Related trials
		 
			
				 
				
					ACCOMPLISH (diabetic subgroup), 2010 - benazepril + amlodipine  vs benazepril + hydrochlorothiazide
				
			 
			
				 
				
					ACCORD blood pressure, 2010 - more intensive blood pressure lowering strategie  vs less intensive blood pressure lowering strategie
				
			 
			
				 
				
					ROADMAP, 2010 - olmesartan  vs placebo
				
			 
			
				 
				
					AVOID, 2008 - aliskiren  vs placebo
				
			 
			
				 
				
					ADVANCE, 2007 - perindopril and indapamide  vs placebo
				
			 
			
				 
				
					ABCD (N), 2002 - more intensive blood pressure lowering strategie  vs less intensive blood pressure lowering strategie
				
			 
			
				 
				
					ALLHAT (lisi vs chlor, diabetic subgroup), 2002 - lisinopril  vs chlorthalidone
				
			 
			
				 
				
					LIFE (diabetic subgroup), 2002 - losartan  vs atenolol
				
			 
			
				 
				
					ALLHAT (amlodipine vs chlor, diabetic subgroup), 2002 - amlodipine  vs chlorthalidone
				
			 
			
				 
				
					IPDM, 2001 - irbesartan  vs placebo
				
			 
			
				 
				
					IDNT amlodipine, 2001 - amlodipine  vs placebo
				
			 
			
				 
				
					RENAAL, 2001 - losartan  vs placebo
				
			 
			
				 
				
					IDNT irbesartan, 2001 - Irbesartan  vs placebo
				
			 
			
				 
				
					IDNT (irbesartan vs amlodipine), 2001 - Irbesartan  vs amlodipine
				
			 
			
				 
				
					STOP-2  CCB (diabetic subgroup), 2000 - calcium-channel blocker  vs diuretic or beta-blocker
				
			 
			
				 
				
					INSIGHT (diabetic subgroup), 2000 - Nifedipine  vs coamilozide
				
			 
			
				 
				
					ABCD (H), 2000 - more intensive blood pressure lowering strategie  vs less intensive blood pressure lowering strategie
				
			 
			
				 
				
					NORDIL (diabetic subgroup), 2000 - Diltiazem  vs diuretic or beta-blocker
				
			 
			
				 
				
					STOP-2 (ACEI vs CCB) (diabetic subgroup), 2000 - ACE inhibitor  vs CCB
				
			 
			
				 
				
					HOPE (diabetic subgroup), 2000 - ACE inhibitor  vs placebo
				
			 
			
				 
				
					STOP-2 ACEI (diabetic subgroup), 2000 - ACE inhibitor  vs diuretic or beta-blocker
				
			 
			
				 
				
					CAPP (diabetic subgroup), 1999 - captopril  vs diuretic or beta-blocker
				
			 
			
				 
				
					Syst-Eur (diabetic subgroup), 1999 - nitrendipine  vs placebo
				
			 
			
				 
				
					ABCD, 1998 - nisoldipine  vs enalapril
				
			 
			
				 
				
					UKPDS 38, 1998 - captopril or atenolol  vs control
				
			 
		 
		 
		 
		
		See also:
		 
			
				
					All diabetes clinical trials
				
			
			
				
					All hypertension clinical trials
				
			
		
			
			All clinical trials of anti hypertensive agent 
			
		
		
			
			All clinical trials of captopril 
			
		
	 | 
	
		 
	 | 
	
	Treatments
	
	
		| Studied treatment | 
		
		Captopril initial dose of 50 mg daily given in one or two doses
		 
		
		
		 | 
	 
	
		| Control treatment | 
		
		thiazide diuretic or beta-blocker
		 
		
		initial dose of
atenolol and metoprolol of 50100 mg once daily. Hydrochlorothiazide was given as 25 mg once daily, and
bendrofluazide as 2·5 mg once daily
		
		 | 
	 
	 
	
	
	
	Patients
	
		
			| Patients | 
			Patients aged 25-66 years with a measured diastolic blood pressure of 100 mm Hg or more on two occasions; subgroup of diabetic patients | 
		 
	 
	
	
	
	
	
	
	Method and design
	
	
		| Randomized effectives | 
		309 / 263 (studied vs. control) | 
	 
		
			| Design | 
			Parallel groups | 
		 
		
			| Blinding | 
			open with blinded assessment | 
		 
		
			| Follow-up duration | 
			6.1 year | 
		 
		
			| Number of centre | 
			536 | 
		 
		
			| Geographic area | 
			Sweden, Finland | 
		 
		
			| Primary endpoint | 
			CV events | 
		 
	
	 
	
	
	
	
	
	
	
  
	Results	
	
	
	
		
	
	
		
			Endpoint
		
	
	
		
		Studied treat. n/N
			
	
	
		
		Control treat. n/N
		
	
	
		
			Graph
		
	
	
		
			RR [95% CI]
		
	
	
		
			
				
				cardiovascular event (fatal and non fatal) 
				 
			
		
			
				
				NA / 10985 
				
			
			
				
				NA / 0 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,59 [0,38;0,91]
				
			
	
	
		
			
				
				All cause death
				 
			
		
			
				
				NA / 10985 
				
			
			
				
				NA / 0 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					0,54 [0,31;0,95]
				
			
	
	
		
		
		
		
		
			
				0
			
		
		
		
		
		
				2
		
		
		
		
		
			1.0
		
	
  
 
	 
		
	
		
		
				
					| 
						Relative risks
					 | 
				 
			
			| Endpoint | 
			Events (%) | 
			Relative Risk | 
			95% CI | 
			Endpoint definition in the trial | 
			Ref | 
			 
			
			| Studied treat. | 
			Control treat. | 
			 
					
					
					
					
					
					
					
					
					
					
		
			| 
			The primary endpoint (if exists) appears in blod characters
			 | 
		 
		
			| 
			Reference(s) used for data extraction: 
			 | 
		 
		 
		
		
			
			| Endpoint | 
			studied treat. | 
			control treat. | 
			mean diff | 
			 
		 
	 
	
	
	
				
					| 
						Absolute risk reduction 
					 | 
				 
	
		| Endpoint | 
		Events rate | 
		Absolute risk reduction (ARR) | 
	 
	
		| Studied treat. | 
		Control treat. | 
	 
	 	
	 
Meta-analysis of all similar trials: 
			
				
					angiotensin renin system blockade in diabetes for all type of patients
				
			 
			
				
					anti hypertensive agent in diabetes for type1 and 2 diabetic patients with hypertension
				
			 
			
				
					anti hypertensive agent in hypertension for diabetic patients 
				
			 
	
  
	
	
	
	
	
	
	
	
	
	
	
		 
		Reference(s)
	
	
	
			- 
				
			    Hansson L, Lindholm LH, Niskanen L, Lanke J, Hedner T, Niklason A, Luomanmäki K, Dahlöf B, de Faire U, Mörlin C, Karlberg BE, Wester PO, Björck JE. 
			    Effect of angiotensin-converting-enzyme inhibition compared with conventional therapy on cardiovascular morbidity and mortality in hypertension: the Captopril Prevention Project (CAPPP) randomised trial..
			    Lancet 1999;353:611-6
			    
 
				
					 
					Pubmed
				 	
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					Hubmed
				
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