Type 2 & other diabetes

Effect of semaglutide on primary prevention of diabetic kidney disease in people with type 2 diabetes: A post hoc analysis of the SUSTAIN 6 randomized controlled trial

Diabetes Obes MetabPublished Secondary analysis of the SUSTAIN 6 randomised trial

Authors' conclusion

This post hoc study indicates that semaglutide may have beneficial effects on primary DKD prevention in people with T2D.

Study context

Population
Participants with T2D from SUSTAIN 6 without diabetic kidney disease (DKD) at baseline, grouped by baseline DKD risk (validated model)952 high DKD risk
Participants
1,139 participants
Comparison
Semaglutide vs placebo
Primary endpoint
Proportion of participants who developed DKD (UACR ≥30 mg/g and/or eGFR <60 mL/min/1.73 m²)
Methodological detailspost hoc, randomized, double-blind, placebo-controlled
  • Post hoc
  • Randomized
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Developed DKD
Semaglutide vs PlaceboOdds ratio (95% CI)P value
Total population
0.56(0.42–0.74)
P < 0.0001
High DKD risk population
0.51(0.38–0.69)
P < 0.0001
Developed DKD, total population
28.7%
NNT for semaglutide in high DKD risk population
7

Further findings

Drivers of effect

Beneficial effects of semaglutide largely driven by urinary albumin/creatinine ratio (UACR) changes

Original publication

Effect of semaglutide on primary prevention of diabetic kidney disease in people with type 2 diabetes: A post hoc analysis of the SUSTAIN 6 randomized controlled trial. Diabetes Obes Metab. Published 27 August 2024. doi:10.1111/dom.15860

Composed by AI from the published abstract and checked against it. How Briefs are made →

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