Evidence map›Paper›PMID 32862232›Full record

Trial reportNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2020

The dapagliflozin and prevention of adverse outcomes in chronic kidney disease (DAPA-CKD) trial: baseline characteristics.

David C Wheeler, Bergur V Stefansson, Mikhail Batiushin, Oleksandr Bilchenko, David Z I Cherney, Glenn M Chertow, Walter Douthat, Jamie P Dwyer, Elizabeth Escudero, Roberto Pecoits-Filho and 23 more

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 91 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 3 pooled it
17.7field-weighted citation impact, top 1% of its field
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.

NCT03036150 phase3completednot on this map

A Study to Evaluate the Effect of Dapagliflozin on Renal Outcomes and Cardiovascular Mortality in Patients With Chronic Kidney Disease

TypeinterventionalSponsorAstraZenecaRan2017 to 2020Enrolled4,304ConditionsChronic Kidney DiseaseArmsDapagliflozin, Placebo
NCT07700940 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Does The Positive Reno-Protective Effect Of Sodium Glucose Co-Transporter 2 Inhibitors Extend To Lupus Nephritis Population?

TypeinterventionalSponsorAhmed Yehia IsmailRan2024 to 2026Enrolled66ConditionsLupus Nephritis (LN)ArmsEmpagliflozin (25 Mg Tab) along with standard medical therapy, Placebo and standard of care
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. COmbinatioN effect of FInerenone anD EmpaglifloziN in participants with chronic kidney disease and type 2 diabetes using a UACR Endpoint (CONFIDENCE) trial: baseline clinical characteristics.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025 · on this map
    Trial
  5. The long-term effects of dapagliflozin in chronic kidney disease: a time-to-event analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Trial
  6. Trial
  7. Efficacy and Safety of Dapagliflozin in Patients With Chronic Kidney Disease Across the Spectrum of Frailty.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
  8. Trial
  9. Extrapolated longer-term effects of the DAPA-CKD trial: a modelling analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Trial
  10. Safety and efficacy of dapagliflozin in patients with focal segmental glomerulosclerosis: a prespecified analysis of the dapagliflozin and prevention of adverse outcomes in chronic kidney disease (DAPA-CKD) trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Trial
  11. Trial
  12. Review
  13. SGLT2 Inhibition Attenuates Renal Tubular Senescence by Suppressing CTRP1-Mediated Glucotoxic Stress in Diabetic Kidney Disease.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Association BetweenDiabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Article

31 more citing papers are in PubMed but not listed here.

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

33 authors at 20 institutions in 21 countries.

