Obesity

Semaglutide in patients with overweight or obesity and chronic kidney disease without diabetes: a randomized double-blind placebo-controlled clinical trial

Nat MedPublished Randomised controlled trial

Primary result · Percentage change in UACRResult — go to the resultDifference −52.1 % 95% CI −65.5 to −33.4

Authors' conclusion

Semaglutide treatment for 24 weeks resulted in a clinically meaningful reduction in albuminuria in patients with overweight/obesity and non-diabetic CKD.

Study context

Population
Adults with non-diabetic chronic kidney disease (CKD) (estimated glomerular filtration rate (eGFR) ≥25 ml min-1 1.73 m-2, urine albumin-to-creatinine ratio (UACR) ≥30 and <3,500 mg g-1) and BMI ≥27 kg m-2; mean age 55.8 years, 39.6% female, median UACR 251 mg g-1, mean eGFR 65.0125 screened
Participants
101 adults
Comparison
Semaglutide 2.4 mg per week vs placebo
  • Semaglutiden = 51
  • Placebon = 50reference
Primary endpoint
Percentage change from baseline in UACR
Follow-up
Week 24
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

Percentage change in UACR · 24 weeks

Difference

−52.1 %

95% CI −65.5 to −33.4

P < 0.0001

Semaglutidevs Placebo
difference −52.1 % (95% CI −65.5 to −33.4); P < 0.0001

As reported in the abstract

Safety

Events

OutcomeSemaglutidePlacebo
Gastrointestinal AEs3015

Original publication

Semaglutide in patients with overweight or obesity and chronic kidney disease without diabetes: a randomized double-blind placebo-controlled clinical trial. Nat Med. Published 25 October 2024. doi:10.1038/s41591-024-03327-6

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