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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: Denmark 
 Setting/Design: Muticentre 
 Time frame: NS 
 Randomisation method: NS 
 Blinding 
 ‐ Participants: Yes 
 ‐ Investigators: Yes 
 ‐ Outcome assessors: No 
 ‐ Data analysis: No 
 Intention‐to‐treat: Yes 
 Follow‐up period: 2 years 
 Loss to follow‐up: 77
Participants Inclusion criteria
  • Hypertensive patients with type 2 DM

  • Age: 30‐70 years

  • Persistent microalbuminuria (AER 20‐200 µg/min in 2 of 3 consecutive, sterile, overnight urine samples)

  • SCr ≤ 1.5 mg/dL for men and ≤ 1.1 mg/dL for women


Irbesartan group 1
  • Number:195

  • Age: 58.4 (8)

  • Sex (M/F): 129/66


Irbesartan group 2
  • Number: 194

  • Age: 57.3 (7.9)

  • Sex (M/F): 137/57


Placebo group
  • Number: 201

  • Age: 58.3 (8.7)

  • Sex (M/F): 138/63


Exclusion criteria
  • Non‐diabetic kidney disease

  • Cancer

  • Life‐threatening disease with death expected to occur within 2 years

  • Indication for ACEi or AIRA

Interventions Irbesartan group 1 
 150 mg/d
Irbesartan group 2 
 300 mg/d
Placebo group
Co‐interventions 
 Diuretics, beta‐blockers, CCB (except dihydropyridines), and alpha blockers
Outcomes
  1. Incidence of progression to diabetic nephropathy

  2. AER

  3. CrCl

  4. BP

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear