Evidence map›Paper›PMID 42823075›Full record

ArticleDiabetes, obesity & metabolism2026

Nephroprotective Effects of the Dual GCGR/GLP-1R Agonist Survodutide in Hypertension-Accelerated Diabetic Kidney Disease.

Alexander Hamilton, Louise Thisted, Maria Ougaard, Max Hahn, Kasper Andersen, Johanna Perens, Robert Augustin, Besnik Bajrami, Wolfgang Rist, Michael Christensen and 2 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Alexander HamiltonGubra A/S, Hørsholm, Denmark.ORCID https://orcid.org/0000-0001-5203-9220
Louise ThistedGubra A/S, Hørsholm, Denmark.
Maria OugaardGubra A/S, Hørsholm, Denmark.
Max HahnGubra A/S, Hørsholm, Denmark.
Kasper AndersenGubra A/S, Hørsholm, Denmark.
Johanna PerensGubra A/S, Hørsholm, Denmark.
Robert AugustinBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany.
Besnik BajramiBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany.
Wolfgang RistBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany.
Michael ChristensenGubra A/S, Hørsholm, Denmark.
Henrik H HansenGubra A/S, Hørsholm, Denmark.ORCID https://orcid.org/0000-0002-3732-0281
Thomas KleinBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany.ORCID https://orcid.org/0000-0001-5762-9166

Funding

Boehringer Ingelheim
6 · The paper itself

Abstract

aimsSurvodutide is a novel long-acting dual glucagon (GCGR)/glucagon-like peptide-1 (GLP-1R) receptor agonist currently in phase-3 clinical development for the treatment of people living with obesity and metabolic dysfunction-associated steatohepatitis. Emerging evidence suggests impaired renal GCGR function in chronic kidney disease (CKD), including diabetic kidney disease (DKD). This study aimed to characterize the effects of survodutide in a translational mouse model of advanced DKD, induced by adeno-associated virus-mediated renin overexpression (ReninAAV) in uninephrectomized (UNx) diabetic db/db mice. MATERIALS AND

methodsFemale obese and diabetic db/db C57BKS mice received a single intravenous dose of ReninAAV 1 week prior to UNx. Three weeks post-UNx, db/db UNx-ReninAAV mice were administered (s.c., q.d.) vehicle or survodutide (7.5 nmol/kg) for 10 weeks. Endpoints included blood/urine biochemistry, histological markers of glomerulosclerosis, tubular injury and inflammation, as well as quantitative 3D whole-pancreas and whole-kidney imaging.

resultsCompared to vehicle controls, survodutide reduced body weight, hyperglycemia, and HbA1c levels concurrent with improved hyperinsulinemia and β-cell islet volume distribution. Notably, survodutide promoted substantial benefits on advanced albuminuria, severe glomerulosclerosis, kidney hypertrophy and inflammation. 3D whole-kidney imaging revealed that survodutide significantly reduced kidney and glomerular hypertrophy while increasing glomerular density and improving glomerular sphericity. Survodutide reduced liver weight and plasma amino acid levels, including alanine, confirming hepatic glucagon receptor activation.

conclusionsSurvodutide markedly improved metabolic and renal outcomes in the db/db UNx-ReninAAV mouse model of advanced DKD, supporting further investigation into therapeutic options of survodutide in chronic kidney diseases.

Indexed as

Diabetic NephropathiesGlucagon-Like Peptide-1 Receptor AgonistsHypertensionAnimalsDiabetes Mellitus, ExperimentalDisease Models, AnimalFemaleGlucagon-Like Peptide-1 ReceptorKidneyMiceMice, Inbred C57BLObesityReceptors, GlucagonGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsReceptors, Glucagondiabetic kidney diseasedual agonistglucagon‐like peptide‐1 receptorglucagon receptorobesityoxyntomodulin analoguesurvodutide

Identifiers

PMID42823075
PMCPMC13731041

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.