Table 2: Summary of kidney outcome trials with sodium–glucose co-transporter-2 inhibitors21–23.
Trial | CREDENCE (n=4,401) | DAPA-CKD (n=4,304) | SCORED (n=10,584) |
---|---|---|---|
Treatment | Canagliflozin versus placebo | Dapagliflozin versus placebo | Sotagliflozin versus placebo |
Mean participant age (years) | 63 | 62 | 69 |
Key inclusion criteria |
|
|
|
Baseline diagnosis of T2D (%) | 100 | 67 | 100 |
Mean baseline HbA1c (%) | 8.3 | 7.1 | 8.3 |
Baseline metformin use (%) | 58 | 29 | 55 |
Median follow-up (years) | 2.6 | 2.4 | 1.3 |
Primary outcome | |||
HR (95% CI) | End-stage kidney disease, doubling of serum creatinine, or renal or cardiovascular death 0.70 (0.59–0.82) | ≥50% decline in eGFR, end-stage kidney disease, or renal or cardiovascular death 0.61 (0.51–0.72) | Total number of cardiovascular deaths, HF hospitalizations, or urgent visits for HF 0.74 (0.63–0.88) |
Key secondary outcomes | |||
Progression to end-stage kidney disease; HR (95% CI) | 0.68 (0.54–0.86) | 0.64 (0.50–0.82) | N/R |
Cardiovascular death; HR (95% CI) | 0.78 (0.61–1.00) | 0.81 (0.58–1.12) | 0.90 (0.73–1.12) |
All-cause mortality; HR (95% CI) | 0.83 (0.68–1.02) | 0.69 (0.53–0.88) | 0.99 (0.83–1.18) |
CI = confidence interval; CVD = cardiovascular disease; eGFR = estimated glomerular filtration rate; HbA1c = glycated haemoglobin A1c; HR = hazard ratio; N/R = not reported; RAS = renin-angiotensin system; T2D = type 2 diabetes mellitus; UACR = urinary albumin-to-creatinine ratio.