Do certain diabetes drugs increase the risk of acute kidney injury in patients taking anti-cancer therapies?

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Glucagon-like peptide-1-receptor agonists (GLP-1RA) are medications that are increasingly prescribed for patients with type 2 diabetes and congestive heart failure.

Reports of GLP–1RA–associated acute kidney injury (AKI) have emerged, but the risk of GLP–1RA–associated AKI among patients on anti-cancer drugs is unclear.

Surprisingly, new research suggests that taking GLP-1RA is not associated with an increased risk of AKI in patients receiving anti-cancer therapies.

The findings will be presented at ASN Kidney Week 2024 October 23– 27.

For the study, investigators analyzed medical records of patients who were treated with anti-cancer medications including cytotoxic, targeted immunotherapies over 1 year.

Among 14,783 patients, 9% were treated with a GLP-1RA while taking ant-cancer drugs.

AKI occurred in 7.2% of those exposed to GLP-1RA versus 6.4% of those with no GLP-1RA exposure.

“Given the cardiovascular and anti-diabetic benefits of GLP-IRA, we suggest that these agents can be safely continued during the administration of anti-cancer therapy,” said corresponding author Swetha Rani Kanduri, MD, of Ochsner Health.

“We invite prospective studies to further elaborate on the effects of GLP1-RA in patients with cancer.”


Source: American Society of Nephrology

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The ONA Editor curates oncology news, views and reviews from Australia and around the world for our readers. In aggregated content, original sources will be acknowledged in the article footer.

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