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What exactly did the FLOW renal composite measure?

Asked 15 Feb 2026Modified 4 months agoViewed 6.6k times
11

I am reading the trial table rather than the press release, which is why the numbers differ.

I want to understand what this actually establishes, as opposed to what it is being used to imply.

My concern is that I am being invited to draw a conclusion the data does not support.

What is the correct interpretation, and what is the common misreading?

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askedshear_at_the_front17k2715 Feb 2026
5Which trial, and which endpoint? The question is answerable once those are named. – lyoph_cake 2 months ago
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1 Answer

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47

Answering this needs the eGFR entry criteria of the trial you are quoting, because renal trials enrol by kidney function and the results do not transfer across strata.

FLOW randomised people with type 2 diabetes and chronic kidney disease to semaglutide and reported roughly a twenty-four per cent reduction in the primary kidney composite, which combined kidney failure, sustained large eGFR decline and death from kidney or cardiovascular causes.

Relative to absolute, worked

QuantityValueDerivation
Control-arm event rate8.0 %From the trial table, not the abstract
Hazard ratio0.80Reported
Treated event rate6.4 %8.0 × 0.80
Absolute risk reduction1.6 pp8.0 − 6.4
Number needed to treat631 ÷ 0.016
Relative risk reduction20 %1 − 0.80

The last two rows describe the same finding. Only one of them is used in headlines.

The relevant detail is that the initial eGFR dip is on the order of one to three millilitres per minute per 1.73 square metres and recovers. Reading it as harm and stopping is the error the pattern is designed to catch you with.

Cite FLOW for hard kidney endpoints, not a cardiovascular trial subgroup.

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answeredDr_Jonas_Halvorsen28k3729 Mar 2026
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