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. 2018 Sep 24;2018(9):CD011798. doi: 10.1002/14651858.CD011798.pub2

von Scholten 2017.

Methods Double‐blind, placebo‐controlled, cross‐over RCT running for 28 weeks.
Participants
  • Country: Denmark

  • Setting: single centre

  • Inclusion criteria: patients with type 2 DM (WHO criteria); HbA1c ≥ 48 mmol/mol (6.5%); persistent albuminuria (≥ 30 mg/g creatinine (3.39 mg/mmol) in at least 2 out of 3 consecutive morning spot urine samples) and who were receiving stable RAS‐blocking treatment

  • Number (randomised/completed): 32/27

  • Mean age ± SD: 65 ± 7 years

  • Sex (M/F): 22/5

  • Exclusion criteria: diagnosis of clinical heart failure; eGFR ≤ 30 mL/min/1.73 m2

Interventions Treatment group
  • Liraglutide

  • Standard therapy


Control group
  • Placebo

  • standard therapy


After 12 weeks of treatment, patients underwent a 4‐week washout period prior to crossing over to the other treatment group for 12 weeks. Participants attended a baseline examination visit and were instructed in SC injection of the study drug. Participants were treated with liraglutide/placebo 0.6 mg/d for 7 days, escalated to 1.2 mg/d for 7 days and lastly to 1.8 mg/d for the remaining 10 weeks or matching placebo
Outcomes
  • Change in UAER after 12 weeks of liraglutide treatment compared with placebo treatment

  • The effect of liraglutide treatment on measured GFR (51Cr‐EDTA) and RAS hormones in plasma (renin, renin activity, angiotensin II and aldosterone)

  • 24‐hour SBP, 24‐hour DBP, 24‐hour heart rate and fractional albumin clearance

Notes Written to authors for the subgroup analysis for those patients with an eGFR < 60. There were 11 patients with an eGFR < 60. We are awaiting reply from authors for the sub‐analysis