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Pleiotropic effects of liraglutide in patients with type 2 diabetes and moderate renal impairment: Individual effects of treatment
Author(s) -
Zobel Emilie H.,
von Scholten Bernt J.,
Goldman Bryan,
Persson Frederik,
Hansen Tine W.,
Rossing Peter
Publication year - 2019
Publication title -
diabetes, obesity and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.445
H-Index - 128
eISSN - 1463-1326
pISSN - 1462-8902
DOI - 10.1111/dom.13638
Subject(s) - liraglutide , medicine , renal function , type 2 diabetes , endocrinology , blood pressure , diabetes mellitus , creatinine , risk factor , albuminuria , lipid profile , urology
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.