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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: Australia 
 Setting/Design: Multicentre 
 Time frame: NS 
 Randomisation method: NS 
 Blinding 
 ‐ Participants: Yes 
 ‐ Investigators: Yes 
 ‐ Outcome assessors: No 
 ‐ Data analysis: No 
 Intention‐to‐treat: Yes 
 Follow‐up period: 24‐36 months 
 Loss to follow‐up: 9
Participants Inclusion criteria
  • Age: 16‐65 years

  • DM: Type 1 for at least 5 years with persistent ketonuria and weight loss on presentation

  • Microalbuminuria: 2 or 3 measurements of albumin excretion rate between 20‐200 µg/min performed on overnight urine collections

  • BP: Supine 160/90 mm Hg or less if 40 years or older or 140/90 mm Hg or less if > 40 years


Perindopril group
  • Number: 13

  • Age: 35 (5)

  • Sex (M/F): 4/9


Placebo group
  • Number: 10

  • Age: 28 (3)

  • Sex (M/F): 7/3


Exclusion criteria
  • Non‐diabetic renal disease

  • Significant renal impairment (SCr > 0.2 mmol/L)

  • Haematuria

  • Cardiac failure

  • Hypertension

  • Concurrent systemic disease

  • Poor diabetic control (HbA1c > 10%)

  • Serum potassium > 5 mmol/L

  • Recurrent UTI

  • Patients at high risk for pregnancy

  • Patients with another condition or therapy that might pose a risk to the patient or confound the results of the study

Interventions Perindopril group 
 2‐8 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? Unclear risk B ‐ Unclear