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Finerenone in Patie...
Finerenone in Patients With Chronic Kidney Disease and Type 2 Diabetes by Sodium-Glucose Cotransporter 2 Inhibitor Treatment : The FIDELITY Analysis.
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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2022-08-15
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American Diabetes Association,2022
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LIBRIS-ID:oai:DiVA.org:uu-498008
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-498008URI
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https://doi.org/10.2337/dc22-0294DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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OBJECTIVE: Finerenone reduced the risk of kidney and cardiovascular events in people with chronic kidney disease (CKD) and type 2 diabetes in the FIDELIO-DKD and FIGARO-DKD phase 3 studies. Effects of finerenone on outcomes in patients taking sodium-glucose cotransporter 2 inhibitors (SGLT2is) were evaluated in a prespecified pooled analysis of these studies.RESEARCH DESIGN AND METHODS: Patients with type 2 diabetes and urine albumin-to-creatinine ratio (UACR) ≥30 to ≤5,000 mg/g and estimated glomerular filtration rate (eGFR) ≥25 mL/min/1.73 m2 were randomly assigned to finerenone or placebo; SGLT2is were permitted at any time. Outcomes included cardiovascular composite (cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure) and kidney composite (kidney failure, sustained ≥57% eGFR decline, or renal death) end points, changes in UACR and eGFR, and safety outcomes.RESULTS: Among 13,026 patients, 877 (6.7%) received an SGLT2i at baseline and 1,113 (8.5%) initiated one during the trial. For the cardiovascular composite, the hazard ratios (HRs) were 0.87 (95% CI 0.79-0.96) without SGLT2i and 0.67 (95% CI 0.42-1.07) with SGLT2i. For the kidney composite, the HRs were 0.80 (95% CI 0.69-0.92) without SGLT2i and 0.42 (95% CI 0.16-1.08) with SGLT2i. Baseline SGLT2i use did not affect risk reduction for the cardiovascular or kidney composites with finerenone (Pinteraction = 0.46 and 0.29, respectively); neither did SGLT2i use concomitant with study treatment.CONCLUSIONS: Benefits of finerenone compared with placebo on cardiorenal outcomes in patients with CKD and type 2 diabetes were observed irrespective of SGLT2i use.
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Anker, Stefan D
(author)
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Filippatos, Gerasimos
(author)
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Pitt, Bertram
(author)
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Ruilope, Luis M
(author)
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Birkenfeld, Andreas L
(author)
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McGill, Janet B
(author)
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Rosas, Sylvia E
(author)
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Joseph, Amer
(author)
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Gebel, Martin
(author)
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Roberts, Luke
(author)
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Scheerer, Markus F
(author)
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Bakris, George L
(author)
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Agarwal, Rajiv
(author)
Related titles
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In:Diabetes Care: American Diabetes Association45:12, s. 2991-29980149-59921935-5548
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Rossing, Peter
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Anker, Stefan D
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Filippatos, Gera ...
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Pitt, Bertram
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Ruilope, Luis M
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Birkenfeld, Andr ...
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McGill, Janet B
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Rosas, Sylvia E
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Joseph, Amer
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Gebel, Martin
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Roberts, Luke
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Scheerer, Markus ...
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Bakris, George L
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Agarwal, Rajiv
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
- Articles in the publication
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Diabetes Care
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Uppsala University