Advances in therapy

Using SGLT2 Inhibitors and GLP-1 Receptor Agonists to Treat Chronic Kidney Disease in People with Type 2 Diabetes and Overweight: A Review of Evidence

Updated

Abstract

A total of 48 publications were included, reporting on 38 unique studies comparing sodium-glucose co-transporter 2 inhibitors (SGLT2is) and glucagon-like peptide 1 receptor agonists (GLP-1 RAs) in adults with chronic kidney disease (CKD) and type 2 diabetes (T2D).

  • Meta-analyses consistently indicated better composite kidney outcomes with SGLT2is compared to GLP-1 RAs.
  • Primary research studies did not show a clear advantage for changes in estimated glomerular filtration rate (eGFR) or albuminuria between the two drug classes.
  • However, SGLT2is were associated with a consistent reduction in the progression of kidney disease compared to GLP-1 RAs.
  • SGLT2is may serve as a foundational therapy for kidney protection in adults with CKD and T2D.
  • GLP-1 RAs could be positioned as a complementary adjunct therapy.

Simplified

Full Text

Full text is available at the source.

Funding

Competing interests

Declarations. Conflict of Interest: Yehuda Handelsman: Received research grants, consultant & speaker honoraria from Amgen, AstraZeneca, Bayer, Boehringer Ingelheim, Corcept, Eli Lilly, Ionis, Merck, Novo Nordisk, Regeneron, Sanofi, Verdiva Bio; Alice Cheng: Received consulting and speaking honoraria from Abbott, Astellas, Aspen, AstraZeneca, Amgen, Bausch, Bayer, Biomea Fusion, Boehringer Ingelheim, Dexcom, Eisai, Eli Lilly, GSK, HLS Therapeutics, Insulet, Medtronic, Merck, MSD, Novo Nordisk, Pfizer, Sandoz, Sanofi, and Vertex; Gian Paolo Fadini: Received grants, honoraria or lecture fees from AstraZeneca, Boehringer, Eli Lilly, Guidotti, Mundipharma, Novartis, Novo Nordisk, Servier, and Sanofi; Pam Kushner: Received honoraria for consulting or advisory boards for AstraZeneca, Bayer, Boehringer Ingelheim, Eli Lilly, Novo Nordisk and VERDIVA; Fabrice Bonnett: No competing interests; Paola Fioretti: Received fees as consultant and speaker for AstraZeneca, Bayer, Boehringer Ingelheim, Eli Lilly and Novo Nordisk; Takashi Kadowaki: Received research grants from Nippon Boehringer Ingelheim Co., Ltd. and Sumitomo Pharma Co., Ltd.; receiving consulting fees from Taisho Pharmaceutical Co., Ltd., Eli Lilly Japan K.K. and Novo Nordisk Pharma Ltd.; receiving honoraria for lectures from Nippon Boehringer Ingelheim Co., Ltd., Sumitomo Pharma Co., Ltd., Teijin Pharma Ltd., MSD Corporation, Eli Lilly Japan K.K., Mitsubishi Tanabe Pharma Corporation, Taisho Pharmaceutical Co., Ltd. and Novo Nordisk Pharma Ltd.; Naresh Kanumilli: No competing interests; Xavier Cos: No competing interests; Thomas Frese: Received payments from Astra Zeneca and Boehringer Ingelheim; Linong Ji: No competing interests; Molly Murton: Employee of Costello Medical; Simon Foulcer: Employee of AstraZeneca and hold associated stock options; Surendra Pentakota: Employee of AstraZeneca and held associated stock options at time of project; Peter Rossing: Received consultancy and/or speaker fees (to his institution) from Abbott, AstraZeneca, Amgen, Bayer, Boehringer Ingelheim, Eli Lilly, Gilead, Novo Nordisk and Roche; research grants from AstraZeneca, Bayer and Novo Nordisk; study drugs from AstraZeneca, Bayer Lexicon and Novo Nordisk. Ethical Approval: This article is based on previously conducted studies and does not contain any new studies with human participants or animals performed by any of the authors.
PubMed

What Lands in Your Inbox Each Week:

  • 📚7 fresh studies
  • 📝plain-language summaries
  • direct links to original studies
  • 🏅top journal indicators
  • 📅weekly delivery
  • 🧘‍♂️always free