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Updated: Nov 8, 2025

Author Spotlight: Investigating the Potential of Chinese Herbal Medicinal Active Dioscin in Treating IgA Nephropathy
Published on: October 13, 2023
SGLT-2 inhibition in IgA nephropathy: the new standard of care?
Jonathan Barratt1, Jürgen Floege2
1Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Abstract:
Despite supportive measures that slow the rate of progression of chronic kidney disease in IgA nephropathy, many patients still progress to end-stage kidney disease. Currently employed immunosuppressive strategies lack conclusive efficacy data, while there is evidence for treatment-emergent toxicity. A subanalysis of the Dapagliflozin and Prevention of Adverse Outcomes in Chronic Kidney Disease Trial, which encompassed 270 patients with a diagnosis of IgA nephropathy, now provides early evidence that dapagliflozin may be a safe and effective addition to current standard of care in IgA nephropathy.
Insights
Dapagliflozin shows promise in slowing IgA nephropathy progression, offering a potential new treatment option. This study suggests it may be a safe and effective addition to existing therapies for IgA nephropathy patients.
Area of Science:
- Nephrology
- Immunology
- Pharmacology
Background:
- IgA nephropathy (IgAN) is a common cause of chronic kidney disease (CKD).
- Current treatments for IgAN have limited efficacy and potential toxicity.
- Many IgAN patients progress to end-stage kidney disease despite supportive care.
Purpose of the Study:
- To evaluate the safety and efficacy of dapagliflozin in patients with IgA nephropathy.
- To assess dapagliflozin as an adjunct to standard care for IgAN.
Main Methods:
- A subanalysis of the Dapagliflozin and Prevention of Adverse Outcomes in Chronic Kidney Disease Trial.
- Inclusion of 270 patients diagnosed with IgA nephropathy.
- Evaluation of dapagliflozin's effects on IgAN progression and safety.
Main Results:
- Early evidence suggests dapagliflozin is safe for IgAN patients.
- Dapagliflozin may be effective in managing IgA nephropathy.
- The drug shows potential as part of the standard of care.
Conclusions:
- Dapagliflozin offers a potential new therapeutic avenue for IgA nephropathy.
- Further research is warranted to confirm dapagliflozin's long-term benefits in IgAN.
- This study provides a foundation for dapagliflozin use in IgAN management.
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