Outcomes With Finerenone in Patients With Chronic Kidney Disease and Type 2 Diabetes by Baseline Insulin Resistance.
Diabetes Care
; 47(3): 362-370, 2024 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-38151465
ABSTRACT
OBJECTIVE:
To explore whether insulin resistance, assessed by estimated glucose disposal rate (eGDR), is associated with cardiorenal risk and whether it modifies finerenone efficacy. RESEARCH DESIGN ANDMETHODS:
In FIDELITY (N = 13,026), patients with type 2 diabetes, either 1) urine albumin-to-creatinine ratio (UACR) of ≥30 to <300 mg/g and estimated glomerular filtration rate (eGFR) of ≥25 to ≤90 mL/min/1.73 m2 or 2) UACR of ≥300 to ≤5,000 mg/g and eGFR of ≥25 mL/min/1.73 m2, who also received optimized renin-angiotensin system blockade, were randomized to finerenone or placebo. Outcomes included cardiovascular (cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure) and kidney (kidney failure, sustained decrease of ≥57% in eGFR from baseline, or renal death) composites. eGDR was calculated using waist circumference, hypertension status, and glycated hemoglobin for 12,964 patients.RESULTS:
Median eGDR was 4.1 mg/kg/min. eGDRCONCLUSIONS:
Insulin resistance was associated with increased cardiovascular (but not kidney) risk and did not modify finerenone efficacy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Resistência à Insulina
/
Diabetes Mellitus Tipo 2
/
Insuficiência Renal Crônica
/
Insulinas
/
Naftiridinas
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article