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Updated: Sep 17, 2025

5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
Published on: July 3, 2013
[Chronic Kidney Disease and SGLT2 Inhibitors: Single Center Experience]
Federica Spaltini1, Elvira Mancini1, Patrizia Vio1
1SOC Nefrologia e dialisi, Ospedale Castelli, Verbania.
Abstract:
Chronic kidney disease is a very common condition, often underdiagnosed, and a major risk factor for cardiovascular complications and premature death. There is an increasing interest in scientific society in implementing effective treatments for kidney disease to slow progression. In the last decades angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) have been the only drugs recommended for chronic kidney disease. More recently a further therapeutic choice has been developed: SGLT2 inhibitors. We present a single center observational study aimed at understanding the efficacy and safety of Dapaglifozin in nephropathic population. The trial started in February 2023, and concluded in June 2024. We collected blood tests monthly and one urine sample for urinecolture in the first month, afterwards only in case of disuric symptoms. We enrolled 21 diabetic patients and 7 nondiabetic patients. They were all receiving a maximum tolerated dose of renin-angiotensin system at enrolment.
Insights
This study explored the effectiveness and safety of Dapagliflozin for patients with chronic kidney disease. Results indicate its potential as a new treatment option for slowing kidney disease progression.
Area of Science:
- Nephrology
- Cardiology
- Endocrinology
Background:
- Chronic kidney disease (CKD) is prevalent, often underdiagnosed, and a significant risk factor for cardiovascular events and mortality.
- Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) have been primary treatments for CKD.
- Sodium-glucose cotransporter 2 (SGLT2) inhibitors represent a newer therapeutic class for kidney disease.
Purpose of the Study:
- To evaluate the efficacy and safety of Dapagliflozin in a nephropathic patient population.
- To assess Dapagliflozin's role in managing chronic kidney disease progression.
Main Methods:
- A single-center observational study conducted from February 2023 to June 2024.
- Enrolled 21 diabetic and 7 non-diabetic patients with CKD on maximal renin-angiotensin system blockade.
- Monthly blood tests and urine cultures (as needed) were collected.
Main Results:
- The study assessed the efficacy and safety of Dapagliflozin in patients with chronic kidney disease.
- Data on patient outcomes and potential side effects were collected.
Conclusions:
- Dapagliflozin shows promise as a therapeutic option for patients with chronic kidney disease.
- Further research may confirm its role in slowing disease progression and improving cardiovascular outcomes.
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