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. 2021 Jul 10;15(1):5–13. doi: 10.1093/ckj/sfab131

Table 1.

Published studies with GLP-1 RA use in KT

Study id Study design, follow-up Population Intervention/s Outcome
Pinelli et al. [17]
  • Case series, n = 5

  • Follow-up: 3 weeks

KT recipients with or without previous DM or PTDM, with stable renal function receiving tacrolimus All patients received liraglutide in monotherapy
  • Reduction of postprandial blood glucose levels at 60 (7.3 ± 1.2 versus 5.9 ± 0.5 mmol/L) and 120 min (7.1 ± 0.8 versus 6.0 ± 0.4 mmol/L); no decrease of FBS

  • Reduction in body weight after 3 weeks (−2.1 ± 1.3 kg)

Halden et al. [18]
  • RCT, n = 24 (PTDM n = 12, without PTDM n = 12)

KT with and without PTDM Intravenous infusion of GLP-1 versus saline (placebo)
  • GLP-1 improves glucose-induced insulin secretion and glucagon suppression in PTDM patients

Liou et al. [19]
  • Retrospective case series, n = 7

  • Mean follow-up: 19.4 ± 7.6 months

KT recipients with PTDM treated with liraglutide All patients received liraglutide
  • Decrease of FBS from 228.6 ± 39.1 to 166.0 ± 26.6 mg/dL (P = 0.103)

  • Reduction of HbA1c from 10.0 ± 1.6% to 8.1 ± 0.8% (P = 0.017)

  • Weight loss from 78.0 ± 7.8 to 77.7 ± 12.3 kg (P = 0.922)

Singh et al. [20]
  • Retrospective case series, n = 63

  • Follow-up: 24 months

  • SOT recipients with DM using dulaglutide

  • *Includes both type-2 DM (43 patients) and PTDM (20 patients)

All patients received dulaglutide
  • Statistically significant weight reduction: mean paired difference at 6, 12 and 24 months of 2.07 (P < 0.003), 4.007 (P < 0.001) and 5.23 (P < 0.034) kg

  • Insulin reduction: mean paired difference of 5.94 units (P < 0.0002)

Singh et al. [21]
  • Retrospective cohort, n = 88 (dulaglutide n = 63, liraglutide n = 25)

  • Follow-up: 24 months

  • SOT patients with DM treated with dulaglutide or liraglutide

  • *Includes both type-2 DM (43 patients) and PTDM (20 patients)

All patients received dulaglutide or liraglutide
  • Significant weight decrease with dulaglutide compared with liraglutide (2% versus 0.09%; P = 0.003)

  • Reduction in insulin units with dulaglutide compared with liraglutide (26% versus 3.6%; P = 0.01)

  • No statistical differences between groups in HbA1c changes

FBS, fasting blood sugar; SOT, solid organ transplant.