Research Article

The Comparison of the Kidney Effects of Dipeptidyl Peptidase 4 Inhibitors and Glucagon-Like Peptide 1 Agonist-Administered Concomitant with Sodium-Glucose Cotransporter 2 Inhibitors in Japanese Patients with Type 2 Diabetes Mellitus and Chronic Kidney Disease

Table 1

Baseline characteristics before and after propensity score matching.

Unmatched cohort ()Matched cohort ()
DPP4i ()GLP1Ra () valueDPP4i ()GLP1Ra () valueStandardized difference

Age (years)<0.0010.550.09
Gender (male)220 (65%)65 (66%)0.9258 (67%)58 (67%)1.0☨0.02
BW (kg)<0.0010.860.02
BMI (kg/m2)0.010.99<0.01
SBP (mmHg)0.190.650.06
DBP (mmHg)0.0020.840.02
HbA1c (mmol/mol (%)) () ()<0.001 () ()0.880.02
eGFR (mL/min/1.73 m2)0.040.910.03
CCr (mL/min)0.0010.810.04
ACR (μg/gCr)12.7 [6.3, 93.1]18.0 [18.0, 145.1]0.0439.6 [13.0, 140.5]41.6 [15.1, 145.7]0.23
LNACR0.040.460.11
Duration of treatment (months)0.500.360.14
Types of SGLT2 inhibitor
 Ipragliflozin77 (23%)21 (21%)0.7419 (22%)21 (24%)0.470.15
 Dapagliflozin57 (17%)14 (14%)0.5211 (13%)11 (13%)0.210.23
 Tofogliflozin33 (10%)18 (18%)0.0212 (14%)14 (16%)1.00.03
 Luseogliflozin29 (9%)8 (8%)0.888 (9%)8 (9%)0.610.12
 Canagliflozin45 (13%)10 (10%)0.4011 (13%)9 (11%)0.520.14
 Empagliflozin51 (15%)9 (9%)0.137 (8%)8 (9%)1.00.0
SGLT2i changed during treatment46 (14%)19 (19%)0.1718 (21%)15 (17%)0.470.15
Concomitant treatment (at survey)
 Metformin212 (63%)73 (75%)0.0461 (71%)62 (72%)0.460.14
 SU122 (36%)36 (36%)0.9629 (34%)32 (37%)0.870.05
 Insulin84 (25%)42 (42%)0.00131 (36%)33 (38%)0.870.05
 Pioglitazone78 (23%)15 (15%)0.0914 (16%)14 (16%)0.660.10
 RAS inhibitors172 (51%)59 (60%)0.1347 (55%)49 (57%)1.00.02
 Ca channel blocker157 (46%)39 (39%)0.2132 (37%)34 (40%)0.750.07
Β blocker44 (13%)15 (15%)0.5913 (15%)14 (16%)1.00.0
 Statins212 (63%)62 (63%)0.9951 (59%)54 (63%)1.00.02

Values are shown as the or /total (%). values by an unpaired -test or chi-square test with the unmatched cohort model and paired -test and McNemar’s test with the matched cohort model. 95% confidence interval of the logarithmic value of the odds ratio calculated by the Mantel-Haenszel method. SGLT2 inhibitor changed during the study period. BW: body weight; BMI: body mass index; CCr: creatinine clearance; DPP4: dipeptidyl peptidase-4; eGFR: estimated glomerular filtration; GLP1RA: glucagon-like peptide 1 receptor agonist; LNACR: logarithmic value of albumin-to- creatinine ratio; MAP: mean arterial pressure; RAS: renin-angiotensin system inhibitor; SGLT2: sodium-glucose cotransporter.