See also:
		 
			
				
					All hypertension clinical trials
				
			
		
			
			All clinical trials of strategy 
			
		
		
			
			All clinical trials of more intensive blood pressure lowering strategie 
			
		
	 | 
	
		 
	 | 
	
		
	Treatments
	
	
		| Studied treatment | 
		
		intensified (systolic/diastolic 
		
		
		 | 
	 
	
		| Control treatment | 
		
		conventional (diastolic 
		
		
		 | 
	 
			| Treatments description  | 
				
				
						
						| Achieved systolic blood | 
						129.6/133.7  | 
						 
						
						| Achieved diastolic blood pressure | 
						79.5/82.3  | 
						 
				 	
				 | 
			 
	 
	
	
	
	Patients
	
		
			| Patients | 
			patients with non-diabetic proteinuric nephropathies receiving background treatment with the ACE inhibitor ramipril  | 
		 
	 
	
	
	
	
	
	
	Method and design
	
	
		| Randomized effectives | 
		169 / 169 (studied vs. control) | 
	 
		
			| Blinding | 
			open | 
		 
		
			| Follow-up duration | 
			36 months | 
		 
		
			| Primary endpoint | 
			 end-stage renal disease  | 
		 
	
	 
	
	
	
	
	
	
	
  
	Results	
	
	
	
		
	
	
		
			Endpoint
		
	
	
		
		Studied treat. n/N
			
	
	
		
		Control treat. n/N
		
	
	
		
			Graph
		
	
	
		
			RR [95% CI]
		
	
	
		
			
				
				Cardiovascular death
				 
			
		
			
				
				1 / 169 
				
			
			
				
				2 / 169 
				
			
		
			
				
					
						classic
					
					
					
				
			
				
				
			
			
		
			
				
					0,50 [0,05;5,46]
				
			
	
	
		
			
				
				Serious adverse event
				 
			
		
			
				
				39 / 169 
				
			
			
				
				28 / 169 
				
			
		
			
				
					
						classic
					
					
					
				
			
				
				
			
			
		
			
				
					1,39 [0,90;2,15]
				
			
	
	
		
			
				
				All cause death
				 
			
		
			
				
				2 / 169 
				
			
			
				
				3 / 169 
				
			
		
			
				
					
						classic
					
					
					
				
			
				
				
			
			
		
			
				
					0,67 [0,11;3,94]
				
			
	
	
		
			
				
				non cardiovascular death 
				 
			
		
			
				
				1 / 169 
				
			
			
				
				1 / 169 
				
			
		
			
				
					
						classic
					
					
					
				
			
				
				
			
			
		
			
				
					1,00 [0,06;15,86]
				
			
	
	
		
			
				
				End stage renal disease
				 
			
		
			
				
				38 / 169 
				
			
			
				
				34 / 169 
				
			
		
			
				
					
					
					
					
				
			
				
				
			
			
		
			
				
					1,12 [0,74;1,69]
				
			
	
	
		
		
		
		
		
			
				0
			
		
		
		
		
		
				2
		
		
		
		
		
			1.0
		
	
  
 
	 
		
	
		
		
				
					| 
						Relative risks
					 | 
				 
			
			| Endpoint | 
			Events (%) | 
			Relative Risk | 
			95% CI | 
			Endpoint definition in the trial | 
			Ref | 
			 
			
			| Studied treat. | 
			Control treat. | 
			 
					
						| 
							Cardiovascular death
						 | 
						1 / 169 (0,6%) | 
						2 / 169 (1,2%) | 
						0,50 | 
						[0,05;5,46] | 
						  | 
						11040  | 
					 
					
					
					
					
					
						| 
							All cause death
						 | 
						2 / 169 (1,2%) | 
						3 / 169 (1,8%) | 
						0,67 | 
						[0,11;3,94] | 
						  | 
						11040  | 
					 
					
						| 
							non cardiovascular death 
						 | 
						1 / 169 (0,6%) | 
						1 / 169 (0,6%) | 
						1,00 | 
						[0,06;15,86] | 
						  | 
						11040  | 
					 
					
						| 
							Serious adverse event
						 | 
						39 / 169 (23,1%) | 
						28 / 169 (16,6%) | 
						1,39 | 
						[0,90;2,15] | 
						  | 
						11040  | 
					 
					
					
						| 
							End stage renal disease
						 | 
						38 / 169 (22,5%) | 
						34 / 169 (20,1%) | 
						1,12 | 
						[0,74;1,69] | 
						  | 
						11040  | 
					 
		
			| 
			The primary endpoint (if exists) appears in blod characters
			 | 
		 
		
			| 
			Reference(s) used for data extraction: 
				
					11040: Arguedas JA, Perez MI, Wright JMTreatment blood pressure targets for hypertension.Cochrane Database Syst Rev 2009;:CD004349
				
			 | 
		 
		 
		
		
			
			| Endpoint | 
			studied treat. | 
			control treat. | 
			mean diff | 
			 
		 
	 
	
	
	
				
					| 
						Absolute risk reduction 
					 | 
				 
	
		| Endpoint | 
		Events rate | 
		Absolute risk reduction (ARR) | 
	 
	
		| Studied treat. | 
		Control treat. | 
	 
			
				| Cardiovascular death | 
				5,92‰ | 
				1,18% | 
				
					-5,9‰
				 | 
			 
			
				| All cause death | 
				1,18% | 
				1,78% | 
				
					-5,9‰
				 | 
			 
			
				| non cardiovascular death  | 
				5,92‰ | 
				5,92‰ | 
				
					0,0‰
				 | 
			 
			
				| Serious adverse event | 
				23,08% | 
				16,57% | 
				
					6,5%
				 | 
			 
			
				| End stage renal disease | 
				22,49% | 
				20,12% | 
				
					2,4%
				 | 
			 
	 	
	 
	
  
	
	
	
	
	
	
	
	
		 
		Reference(s)
	
	
	
			- 
				
			    Ruggenenti P, Perna A, Loriga G, Ganeva M, Ene-Iordache B, Turturro M, Lesti M, Perticucci E, Chakarski IN, Leonardis D, Garini G, Sessa A, Basile C, Alpa M, Scanziani R, Sorba G, Zoccali C, Remuzzi G. 
			    Blood-pressure control for renoprotection in patients with non-diabetic chronic renal disease (REIN-2): multicentre, randomised controlled trial..
			    Lancet 2005;365:939-46
 
				
					 
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