David C WheelerDepartment of Renal Medicine, University College London, London, UK.
Bergur V StefanssonLate-Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Mikhail BatiushinDepartment of Nephrology, Rostov State Medical University, Rostov, Russia.
Oleksandr BilchenkoKharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine.
David Z I CherneyToronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.
Glenn M ChertowDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA.
Walter DouthatDepartment of Nephrology, Hospital Privado Universitario de Cordoba, Cordoba, Argentina.
Jamie P DwyerVanderbilt University Medical Center, Nashville, TN, USA.
Elizabeth EscuderoDivision of Nephrology, Hospital Arzobispo Loayza, Cayetano Heredia University, Lima, Peru.
Roberto Pecoits-FilhoSchool of Medicine, Pontificia Universidade Catolica do Parana, Curitiba, Brazil.
Hans FurulandDepartment of Medical Sciences Renal Unit, Uppsala University Hospital, Uppsala, Sweden.
José Luis GórrizDepartment of Nephrology, University Clinic Hospital, INCLIVA, University of Valencia, Valencia, Spain.
Tom GreeneStudy Design and Biostatistics Center, University of Utah Health Sciences, Salt Lake City, UT, USA.
Hermann HallerHannover Medical School, Hanover, Germany.
Fan Fan HouDepartment of Medicine, Division of Nephrology, Southern Medical University, National Clinical Research Center for Kidney Disease, Guangzhou, China.
Shin-Wook KangDepartment of Internal Medicine, Division of Nephrology, Yonsei University College of Medicine, Seoul, Korea.
Rey IsidtoHealthlink Medical, Dental, Surgical Clinics and Diagnostics Center, Iloilo City, Philippines.
Dinesh KhullarDepartment of Nephrology and Renal Transplant Medicine, Max Super Speciality Hospital, Saket, New Delhi, India.
Patrick B MarkInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
John J V McMurrayInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Naoki KashiharaDepartment of Nephrology and Hypertension, Kawasaki Medical School, Okayama, Japan.
Michal NowickiDepartment of Nephrology, Hypertension and Kidney Transplantation, Medical University of Łódź, Łódź, Poland.
Frederik PerssonSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Ricardo Correa-RotterNational Medical Science and Nutrition Institute Salvador Zubirán, Mexico City, Mexico.
Peter RossingSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Robert D TotoDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Kausik UmanathDivision of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI, USA.
Pham Van BuiPham Ngoc Thach Medicine University, Ho Chi Minh City, Vietnam.
István WittmannSecond Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary.
Magnus LindbergLate-Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
C David SjöströmLate-Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Anna Maria LangkildeLate-Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Hiddo J L HeerspinkDepartment of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, Groningen, The Netherlands.
AstraZeneca (Sweden) · SEUniversity of Glasgow · GBHospital Privado · ARInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXKawasaki Medical School · JPKharkiv Medical Academy of Postgraduate Education · UAMax Super Speciality Hospital · INMedical University of Lodz · PLMedizinische Hochschule Hannover · DEPham Ngoc Thach University of Medicine · VNPontifícia Universidade Católica do Paraná · BRRostov State Medical University · RUSouthern Medical University · CNSouthwestern Medical Center · USStanford University · USSteno Diabetes Centers · DKUniversidad Peruana Cayetano Heredia · PEUniversitat de València · ESUniversity College London · GBUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Dapagliflozin and Prevention of Adverse outcomes in Chronic Kidney Disease (DAPA-CKD; NCT03036150) trial was designed to assess the effect of the sodium-glucose co-transporter 2 (SGLT2) inhibitor dapagliflozin on kidney and cardiovascular events in participants with CKD with and without type 2 diabetes (T2D). This analysis reports the baseline characteristics of those recruited, comparing them with those enrolled in other trials.

methodsIn DAPA-CKD, 4304 participants with a urinary albumin:creatinine ratio (UACR) ≥200 mg/g and estimated glomerular filtration rate (eGFR) between 25 and 75 mL/min/1.73 m2 were randomized to dapagliflozin 10 mg once daily or placebo. Mean eGFR was 43.1 mL/min/1.73 m2 and median UACR was 949 mg/g (108 mg/mmol).

resultsOverall, 2906 participants (68%) had a diagnosis of T2D and of these, 396 had CKD ascribed to a cause other than diabetes. The most common causes of CKD after diabetes (n = 2510) were ischaemic/hypertensive nephropathy (n = 687) and chronic glomerulonephritis (n = 695), of which immunoglobulin A nephropathy (n = 270) was the most common. A total of 4174 participants (97%) were receiving an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, 1882 (43.7%) diuretics, 229 (5.3%) mineralocorticoid receptor antagonists and 122 (2.8%) glucagon-like peptide 1 receptor agonists. In contrast to the Canagliflozin and Renal Events in Diabetes with Established Nephropathy Clinical Evaluation (CREDENCE), the DAPA-CKD trial enrolled participants with CKD due to diabetes and to causes other than diabetes. The mean eGFR of participants in the DAPA-CKD trial was 13.1 mL/min/1.73 m2 lower than in CREDENCE, similar to that in the Finerenone in Reducing Kidney Failure and Disease Progression in DKD (FIDELIO-DKD) trial and the Study Of diabetic Nephropathy with AtRasentan (SONAR).

conclusionsParticipants with a wide range of underlying kidney diseases receiving renin-angiotensin system blocking therapy have been enrolled in the DAPA-CKD trial. The trial will examine the efficacy and safety of dapagliflozin in participants with CKD Stages 2-4 and increased albuminuria, with and without T2D.

Indexed as

AgedBenzhydryl CompoundsCardiovascular DiseasesDiabetes Mellitus, Type 2Diabetic NephropathiesDouble-Blind MethodFemaleGlomerular Filtration RateGlucosidesHumansMalePrognosisRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsdapagliflozinGlucosidesSodium-Glucose Transporter 2 Inhibitorschronic kidney diseasedapagliflozinrandomized controlled clinical trialsodium–glucose co-transporter-2 inhibitor

Identifiers

PMID32862232
PMCPMC7538235
OpenAlexW3081745704

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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 OpenQuestion graph.