Type 2 & other diabetes

Kidney protection with canagliflozin: A combined analysis of the randomized CANVAS program and CREDENCE trials

Diabetes Obes MetabPublished Post-hoc pooled analysis of the CANVAS Program and CREDENCE randomised trials

Pooled result · Primary kidney composite, overall populationResult — go to the resultHazard ratio 0.63 95% CI 0.53–0.77

Authors' conclusion

These results emphasize a critical role of canagliflozin in kidney protection across a broad spectrum of participants with type 2 diabetes with varying levels of kidney function.

Study context

Population
Patients with T2D in the CANVAS Program and CREDENCE trial2 trials pooled · Patients with T2D in the CANVAS Program 10,142 · CREDENCE trial 4,401
Comparison
Canagliflozin vs placebo
Outcome
Primary kidney composite:
  • Doubling of serum creatinine
  • End-stage kidney disease
  • Renal death
Methodological detailsplacebo-controlled
  • Placebo-controlled

Pooled result

Primary kidney composite, overall population

Hazard ratio

0.63

95% CI 0.53–0.77

P < 0.001

Canagliflozinvs Placebo
HR 0.63 (95% CI 0.53–0.77); P < 0.001

As reported in the abstract

Further pooled results

Primary kidney composite by baseline eGFR, albuminuria or KDIGO risk category

No evidence of heterogeneity in kidney protective effects across subgroups (all pinteraction > .05)

Time to significant risk reduction of primary kidney composite

Statistically significant risk reduction sustained by ≈18 months after randomization

Original publication

Kidney protection with canagliflozin: A combined analysis of the randomized CANVAS program and CREDENCE trials. Diabetes Obes Metab. Published 15 May 2023. doi:10.1111/dom.15112

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