Type 2 & other diabetes

Dulaglutide and Kidney Function–Related Outcomes in Type 2 Diabetes: A REWIND Post Hoc Analysis

Diabetes CarePublished Post hoc analysis of the REWIND randomised trial

Primary result · Composite kidney function-related outcomeResult — go to the resultHazard ratio 0.75 95% CI 0.62–0.92

Authors' conclusion

The estimated 25% reduced hazard of a kidney function-related outcome among participants assigned to DU highlights its potential for delaying or slowing the development of diabetic kidney disease in people with type 2 diabetes.

Study context

Population
People with T2D with previous CVD or cardiovascular risk factors (REWIND participants)
Participants
4,949 vs 4,952
Comparison
Dulaglutide 1.5 mg vs placebo
  • Dulaglutide (DU)n = 4,949
  • Placebon = 4,952reference
Primary endpoint
Composite kidney function-related outcome:
  • ≥40% sustained eGFR decline (CKD-EPI 2009)
  • End-stage renal disease
  • Renal-related death
Methodological detailsexploratory, intent-to-treat
  • Exploratory
  • Intent-to-treat

Primary result

Composite kidney function-related outcome

Hazard ratio

0.75

95% CI 0.62–0.92

P = 0.004

DUvs Placebo
HR 0.75 (95% CI 0.62–0.92); P = 0.004

As reported in the abstract

Further findings

OutcomeHR (95% CI)P value
≥40% sustained eGFR decline0.72 (0.58–0.88)P = 0.002

Mean, mL/min/1.73 m²/year

OutcomeDUPlaceboP value
Mean annual eGFR slopeSmaller decline with DU−1.37−1.56P < 0.001

Mean annual eGFR slope

Results similar for all subgroups

Original publication

Dulaglutide and Kidney Function–Related Outcomes in Type 2 Diabetes: A REWIND Post Hoc Analysis. Diabetes Care. Published 21 June 2023. doi:10.2337/dc23-0231

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