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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: USA 
 Setting/Design: University 
 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 months 
 Loss to follow‐up: 43
Participants Inclusion criteria
  • Age: 14‐57 years

  • IDDM: Diagnosed before 45 years

  • Overnight AER: 20‐200 µg/min


Captopril group
  • Number: 70

  • Age: 32 (8.1)

  • Sex (M/F): 53/47


Placebo group
  • Number: 73

  • Age: 33.4 (9.0)

  • Sex (M/F): 48/52


Exclusion criteria
  • HbA1c ≥ 11.5%

  • SCr and potassium levels beyond the normal ranges

  • White blood cell count < 3500/mm³

  • BP ≥ 140/90 mm Hg

  • Antihypertensive therapy (CCB, beta blockers)

  • Pregnancy

  • Lactation

  • Failure to use adequate contraception for women of child‐bearing ages

  • Histories of renal, cardiac, hepatic, gastrointestinal or autoimmune diseases

  • Use of NSAIDs (except for low‐dose aspirin not to exceed 650 mg/d)

Interventions Captopril group 
 100 mg/d
Placebo group
Co‐interventions 
 Prazosin‐clonidine
Outcomes
  1. AER

  2. CrCl

  3. Progression to hypertension

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