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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: USA 
 Setting/Design: Multicentre 
 Time frame: NS 
 Randomisation method: NS 
 Blinding ‐ Participants: Yes 
 ‐ Investigators: Yes 
 ‐ Outcome assessors: Yes 
 ‐ Data analysis: No 
 Intention‐to‐treat: Yes 
 Follow‐up period: mean 3.4 years 
 Loss to follow‐up: 3
Participants Inclusion criteria
  • DM: Type 2 Nephropathy (presence on 2 occasions of a ratio of urinary albumin to urinary creatinine from a first morning specimen of at least 300 and SCr between 1.3‐3 mg/dL with a lower limit of 1.5 mg/dL for male patients weighing more than 60 kg)

  • Age: 31‐70 years


Losartan group
  • Number: 751

  • Age: 60 (7)

  • Sex (M/F): 462/289


Placebo group
  • Number: 762

  • Age: 60 (7)

  • Sex (M/F): 494/268


Exclusion criteria
  • DM type 1 or non‐diabetic renal disease

  • MI or CAB grafting within the previous month

  • CVA or percutaneous transluminal coronary angioplasty within the previous 6 months

  • Transient ischemic attack within the previous year

  • History of heart failure

Interventions Losartan group 
 50‐100 mg/d
Placebo group
Co‐interventions 
 CCB, diuretics, alpha‐blockers, beta‐blockers and centrally acting agents
Outcomes
  1. Doubling of SCr

  2. ESKD

  3. Death

  4. Morbidity and mortality from cardiovascular causes

  5. Proteinuria

  6. Rate of progression of renal disease

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