diagnosed POAG/OHT patients for whom primary SLT would be appropriate, optimizing generalizability of study results when available.

Indexed as

Glaucoma, Open-AngleLaser TherapyOcular HypertensionTrabeculectomyAgedEquivalence Trials as TopicFemaleHumansIntraocular PressureMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicResearch DesignTonometry, OcularVisual AcuityCOASTglaucomaprimary therapyselective laser trabeculoplasty

Identifiers

PMID41886500
PMCPMC13398821

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.