Skip to main content
. 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: 66 months(median) 
 Loss to follow‐up: 32
Participants Inclusion criteria
  • Age: 15‐65 years

  • DM: Type 2 for at least 1 year

  • Microalbuminuria: 2 of 3 consecutive measurements of UAE between 20‐200 µg/min performed on overnight urine collections

  • BP: Supine 140/90 mm Hg


Perindopril group
  • Number: 23

  • Age: 50 (2)

  • Sex (M/F): 14/9


Placebo group
  • Number: 27

  • Age: 53 (1)

  • Sex (M/F): 15/12


Exclusion criteria
  • Non‐diabetic renal disease

  • SCr > 200 µmol

  • Haematuria

  • Cardiac failure

  • Hypertension

  • Concurrent systemic disease

  • Poor diabetic control (HbA1c > 10%)

  • Serum potassium > 5mmol/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 
 Diuretics, CCB, beta‐blockers if blood pressure remained uncontrolled.
Outcomes
  1. AER

  2. Development of macroproteinuria or reversal to the normoalbuminuric range

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