Evidence mapPaperPMID 41220513Full record

ArticleJMA journal2025

Sex Differences in Renal Outcomes and Metabolic Markers by Combination Therapy with SGLT2 Inhibitors and GLP-1 Receptor Agonists in Individuals with Type 2 Diabetes: A Post-Hoc Analysis of the RECAP Study.

Yoshimi Muta, Kazuo Kobayashi, Masao Toyoda, Mari Sotozawa, Kyoji Chiba, Yuki Senda, Saki Hideshima, Yuichi Takashi, Hisashi Yokomizo, Takuya Hashimoto and 13 more

Abstract read
In one paragraph

Article in JMA journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Yoshimi MutaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Kazuo KobayashiDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Masao ToyodaDivision of Nephrology, Endocrinology and Metabolism, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Mari SotozawaDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Kyoji ChibaDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Yuki SendaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Saki HideshimaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Yuichi TakashiDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Hisashi YokomizoDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Takuya HashimotoDivision of Endocrinology and Metabolism, 2nd Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kei TakeshitaDivision of Endocrinology and Metabolism, 2nd Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Shunichiro TsukamotoDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Miwako YomotaDepartment of Internal Medicine 1, Endocrinology and Metabolism, Shimane University Faculty of Medicine, The Center for Integrated Kidney Research and Advance, Faculty of Medicine, Shimane University, Izumo, Japan.
Miwa OtaDepartment of Internal Medicine 1, Endocrinology and Metabolism, Shimane University Faculty of Medicine, The Center for Integrated Kidney Research and Advance, Faculty of Medicine, Shimane University, Izumo, Japan.
Atsuhito ToneDepartment of Internal Medicine, Diabetes Center, Okayama Saiseikai General Hospital, Okayama, Japan.
Moritsugu KimuraDivision of Nephrology, Endocrinology and Metabolism, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan.
Takaya MatsushitaDepartment of Diabetology, Endocrinology and Metabolism, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.
Daisuke SuzukiSuzuki Diabetes Clinic, Kanagawa, Japan.
Takashi MurataDepartment of Clinical Nutrition, NHO Kyoto Medical Center, Kyoto, Japan.
Daisuke TsuriyaDivision of Endocrinology and Metabolism, 2nd Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kouichi TamuraDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Keizo KanasakiDepartment of Internal Medicine 1, Endocrinology and Metabolism, Shimane University Faculty of Medicine, The Center for Integrated Kidney Research and Advance, Faculty of Medicine, Shimane University, Izumo, Japan.
Daiji KawanamiDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We previously reported that combination therapy with SGLT2 inhibitors (SGLT2i) and GLP-1 receptor agonists (GLP-1Ra) was beneficial for the progression of diabetic kidney disease. However, sex differences in renal outcomes and metabolic markers with combination therapy remain unclear. To clarify this, we performed a post hoc analysis of the differences in renal outcomes between males and females. Methods: Among 643 individuals with type 2 diabetes (T2D) who had received their preceding medication for ≥6 months and concomitant medication for ≥12 months, data from 361 males and 282 females were analyzed in this post hoc study. Renal outcomes and changes in metabolic markers were analyzed. To adjust for confounding factors at baseline, a propensity score analysis with inverse probability weighting (PS-IPW) was adopted, and a generalized linear model was used for the comparison. Results: In the PS-IPW model, the incidence of renal composite outcomes was 28% in the male group and 26% in the female group, with an odds ratio of 0.90 (95% confidence interval: 0.56-1.44, p = 0.65). Significantly lower levels of diastolic blood pressure (DBP), mean arterial pressure, and alanine aminotransferase, and larger decreases in the body mass index and DBP were observed in the female group than in the male group. Conclusions: DBP reduction differed between males and females with T2D treated with a combination of SGLT2i and GLP-1Ra. Sex differences need to be considered clinically in combination therapy, and their impact on cardiovascular events should also be investigated in the future.

Indexed as

diabetic kidney diseaseGLP-1 receptor agonistssex differencesSGLT2 inhibitorstype 2 diabetes

Identifiers

PMID41220513
PMCPMC12598152

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.