According to a recent clinical trials study published in Nature Medicine, there is encouraging indication that individuals with chronic kidney disease (CKD) may benefit greatly from Ozempic, a drug typically used to treat type 2 diabetes and for obesity with the name Wegovy. This finding may represent a significant breakthrough in the management of a chronic kidney disease that impacts millions of people globally.
Understanding Chronic Kidney Disease
The progressive decrease of kidney function is the hallmark of chronic kidney disease (CKD). About 10% of people worldwide are afflicted by it, and it can result in serious side effects like heart disease and kidney failure that necessitates dialysis or a kidney transplant. There are currently few alternatives for treating chronic kidney disease (CKD), with the main goals being symptom management and delaying the course of the illness.
What Is Ozempic?
The FDA has approved Ozempic (semaglutide), a glucagon-like peptide-1 (GLP-1) receptor agonist, to help patients with type 2 diabetes control their blood sugar levels. Its ability to effectively manage weight has also drawn notice. GLP-1 receptor agonists function by slowing stomach emptying, decreasing hunger, and increasing insulin secretion.
The Study
A group of researchers investigated how semaglutide affected kidney health. Around 125 participants were screened and finalized 101 people with CKD. Semaglutide to 51 and placebo to 50 participants was given to at random, and their kidney function was tracked for two to five years. The criterion to include participant in trials are estimated glomerular filtration rate (eGFR) ≥25 ml min−1 and urine albumin-to-creatinine ratio (UACR) ≥30 and <3,500 mg g−1. The main outcome was the percentage change in UACR at week 24 compared to the baseline along with changes in glomerular filtration rate (GFR). The incidence of kidney-related problems and general cardiovascular health were secondary outcomes.
Key Findings
- Slower Progression of CKD: Patients treated with Ozempic experienced a significantly slower decline in kidney function compared to those on the placebo. The drug reduced albuminuria levels, Semaglutide treatment for 24 weeks decreased UACR by -52.1% as compared to placebo.
- Cardiovascular Benefits: The study supported earlier research showing semaglutide lowers the risk of cardiovascular events, which are common in CKD patients and include heart attacks and strokes.
- Safety Profile: Most participants found Ozempic to be well-tolerated, and moderate gastrointestinal problems were among the adverse effects that were typical of its use in the treatment of diabetes.
Implications for CKD Treatment
According to the study’s findings, semaglutide may be used as a dual-purpose medication to treat people with type 2 diabetes and chronic kidney disease (CKD), addressing both kidney function and blood sugar regulation. This is a big step forward since it has the potential to not only halt the course of CKD but also lower healthcare expenses related to advanced renal disease and enhance overall quality of life.
Future Directions
Although the study’s findings are promising, experts emphasize that more research is necessary to validate these conclusions in bigger and more varied groups. Studies are also needed to examine the long-term safety and effectiveness of semaglutide as well as its impact on CKD patients with diabetes. The significance of creative methods in medical research is shown by Ozempic’s ability to solve the twin problems of type 2 diabetes and chronic kidney disease. Semaglutide may become a key treatment in the battle against chronic kidney disease (CKD) as further research is conducted, giving patients and medical professionals new hope.
References
- Vlado Perkovic, Katherine R. Tuttle, Peter Rossing et al, Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes, The New England Journal of Medicine 2024;391:109-121, DOI: 10.1056/NEJMoa2403347
- Ozempic keeps wowing: trial data show benefits for kidney disease, Nature, published on 24 May 2024
- Ozempic Cuts Risk of Chronic Kidney Disease Complications, Study Finds, The New York Times, published on 24 May 2024