Ketteler Markus, Wanner Christoph
Medizinische Klinik und Poliklinik 1, Schwerpunkt Nephrologie, Universitätsklinikum Würzburg.
Medizinische Klink III, Nephrologische Abteilung, Klinikum Coburg.
Dtsch Med Wochenschr. 2018 Feb;143(3):169-173. doi: 10.1055/s-0043-124831. Epub 2018 Feb 6.
SGLT2-INHIBITION IN DIABETIC AND NON-DIABETIC KIDNEY DISEASE: The CANVAS Program Collaborative Group study confirmed nephroprotective actions by canagliflocin comparable to empagliflozin as published in the EMPA-REG Outcome study. Treatment with Liraglutide (LEADER study) also suggests nephroprotection via albuminuria reduction a decreased eGFR decline in subgroups and depending on stages of diabetic nephropathy. KDIGO CKD-MBD GUIDELINE UPDATE 2017: In July 2017, an update of the KDIGO (Kidney Disease: Improving Global Outcomes) 2009 guideline on diagnostic and treatment chronic kidney disease - mineral and bone disorders (CKD-MBD) was published. Changes focused on the judgement of bone mineral density measurements, therapy of hyperphosphatemia and secondary hyperparathyroidism in CKD patients not on dialysis and on advising caution concerning excess calcium exposition.
Two phase 3 studies on the use of a new parenteral calcimimetic drug (etelcalcitide) were published in 2017.
糖尿病和非糖尿病肾病中的钠-葡萄糖协同转运蛋白2(SGLT2)抑制作用:CANVAS项目协作组研究证实,卡格列净的肾脏保护作用与恩格列净相当,这一结果已发表于EMPA-REG结局研究中。利拉鲁肽治疗(LEADER研究)也表明,通过降低蛋白尿起到肾脏保护作用,在亚组中可减缓估算肾小球滤过率(eGFR)下降,且这取决于糖尿病肾病的阶段。2017年改善全球肾脏病预后组织(KDIGO)慢性肾脏病-矿物质和骨异常(CKD-MBD)指南更新:2017年7月,KDIGO发布了2009年慢性肾脏病诊断和治疗指南中关于CKD-MBD部分的更新内容。更新重点在于对骨密度测量的判断、未接受透析的CKD患者高磷血症和继发性甲状旁腺功能亢进的治疗,以及对过量钙暴露提出谨慎建议。
2017年发表了两项关于新型肠外钙敏感受体激动剂药物(依特卡肽)使用的3期研究。