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Table 5 Concomitant drug treatment

From: An analysis of DPV and DIVE registry patients with chronic kidney disease according to the finerenone phase III clinical trial selection criteria

 

Meta-analysis

DPV/DIVE patients with CKDa

 

FIDELITY

Total

Total ACEi/ARB

RCT ( +)

RCT (-)

p-value

 

n = 13,026

n = 65,168

n = 28,359

n = 12,322

n = 16,037

RCT + vs. -

Statins, n (%)

72.2

36.9

59.0

62.3

56.5

 < 0.0001

Platelet aggregation inhibitors, n (%)

56.0

9.8

15.1

15.3

14.9

0.3312

Antihypertensive drugs

      

 ACEi, n (%)

39.0

26.8

61.5

62.3

61.0

 < 0.0001

 ARBs, n (%)

60.9

16.7

38.5

37.8

39.0

0.0385

 MRAs, n (%)

n.a. / 0

4.6

7.7

8.1

7.5

0.0742

 Beta-blockers, n (%)

49.9

36.3

61.0

60.6

61.2

0.3640

Diuretics

      

 Loop diuretics

21.5

14.1

23.5

22.0

24.7

 < 0.0001

 Thiazide diuretics

24.2

4.6

9.2

10.5

8.2

 < 0.0001

 Calcium antagonists, n (%)

56.5

20.3

37.6

40.3

35.5

 < 0.0001

Glucose lowering therapies, n (%)

      

 Insulin, n (%)

58.6

58.9

63.6

63.0

64.1

0.0744

 Metformin, n (%)

58.0

38.0

43.7

50.4

38.6

 < 0.0001

 Acarbose, n (%)

5.0

0.4

0.5

0.6

0.5

0.3312

 Sulfonylurea, n (%)

26.0

5.2

5.5

5.9

5.2

0.0150

 DPP-4 inhibitors, n (%)

25.2

25.8

28.4

28.2

28.7

0.4469

 GLP-1 agonists, n (%)

7.2

6.4

8.4

9.7

7.3

 < 0.0001

 SGLT2 inhibitors, n (%)

6.7

8.0

10.0

12.4

8.2

 < 0.0001

  1. FIDELITY [21] was a pooled analysis of FIDELIO-DKD and FIGARO-DKD [19, 20]
  2. ACEi angiotensin converting enzyme inhibitor; ARB angiotensin receptor blocker; DPP-4 dipeptidyl peptidase-4; GLP-1 glucagon-like peptide-1; MRA mineralocorticoid receptor antagonist (eplerenone, spironolactone, finerenone); RCT randomized controlled trial; SGLT2 sodium-glucose transport protein-2
  3. aThe difference between the DPV/DIVE total and the combined RCT ± groups is the results of 36,809 patients that did not receive either an ACEi or ARB at baseline