Evidence map›Paper›PMID 42205183›Full record

ReviewKidney international reports2026

Novel Therapeutic Strategies for Patients With CKD and Diabetes Mellitus.

Luxcia Kugathasan, Alexandra Katz, Marcel H A Muskiet, Vikas S Sridhar, Jennifer Scott, Tae Won Yi, David Z I Cherney

Abstract readReview
In one paragraph

Review in Kidney international reports, 2026. 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

7 authors.

Luxcia KugathasanDivision of Nephrology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
Alexandra KatzDepartment of Medicine, McGill University, Quebec, Canada.
Marcel H A MuskietDivision of Nephrology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
Vikas S SridharDivision of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Jennifer ScottSchool of Medicine, Trinity College Dublin, Ireland.
Tae Won YiDivision of Nephrology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
David Z I CherneyDivision of Nephrology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) remains a major complication of diabetes mellitus and a leading driver of end-stage kidney disease (ESKD), cardiovascular morbidity, and premature mortality worldwide. Despite significant advances in the management of CKD, substantial residual cardiorenal risk persists in patients with diabetes mellitus (DM). The need for additional therapies that target complementary pathophysiological pathways is therefore critical. This review highlights novel and emerging therapeutic strategies with the potential to further reduce the progression of CKD in patients with diabetes mellitus. We explore the clinical rationale and growing body of evidence supporting the use of multitargeting incretin-based therapies which may provide added metabolic and kidney benefits. We also examine the anti-inflammatory, hemodynamic, and antifibrotic effects of aldosterone synthase inhibitors and endothelin receptor antagonists (ERA), which target key pathways involved in progressive kidney injury. In addition, we discuss soluble guanylate cyclase agonists, which modulate the nitric oxide (NO) signaling pathway to improve kidney perfusion and reduce albuminuria, as well as emerging therapies, such as kidney autologous cell therapy and anti-inflammatory agents targeting cytokine and inflammasome pathways. Importantly, we consider patients with type 1 diabetes mellitus (T1D) and the real-world challenges of translating these advances into practice by addressing economic and access-related barriers that continue to shape treatment uptake and equity in care. Together, these agents represent a promising evolution in the treatment of CKD in diabetes mellitus, with the potential to complement existing therapies and address key mechanisms of disease progression. Ongoing and future clinical trials will help define their role in reshaping the standard of care.

Indexed as

aldosterone synthase inhibitorschronic kidney diseasediabetesendothelin receptor antagonistsincretin-based therapiesmineralocorticoid receptor antagonist

Identifiers

PMID42205183
PMCPMC13206652

What OpenQuestion holds

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Registered trials

None linked

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.