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Canagliflozin has kidney-protective effects in patients with advanced kidney disease
Washington, DC - Researchers have found in Subgroup Analysis of the Randomized CREDENCE Trial, that the diabetes drug canagliflozin slowed kidney function decline in patients with diabetes and advanced chronic kidney disease.The drug also reduced the risk of developing kidney failure and cardiovascular problems in these patients.
The Canagliflozin and Renal Events in Diabetes with Established Nephropathy Clinical Evaluation (CREDENCE) trial demonstrated that the sodium glucose cotransporter 2 (SGLT2) inhibitor canagliflozin reduced the risk of kidney failure and cardiovascular events in participants with type 2 diabetes mellitus and CKD. Little is known about the use of SGLT2 inhibitors in patients with eGFR <30 ml/min per 1.73 m2.
A recent analysis indicates that a drug shown previously to slow kidney disease progression is effective even in patients with advanced disease. The results appear in an upcoming issue of CJASN.
The Canagliflozin and Renal Events in Diabetes with Established Nephropathy Clinical Evaluation (CREDENCE) trial demonstrated that canagliflozin, a diabetes medication within a class called sodium glucose co-transporter 2 (SGLT2) inhibitors, reduced the risk of kidney failure and cardiovascular events in adults with type 2 diabetes and chronic kidney disease (CKD). Little is known about the use of SGLT2 inhibitors in patients with advanced CKD, however.
To investigate, George Bakris, MD (University of Chicago Medicine) and his colleagues conducted a post hoc analysis of CREDENCE data pertaining to the 174 patients who had advanced CKD, or an estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73 m2 at the start of the trial.
The researchers found that canagliflozin slowed CKD progression compared with placebo, with a 66% difference (average eGFR declines of -1.30 vs. -3.83 mL/min/1.73 m2 per year). Also, canagliflozin's effects on kidney, cardiovascular, and mortality outcomes were consistent with those seen for individuals with less advanced CKD.
"Until recently, there were limited data regarding the use of SGLT2 inhibitors in patients with compromised kidney function, and there were few treatment options for this patient population who are at a high risk for developing kidney failure," said Dr. Bakris. "This research suggests that canagliflozin is a safe treatment option for this patient population that can help to slow the progression of kidney disease."
For further reference log on to:
https://cjasn.asnjournals.org/content/early/2020/11/18/CJN.10140620
Dr Kartikeya Kohli is an Internal Medicine Consultant at Sitaram Bhartia Hospital in Delhi with super speciality training in Nephrology. He has worked with various eminent hospitals like Indraprastha Apollo Hospital, Sir Gangaram Hospital. He holds an MBBS from Kasturba Medical College Manipal, DNB Internal Medicine, Post Graduate Diploma in Clinical Research and Business Development, Fellow DNB Nephrology, MRCP and ECFMG Certification. He has been closely associated with India Medical Association South Delhi Branch and Delhi Medical Association and has been organising continuing medical education programs on their behalf from time to time. Further he has been contributing medical articles for their newsletters as well. He is also associated with electronic media and TV for conduction and presentation of health programs. He has been associated with Medical Dialogues for last 3 years and contributing articles on regular basis.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751