Skip to main content
. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: UK 
 Setting/Design: Multicentre 
 Time frame: NS 
 Randomisation method: NS 
 Blinding 
 ‐ Participants: No 
 ‐ Investigators: No 
 ‐ Outcome assessors: No 
 ‐ Data analysis: No 
 Intention‐to‐treat: Yes 
 Follow‐up period: 24 months 
 Loss to follow‐up: 42
Participants Inclusion criteria
  • DM: Type 1

  • Microalbuminuria: 20‐200 µg/min in 2 of 3 collections

  • Untreated BP: < 150/90 mm Hg for patients < 50 years and < 165/90 mm Hg for patients 50‐65 years


Ramipril group 1
  • Number: 47

  • Age: 44 (11)

  • Sex (M/F): 44/3


Ramipril group 2
  • Number: 45

  • Age: 40 (13)

  • Sex (M/F): (44/1)


Placebo group
  • Number: 48

  • Age: 40 (12)

  • Sex (M/F): 46/2


Exclusion criteria
  • Pregnant or lactating

  • Women of child‐bearing potential and not using adequate contraception

  • Concomitant therapy for hypertension

  • Treatment one or more NSAIDs

  • History of drug or alcohol abuse

  • Other known renal diseases or raised

  • Creatinine levels > 120 μmol/L)

  • Liver function twice that of normal on repeat testing

  • Iodine sensitivity

Interventions Ramipril group 1 
 25 mg/d
Ramipril group 2 
 5 mg/d
Placebo group
Co‐interventions: No
Outcomes
  1. AER

  2. BP

  3. GFR

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate