Combination therapy as a new standard of care in diabetic and non-diabetic chronic kidney disease

Feb 5, 2025Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

Combination therapy as a new standard treatment for chronic kidney disease with and without diabetes

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Abstract

Combination therapy is emerging as a new standard for (CKD) treatment.

  • Multiple therapies, including SGLT2 inhibitors and mineralocorticoid receptor antagonists, may reduce the risk of kidney failure and heart problems in CKD patients.
  • Clinical trials suggest that each class of therapy provides independent and additive benefits, even when used alongside other medications.
  • SGLT2 inhibitors may improve safety by reducing hyperkalaemia and fluid retention, potentially enhancing the tolerability of other treatments.
  • Recent approvals and ongoing evaluations for therapies in conditions like IgA nephropathy indicate a growing range of options for CKD management.
  • A multi-medicine approach could optimize patient-centered care and mitigate long-term risks associated with kidney failure.

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Key numbers

35%
35% Relative Risk Reduction
Relative risk reduction in major cardiovascular events with combination therapy compared to alone.
55%
55% Reduction in Hospitalization
Reduction in hospitalization for heart failure associated with combination therapy in patients.
58%
58% Reduction in Progression
Reduction in progression with combination therapy compared to alone.

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