Semaglutide: a key medication for managing cardiovascular-kidney-metabolic syndrome

Jun 3, 2025Future cardiology

Semaglutide as an important medicine for managing combined heart, kidney, and metabolism problems

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Abstract

Semaglutide may reduce major adverse cardiovascular events (MACE) by 26% in high cardiovascular-risk patients with type 2 diabetes.

  • In type 2 diabetes, semaglutide improves glycemic control and slows chronic kidney disease progression.
  • The SUSTAIN-6 trial indicated a 26% reduction in MACE among patients taking semaglutide at doses of 0.5 or 1.0 mg weekly.
  • The FLOW trial found a 24% reduction in major kidney disease events with 1.0 mg semaglutide in individuals with type 2 diabetes and chronic kidney disease.
  • The SELECT trial demonstrated a 20% reduction in MACE with weekly 2.4 mg semaglutide in overweight or obese individuals with preexisting cardiovascular disease.
  • Semaglutide also alleviates heart failure symptoms and reduces hospitalizations in obese individuals, regardless of type 2 diabetes status.

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Key numbers

26%
MACE Reduction
Reduction in major adverse cardiovascular events in patients with T2D.
24%
Kidney Disease Event Reduction
Reduction in major kidney disease events in T2D patients with CKD.
20%
MACE Reduction in Obese Patients
Reduction in major adverse cardiovascular events in overweight or obese individuals with preexisting CV disease.

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