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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: Japan 
 Setting/Design: Multicentre 
 Time frame: NS 
 Randomisation method: NS 
 Blinding 
 ‐ Participants: Yes 
 ‐ Investigators: Yes 
 ‐ Outcome assessors: No 
 ‐ Data analysis: No 
 Intention‐to‐treat: No 
 Follow‐up period: mean 1.5years 
 Loss to follow‐up: 22
Participants Inclusion criteria
  • DM: Type 1 before the age of 20 years

  • Age: 20‐50 years

  • AER: > 30 mg/d at the time of screening in 2 consecutive sterile urine samples collected overnight

  • Hypertensive cases: DBP < 90mm Hg with antihypertensive agents other than ACEi, CCB and AIIRA


Imidapril group
  • Number: 26

  • Age: 36.2 (6.7)

  • Sex (M/F): 13/13


Captopril group
  • Number: 26

  • Age: 30.9 (8.5)

  • Sex (M/F): 6/20


Placebo group
  • Number: 27

  • Age: 33.4 (7.9)

  • Sex (M/F): 9/18


Exclusion criteria
  • Poor glycaemic control (HbA1c > 10%)

  • SCr > 2 mg/dL

  • Other renal, endocrine, cardiac, liver, gastrointestinal, or connective tissue diseases

Interventions Imidapril group 
 5 mg/d
Captopril group 
 37.5 mg/d
Placebo group
Co‐interventions 
 Antihypertensive agents other than ACEi, CCB and AIIRA
Outcomes
  1. AER

  2. BP

  3. Glycaemic control

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