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Muthu Vaduganathan Profile picture
Muthu Vaduganathan
@mvaduganathan
Cardiologist & Trialist @BrighamWomens @harvardmed | AE @JACCJournals | Podcast #DontMissABeat & #HFinFocus | Disclosures: https://t.co/BmQHCNyLml
May 24, 2024 • 9 tweets • 4 min read
🚨#FLOW: The most anticipated trial of the year now published in @NEJM with #ERA24

Semaglutide 1.0mg once weekly disease modifying with kidney, CV, & mortality benefits in people w T2D+CKD, cementing itself as a new pillar of care.

🧵 on key thoughts 👇🏾

nejm.org/doi/full/10.10…
Image Excellent trial conduct

✅ Vital status known in 98.6%
✅ High rates of treatment adherence (89% throughout trial)
✅ Study treatment discontinuation modest (26%) but reasonable given #FLOW conducted "intra-pandemic" (recruitment June '19 to May '21) & long follow-up (3.4 years)
Jan 31, 2022 • 5 tweets • 6 min read
New in @JACCJournals w @JJheart_doc on intersection of biomarkers & #SGLT2i in #T2D.

Canagliflozin in #CANVAS
⤵️hs-cTnT & sST2 out to 6yrs
⤵️HF & kidney outcomes irrespective of baseline biomarkers
⤵️MACE particularly in those w multiple abnormal markers

jacc.org/doi/10.1016/j.… In >3K👥in #CANVAS, canagliflozin (versus PBO) reduced #hscTnT (marker of cardiac injury) & #sST2 (marker of vascular congestion, inflammation & fibrosis) out to 6yrs

Importantly, rather than reducing biomarkers below baseline, #SGLT2i appear to delay longitudinal rise after 1yr