Type 2 & other diabetes

Overall and inter‐individual effect of four different drug classes on soluble urokinase plasminogen activator receptor in type 1 and type 2 diabetes

Diabetes Obes MetabPublished Post hoc analysis of a randomised crossover trial

Primary result · Plasma suPAR changeResult — go to the resultDifference −19.7 % 95% CI −23.1 to −16.3

Authors' conclusion

We demonstrated no overall effect of 4-week treatment with telmisartan, empagliflozin, linagliptin or baricitinib on suPAR. However, individualization of treatment might significantly reduce suPAR levels.

Study context

Population
Adults with T1D (26) or T2D (40) with urinary albumin-creatinine ratio ≥30 and ≤500 mg/g26 T1D, 40 T2D
Comparison
Telmisartan vs empagliflozin vs linagliptin vs baricitinib; individual best-performing drug vs mean of other three
Primary endpoint
Change in plasma suPAR after each treatment
Follow-up
4 weeks
Methodological detailsopen-label, 4-week washouts, Repeated-measures linear mixed-effects models
  • Open-label
  • 4-week washouts
  • Repeated-measures linear mixed-effects models

Primary result

Plasma suPAR change

Difference

−19.7 %

95% CI −23.1 to −16.3

P < 0.001

Individual best-performing drugvs Other three drugs (mean)
difference −19.7 % (95% CI −23.1 to −16.3); P < 0.001

As reported in the abstract

Reduction in soluble urokinase plasminogen activator receptor (suPAR) with individual best-performing drug
13.3% (95% CI 3.7, 22.8; P = 0.007)

Further findings

Individual best-performing drug

Baseline plasma suPAR

Baseline median (IQR) plasma suPAR
3.5 (2.9, 4.3) ng/mL

Original publication

Overall and inter‐individual effect of four different drug classes on soluble urokinase plasminogen activator receptor in type 1 and type 2 diabetes. Diabetes Obes Metab. Published 7 July 2023. doi:10.1111/dom.15209

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

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