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Message: The problem...as I see it

"I cannot see any justification for prescribing SGLT2 inhibitors to non-diabetics unless a clinical trial has shown it is safe and that it lowers MACE."

"This study was in heart failure patients, of course. So the results cannot be extrapolated to say that SGLT2 inhibtors will lower MACE in non-diabetics without heart failure. "

This came out on October 2, 2020

SGLT2i given BTD for patients with CKD - with or without T2D diabetes

https://www.astrazeneca.com/media-centre/press-releases/2020/farxiga-granted-breakthrough-therapy-designation-in-us-for-chronic-kidney-disease.html

PUBLISHED2 October 2020
 
 

2 October 2020 07:00 BST
 

Designation follows DAPA-CKD Phase III trial results in which Farxiga demonstrated unprecedented reduction in the risk of kidney failure and cardiovascular or renal death in patients with chronic kidney disease
 

AstraZeneca’s Farxiga (dapagliflozin) has been granted Breakthrough Therapy Designation (BTD) in the US for patients with chronic kidney disease (CKD), with and without type-2 diabetes (T2D).

CKD is a serious, progressive condition defined by decreased kidney function and is often associated with an increased risk of heart disease or stroke.1,2,3 In the US, 37 million people are estimated to have CKD.1

The Food and Drug Administration (FDA)'s BTD is designed to accelerate the development and regulatory review of potential new medicines that are intended to treat a serious condition and address a significant unmet medical need. The new medicine needs to have shown encouraging early clinical results that demonstrate substantial improvement on a clinically significant endpoint over available medicines.4

 

also this

https://www.nejm.org/doi/full/10.1056/NEJMoa2024816#.X2zGeumGsfc.twitter

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