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Semaglutide for Kidney Disease: What the Evidence Shows

What human and animal studies show about Semaglutide for kidney disease, how strong that evidence is, and what is still unproven.

Medically reviewed by Juan Pablo Frías, MD · · DisclosureGLP-1 agonistUpdated
Strongest evidence
Human RCT
Human studies
2
with an outcome for kidney disease, in our evidence file (PubMed search, 2 Oct 2026)
Animal studies
None found
with an outcome for kidney disease, in our evidence file (PubMed search, 2 Oct 2026)
Studies we summarised
2
with an outcome for kidney disease

Evidence for kidney disease

Each row is an outcome related to kidney disease from a published study, strongest design first. Animal and cell results are labelled and are not human results. User reports are not counted as evidence here.

Semaglutide for kidney disease: outcomes in published studies
OutcomeResultStudy typeSource
AlbuminuriaAfter 24 weeks, urinary albumin-to-creatinine ratio was reduced by 52.1% with semaglutide vs placebo.Human RCTn = 101Nature medicine 2025, PMID 39455729
Major kidney disease eventsThe risk of the primary kidney composite was 24% lower with semaglutide (331 vs 410 first events; hazard ratio 0.76).Human RCTn = 3533The New England journal of medicine 2024, PMID 38785209
Major cardiovascular eventsThe risk of major cardiovascular events was 18% lower (hazard ratio 0.82).Human RCTn = 3533The New England journal of medicine 2024, PMID 38785209

Semaglutide and kidney disease are not in our PubMed count ledger yet; the rows above come from our evidence file (PubMed search, 2 Oct 2026). Grades follow our evidence scale.

How strong is it?

Strongest evidence:Human RCT evidence, 4 of 4Nature medicine 2025, PMID 39455729

A human randomized trial outweighs any number of animal studies. Animal and cell results show a mechanism worth testing, not that it works in people.

Other peptides people research for kidney disease

No other peptide in our index has a kidney disease page yet.

Common questions

Does Semaglutide help with kidney disease?

The strongest study we summarise for kidney disease is human rct evidence, across 2 studies with an outcome for kidney disease. A trial result is not an approval; see the legal status.

Is Semaglutide approved for kidney disease?

Semaglutide is FDA approved (Ozempic, Wegovy, Rybelsus). Which conditions that approval covers is set by the label; use for anything else is off-label.

More on Semaglutide

Sources

  1. 1Semaglutide in patients with overweight or obesity and chronic kidney disease without diabetes: a randomized double-blind placebo-controlled clinical trial.Nature medicine · 2025PMID 39455729Accessed 2 Oct 2026
  2. 2Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes.The New England journal of medicine · 2024PMID 38785209Accessed 2 Oct 2026

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