Cardiovascular and renal safety of metformin in patients with diabetes and moderate or severe chronic kidney disease: Observations from the EXSCEL and SAVOR-TIMI 53 cardiovascular outcomes trials.
Lindsay E CleggYankang JingRobert C PenlandDavid W BoultonAdrian F HernandezRury R HolmanJiten VoraPublished in: Diabetes, obesity & metabolism (2021)
This analysis of participants with CKD stages 3 to 4 from two cardiovascular outcomes trials supports the cardiorenal safety of metformin, but does not suggest a consistent benefit on MACE, ACM, or eGFR slope across this population.