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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: Canada 
 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: 12 months 
 Loss to follow‐up: 11
Participants Inclusion criteria
  • DM: Type 2 diagnosed >/= 30 years of age

  • Hypertension: Mild to moderate essential (sitting DBP 90‐115 mm Hg)

  • AER: 20‐350 µg/min without evidence of UTI


Losartan group
  • Number: 52

  • Age: 59.2 (9.2)

  • Sex (M/F): 39/13


Enalapril group
  • Number: 51

  • Age: 57.8 (10.5)

  • Sex (M/F): 44/7


Exclusion criteria
  • Evidence or suspicion of renovascular disease

  • History of malignant hypertension

  • SBP > 210 mm Hg

  • CVA in the previous 12 months or current transient Ischaemic attacks

  • MI within the previous 12 months

  • Clinically significant arteriovenous conduction disturbances and/or arrhythmias

  • Unstable angina

  • History of heart failure

  • SCr ≥ 200 mmol/L

  • Serum potassium ≥ 5.5 mmol/L or ≤ 3.5mmol/L

  • Treatment with oral corticosteroid

  • Concomitant use of agents that may affect BP except beta‐blockers and nitrates used in the treatment of stable angina

  • Drug or alcohol abuse

  • Pregnancy

  • Breast feeding

  • Ineffective contraception

Interventions Losartan group 
 50 mg/d
Enalapril group 
 5‐10 mg/d
Co‐interventions 
 Antihypertensive agents other than ACEi, AIIRA and CCB
Outcomes
  1. BP

  2. AER

  3. GFR

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