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Canagliflozin and iron metabolism in the CREDENCE trial

Title: Canagliflozin and iron metabolism in the CREDENCE trial
Authors: Koshino, A; Heerspink, HJL; Jongs, N; Badve, SV; Arnott, C; Neal, B; Jardine, M; Mahaffey, KW; Pollock, C; Perkovic, V; Hansen, MK; Bakker, SJL; Wada, T; Neuen, BL
Source: urn:ISSN:0931-0509 ; urn:ISSN:1460-2385 ; Nephrology Dialysis Transplantation, 40, 4, 696-706
Publisher Information: Oxford University Press (OUP)
Publication Year: 2025
Collection: UNSW Sydney (The University of New South Wales): UNSWorks
Subject Terms: 32 Biomedical and Clinical Sciences; 3202 Clinical Sciences; Dietary Supplements; Kidney Disease; Clinical Trials and Supportive Activities; Diabetes; Nutrition; Clinical Research; Hematology; Cardiovascular; 6.1 Pharmaceuticals; 5.1 Pharmaceuticals; Renal and urogenital; 3 Good Health and Well Being; Humans; Male; Canagliflozin; Female; Middle Aged; Iron; Renal Insufficiency; Chronic; Aged; Sodium-Glucose Transporter 2 Inhibitors; Diabetes Mellitus; Type 2; Double-Blind Method; Follow-Up Studies; Prognosis; Glomerular Filtration Rate
Description: Background. Studies in patients with heart failure have indicated that sodium-glucose cotransporter 2 (SGLT2) inhibitors increase iron use and enhance erythropoiesis. In this post hoc analysis of the Canagliflozin and Renal Endpoints in Diabetes with Established Nephropathy Clinical Evaluation (CREDENCE) trial, we evaluated the effects of canagliflozin on iron metabolism in patients with chronic kidney disease (CKD) and whether the effects of canagliflozin on hemoglobin and cardiorenal outcomes were modified by iron deficiency. Methods. We measured serum iron, total iron binding capacity (TIBC), transferrin saturation (TSAT) and ferritin at baseline and 12 months. The effects of canagliflozin, relative to placebo, on iron markers were assessed with analysis of covariance. Interactions between baseline iron deficiency, defined as TSAT
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: https://hdl.handle.net/1959.4/104434; https://doi.org/10.1093/ndt/gfae198
DOI: 10.1093/ndt/gfae198
Availability: https://hdl.handle.net/1959.4/104434; https://unsworks.unsw.edu.au/bitstreams/938a192a-8a6c-42ac-9bd6-9005506bb034/download; https://doi.org/10.1093/ndt/gfae198
Rights: open access ; https://purl.org/coar/access_right/c_abf2 ; CC BY ; https://creativecommons.org/licenses/by/4.0/ ; free_to_read
Accession Number: edsbas.2618E8F2
Database: BASE