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- Title
Pleiotropic effects of liraglutide in patients with type 2 diabetes and moderate renal impairment: Individual effects of treatment.
- Authors
Zobel, Emilie H.; von Scholten, Bernt J.; Goldman, Bryan; Persson, Frederik; Hansen, Tine W.; Rossing, Peter
- Abstract
Liraglutide has pleiotropic effects favouring cardiovascular and renal risks. We investigated individual responses to liraglutide in six cardio‐renal risk factors to examine whether responses in one risk factor are associated with changes in other risk factors (cross‐dependency). We performed secondary analysis of the LIRA‐RENAL trial (n = 279) in type 2 diabetes. HbA1c, body weight, systolic blood pressure (SBP), low density lipoprotein (LDL)‐cholesterol, urine albumin‐to‐creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR) were measured at baseline and after 26 weeks of liraglutide/placebo treatment: "Good responders" had a change within the best quartile. In the liraglutide‐treated group, good HbA1c responders showed similar changes in other risk factors analysed to low responders (P ≥ 0.17). Good body weight responders had a larger reduction in HbA1c than low body weight responders (−1.6 ± 0.94 vs. –1.0 ± 0.82%; P = 0.003), but similar changes in the other risk factors (P ≥ 0.11). Good and low responders in SBP, UACR, LDL‐cholesterol or eGFR showed similar changes in other risk factors (P ≥ 0.07). Treatment response to liraglutide is largely individual; aside from an association between body weight and HbA1c reduction, there are no obvious cross‐dependencies in risk factor response.
- Subjects
TYPE 2 diabetes; SYSTOLIC blood pressure; DIABETES; CARDIOVASCULAR diseases; BODY mass index
- Publication
Diabetes, Obesity & Metabolism, 2019, Vol 21, Issue 5, p1261
- ISSN
1462-8902
- Publication type
Article
- DOI
10.1111/dom.13638