Comparative efficacy of sodium‐glucose co‐transporter‐2 inhibitors, glucagon‐like peptide‐1 receptor agonists and non‐steroidal mineralocorticoid receptor antagonists in chronic kidney disease and type 2 diabetes: A systematic review and network meta‐analysis

Feb 8, 2023Diabetes, obesity & metabolism

Comparing the effects of three drug types on chronic kidney disease in type 2 diabetes

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Abstract

SGLT-2 inhibitors were associated with a 31% lower risk of heart failure hospitalization compared to glucagon-like peptide-1 receptor agonists.

  • SGLT-2 inhibitors did not significantly reduce major adverse cardiovascular events compared to other treatments.
  • They were linked to a significantly lower risk of composite renal outcomes compared to glucagon-like peptide-1 receptor agonists and non-steroidal mineralocorticoid receptor antagonists.
  • Compared to glucagon-like peptide-1 receptor agonists, SGLT-2 inhibitors reduced heart failure hospitalization by 31%.
  • Compared to non-steroidal mineralocorticoid receptor antagonists, SGLT-2 inhibitors reduced heart failure hospitalization by 22%.
  • No significant differences were observed between glucagon-like peptide-1 receptor agonists and non-steroidal mineralocorticoid receptor antagonists for any outcomes.

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