Table 1.
Study characteristics and renal outcomes in major clinical trials of incretin-based and SGLT2 inhibitor drugs
| Trial | Agent | Sample size Median time of follow-up Baseline participant characteristics |
Renal endpoints | Result | P value |
|---|---|---|---|---|---|
| Sustain-6 [41•] | GLP1-R agonist | n = 3297 | Incident albuminuria* | 2.7 vs. 4.9% | 0.001 |
| Semaglutide | 25 months ~ 60% CVD ~25% eGFR < 60 |
Decline in eGFR* | 1.1 vs. 0.8% | ns | |
| LEADER [43•] | GLP1-R agonist | n = 9340 | Incident albuminuria* | 3.4 vs. 4.6% | 0.004 |
| Liraglutide | 46 months ~ 81% CVD ~ 25% eGFR < 60 |
Decline in eGFR* | 1.8 vs. 2.1% | ns | |
| SAVOR-TIMI 53 [44•] | DPP-4 inhibitor | n = 12,360 | Increased albuminuria* | 13 vs. 16% | 0.001 |
| Saxagliptin | 25 months ~ 78% CVD ~ 16% eGFR < 50 |
Decline in eGFR* | 2.2 vs. 2.0% | ns | |
| TECOS [46•] | DPP-4 inhibitor | n = 14,671 | Urine albumin/creatinine (mg/g) | 11.1 vs. 10.9 | 0.03 |
| Sitagliptin | 36 months ~ 75% CVD 23% eGFR < 60 |
Rate of decline in eGFR (ml/min/year) | 1.0 vs. 0.7 | ns | |
| EMPA-REG OUTCOME [15] | SGLT2 blocker | n = 7020 | Incident albuminuria* | 11 vs. 16% | <0.001 |
| Empagliflozin | 37 months ~ 80% CVD ~ 26% eGFR <60 |
Decline in eGFR* | 1.5 vs. 2.6% | <0.001 | |
| CANVAS [39] | SGLT2 blocker | n = 10,142 | Incident albuminuria** | 9 vs. 13 | <0.001**** |
| Canagliflozin | 47 months ~ 66% CVD ~ 25% eGFR <60*** |
> 40% decline in eGFR** | 0.5 vs. 0.9 | <0.001**** | |
CVD cardiovascular disease, eGFR estimated glomerular filtration rate
> 300 mg albumin/g creatinine or halving of eGFR to < 45 ml/min/1.73 m2 during course of trial
Events per 100 pt-years
Inferred from mean (SD) eGFR assuming normal distribution
Computed from 95% confidence intervals