Evidence receipt

FLOW: what the trial found

A plain-language summary of one study: who took part, what they got, what it was compared with, what happened in each group, its limits and who paid for it. One trial. Results are group averages, not a prediction for any one person.

Study: FLOW[1]

Does semaglutide 1 mg protect the kidneys in people with type 2 diabetes and chronic kidney disease?

Who was in it
3,533 adults with type 2 diabetes and chronic kidney disease
What they got
Semaglutide 1 mg injection once a week
Compared with
Placebo
How long
Median 3.4 years (stopped early because of benefit)
What happened
Major kidney disease events: 331 people on semaglutide vs 410 on placebo.
Relative effect
Hazard ratio 0.76 (95% CI 0.66–0.88) for major kidney events
Limits
  • Stopped early, which can overstate an effect
  • Only people with type 2 diabetes
Funded by
Novo Nordisk

Summary by Joshua Nichvolodoff, from the published paper — not written by the study's authors. Clinical review: not yet reviewed by a clinician.

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Sources

  1. Effects of semaglutide on chronic kidney disease in patients with type 2 diabetes (FLOW). New England Journal of Medicine, July 11, 2024. https://pubmed.ncbi.nlm.nih.gov/38785209/ · DOI 10.1056/NEJMoa2403347 · PMID 38785209. Accessed November 2, 2026. Back to the text

Discussed in: Ozempic, explained

General information, not medical advice.