Diabetes, obesity & metabolism

Effectiveness and Safety of GLP-1 Receptor Agonists for Heart and Kidney Health in People with Chronic Kidney Disease

Updated

Abstract

GLP-1 receptor agonists reduced major adverse cardiovascular events (MACE) by 16% in chronic kidney disease populations.

  • Thirteen randomized controlled trials involving 97,428 participants were analyzed, with 31,846 participants having confirmed chronic kidney disease (CKD).
  • The use of GLP-1 receptor agonists was associated with a 21% reduction in a composite kidney endpoint.
  • Kidney failure risk decreased by 28% with GLP-1 receptor agonist treatment.
  • Urinary albumin-to-creatinine ratio (UACR) dropped by 26% among participants using GLP-1 receptor agonists.
  • The benefits observed were consistent regardless of whether participants were also using SGLT2 inhibitors.
  • Semaglutide was ranked highest for kidney composite outcomes in the network meta-analysis.

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