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17 December 2024

Ozempic Gains Approval For Chronic Kidney Disease Treatment

New EMA endorsement highlights potential for reducing CKD risks among diabetic patients.

Ozempic, the widely recognized injectable medication known for its role as both a weight-loss agent and treatment for type 2 diabetes, has received the green light from the European Medicines Agency (EMA) to not only help manage blood sugar levels but to also reduce the risk of chronic kidney disease (CKD) progression among patients suffering from diabetes. This landmark approval, stemming from extensive clinical trials, signals a new era of hope for millions living with CKD.

During the Flow trial, clinical researchers unearthed compelling results indicating Ozempic's efficacy, showing female and male patients alike could experience up to a 24% reduced risk of chronic kidney disease progression. This number resonates particularly loudly considering nearly 40% of individuals with type 2 diabetes face the grim reality of developing CKD.

“With this positive opinion, Ozempic will become the first and only GLP-1 receptor agonist to show this benefit,” said Martin Holst Lange, Senior Vice President for Development at Novo Nordisk, the drug’s manufacturer. He emphasized the urgent need for interventions to address this diabetes-related complication.

This recent approval marks the culmination of over three years of research and trials, ramping up the necessity for innovative solutions to tackle the alarming statistics surrounding diabetes and kidney issues. Before this advancement, treatment options were limited to managing blood pressure and lifestyle adjustments. Dr. Yuval Horwitz, director of the nephrology clinic at Sourasky Medical Center, noted, “What truly matters is preventing the complications of diabetes... until recently, we lacked sufficiently effective tools. Now, we’ve gained highly effective therapeutic options.”

The uproar surrounding Ozempic, Wegovy, and similar medications isn't limited to their newfound benefits; the side effects associated with these drugs provoke significant concern. Recently, according to fresh research findings published on medRxiv, the use of Ozempic and its cousin Wegovy has been linked to non-arteritic anterior ischemic optic neuropathy (NAION), leading to sudden vision loss for some users. A study highlighted by Harvard researchers indicated patients using Ozempic might have over seven times the risk of experiencing visual changes compared to those on standard diabetes medications.

Researchers discovering these correlations pulled data from over 60,000 patients, juxtaposing their outcomes with users of other diabetes medications, like SGLT-2 inhibitors. The alarming conclusion was unfurled: Ozempic and Wegovy users exhibit more than double the likelihood of developing NAION.

“Our findings show an association between use of semaglutide for type 2 diabetes and risk of NAION,” highlighted the Danish research team, though they cautioned, “the absolute risk remains low.”

For Ozempic users grappling with side effects, particularly those experiencing vision issues, there's burgeoning speculation about lawsuits and accountability. Many users are pursuing legal claims against Novo Nordisk, alleging inadequate warnings about the potential health ramifications associated with Ozempic and similar drugs. These legal battles continue to haunt the pharmaceutical company, drawing attention to how financial motives sometimes overshadow consumer safety.

Throughout this whirlwind of advancements and concerns, the prospect of Ozempic's expanded use has stirred excitement and optimism within the medical community. Dr. Linda Shavit of Shaare Zedek Medical Center accentuated the importance of this relevant development, “This offers another tool for delaying the progression of chronic kidney disease, maintaining our patients’ health and possibly avoiding dialysis.”

The groundwork laid by the Flow trial substantiates prior claims, confirming Ozempic as not just key for weight loss but rather as a multifaceted resource for diabetic patients facing kidney complications. “We’re no longer just talking about weight loss—that isn’t the primary story here,” Dr. Neuman expressed, emphasizing the need for effective treatments for patients with both CKD and obesity.

Importantly, Novo Nordisk recognizes the need for broader access amid growing prices, admitting the extravagant costs of these medications pose challenges for many. Consequently, proposals have surged, urging policymakers to include Ozempic and similar treatments within health care frameworks to improve accessibility.

Following the EMA’s recent endorsement, Novo Nordisk is also actively seeking FDA approval within the United States, with decisions expected by the first half of 2025. The anticipated outcome of this initiative could pave the way for significant alterations within the markets surrounding chronic kidney disease treatment, signifying hope for both consumers and health care providers alike.

For now, as the pharmaceutical industry grapples with foundational shifts, patients and healthcare providers await with bated breath, eager to witness this research move from the theoretical to practical real-world applications.

These findings and decisions come at a time when both hope and apprehension run high. The spotlight remains firmly on Ozempic, as its role evolves and grows within the broader narrative surrounding diabetes management and kidney health.

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