PMID- 32267076 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20210624 IS - 1463-1326 (Electronic) IS - 1462-8902 (Print) IS - 1462-8902 (Linking) VI - 22 Suppl 1 IP - Suppl 1 DP - 2020 Apr TI - Dedicated kidney disease-focused outcome trials with sodium-glucose cotransporter-2 inhibitors: Lessons from CREDENCE and expectations from DAPA-HF, DAPA-CKD, and EMPA-KIDNEY. PG - 46-54 LID - 10.1111/dom.13987 [doi] AB - In the past decade, many cardiovascular outcome trials (CVOT) on the efficacy and safety of glucose-lowering agents have been completed. Amongst newer agents available for treatment of type 2 diabetes mellitus (T2DM), sodium-glucose cotransporter-2 (SGLT2) inhibitors have garnered much attention in contemporary clinical practice due to observed benefits on cardiovascular and kidney outcomes among patients with T2DM, as reported in large randomized controlled trials (RCT). These findings are reflected in the updated clinical guidelines of several major professional societies. Herein, we briefly review the mechanism of action of SGLT2 inhibitors and their pleiotropic effects, summarize key findings and limitations of initial CVOTs, then discuss three major kidney disease-focused outcome trials, including the Canagliflozin and Renal Events in Diabetes and Established Nephropathy Clinical Evaluation (CREDENCE) trial as well as two ongoing RCTs: Dapagliflozin and Prevention of Adverse Outcomes in Heart Failure-chronic kidney disease and EMPA-KIDNEY. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Rhee, Jinnie J AU - Rhee JJ AUID- ORCID: 0000-0001-8990-0379 AD - Division of Nephrology, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States. AD - Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, California, United States. FAU - Jardine, Meg J AU - Jardine MJ AD - The George Institute for Global Health, UNSW, Sydney, New South Wales, Australia. AD - Department of Renal Medicine, Concord Repatriation General Hospital, Sydney, Australia. FAU - Chertow, Glenn M AU - Chertow GM AD - Division of Nephrology, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States. AD - Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, California, United States. AD - Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, United States. FAU - Mahaffey, Kenneth W AU - Mahaffey KW AD - Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, California, United States. AD - Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, United States. AD - Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, California, United States. LA - eng GR - K01 DK110221/DK/NIDDK NIH HHS/United States GR - K24 DK085446/DK/NIDDK NIH HHS/United States GR - Medical Research Future Fund Next Generation Clinical Researchers Program Career Development Fellowship/International PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 9NEZ333N27 (Sodium) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Diabetes Mellitus, Type 2/drug therapy MH - Glucose MH - Humans MH - Kidney MH - Motivation MH - *Renal Insufficiency, Chronic/drug therapy MH - Sodium PMC - PMC8018526 MID - NIHMS1682575 OTO - NOTNLM OT - SGLT2 inhibitors OT - chronic kidney disease OT - clinical trials OT - diabetes OT - kidney outcomes COIS- CONFLICT OF INTERESTS M.J.J. is responsible for research projects that have received unrestricted funding from Gambro, Baxter, CSL, Amgen, Eli Lilly, and Merck; has served on advisory boards sponsored by Akebia, Baxter, and Boehringer Ingelheim; and spoken at scientific meetings sponsored by Janssen, Amgen, and Roche, with any consultancy, honoraria or travel support paid to her institution. G.M.C. serves on the Steering Committee for DAPA-CKD and served as a national leader for CREDENCE. K.W.M.'s financial disclosures can be viewed at http://med.stanford.edu/profiles/kenneth-mahaffey. EDAT- 2020/04/09 06:00 MHDA- 2021/06/25 06:00 PMCR- 2021/04/02 CRDT- 2020/04/09 06:00 PHST- 2019/12/13 00:00 [received] PHST- 2020/01/22 00:00 [revised] PHST- 2020/01/30 00:00 [accepted] PHST- 2020/04/09 06:00 [entrez] PHST- 2020/04/09 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2021/04/02 00:00 [pmc-release] AID - 10.1111/dom.13987 [doi] PST - ppublish SO - Diabetes Obes Metab. 2020 Apr;22 Suppl 1(Suppl 1):46-54. doi: 10.1111/dom.13987.