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September 3, 2026Clinical Nephrology

Efficacy and safety of henagliflozin in IgA nephropathy: A real-world observational study from China

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Authors

YZYi Qian ZhangJWJun Xia WuHTHai Yan Tu

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Overview

Retrospective observational study demonstrates significant albuminuria reduction from henagliflozin in IgA nephropathy, highlighting its potential as a targeted kidney therapy.

Key Points

  • To evaluate the real-world clinical efficacy and safety profile of henagliflozin in patients diagnosed with IgA nephropathy.
  • Retrospectively evaluated 48 Chinese patients with IgA nephropathy receiving henagliflozin therapy over a 12-week follow-up period.
  • Assessed changes in the primary outcome of urinary albumin-to-creatinine ratio (UACR) alongside secondary endpoints including eGFR, serum creatinine, uric acid, serum albumin, and adverse events.
  • Henagliflozin significantly decreased UACR from baseline to week 12 (median 227.26 mg/g [IQR, 90.13–677.85] vs. 153.06 mg/g [IQR, 24.68–401.76]; p < 0.001), achieving a median 47.9% reduction and a ≥ 30% reduction in 64.6% of patients.
  • Serum uric acid dropped significantly (p < 0.001), while eGFR declined through week 8 (p ≤ 0.015) before returning to near-baseline values by week 12 (p = 0.055).
  • Observed adverse events included urinary tract infections in 5 patients, a serum creatinine increase of ≥ 50% in 1 patient, and hyperkalemia in 1 patient.

Cite This Study

Zhang et al. (2026) studied this question.

synapsesocial.com/papers/6a9934cf636c6408cfa7c8dchttps://doi.org/10.5414/cn111956
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