Alogliptin, a Dipeptidyl Peptidase 4 Inhibitor, Prevents the Progression of Carotid Atherosclerosis in Patients With Type 2 Diabetes: The Study of Preventive Effects of Alogliptin on Diabetic Atherosclerosis (SPEAD-A)

Recent experimental studies have shown that dipeptidyl peptidase 4 (DPP-4) inhibitors have antiatherosclerotic benefits in glucagon-like peptide 1-dependent and -independent manners. The current study investigated the effects of alogliptin, a DPP-4 inhibitor, on the progression of carotid atheroscle...

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Veröffentlicht in:Diabetes care 2016-01, Vol.39 (1), p.139-148
Hauptverfasser: Mita, Tomoya, Katakami, Naoto, Yoshii, Hidenori, Onuma, Tomio, Kaneto, Hideaki, Osonoi, Takeshi, Shiraiwa, Toshihiko, Kosugi, Keisuke, Umayahara, Yutaka, Yamamoto, Tsunehiko, Yokoyama, Hiroki, Kuribayashi, Nobuichi, Jinnouchi, Hideaki, Gosho, Masahiko, Shimomura, Iichiro, Watada, Hirotaka
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container_end_page 148
container_issue 1
container_start_page 139
container_title Diabetes care
container_volume 39
creator Mita, Tomoya
Katakami, Naoto
Yoshii, Hidenori
Onuma, Tomio
Kaneto, Hideaki
Osonoi, Takeshi
Shiraiwa, Toshihiko
Kosugi, Keisuke
Umayahara, Yutaka
Yamamoto, Tsunehiko
Yokoyama, Hiroki
Kuribayashi, Nobuichi
Jinnouchi, Hideaki
Gosho, Masahiko
Shimomura, Iichiro
Watada, Hirotaka
description Recent experimental studies have shown that dipeptidyl peptidase 4 (DPP-4) inhibitors have antiatherosclerotic benefits in glucagon-like peptide 1-dependent and -independent manners. The current study investigated the effects of alogliptin, a DPP-4 inhibitor, on the progression of carotid atherosclerosis in patients with type 2 diabetes mellitus (T2DM). This prospective, randomized, open-label, blinded-end point, multicenter, parallel-group, comparative study included 341 patients with T2DM free of a history of apparent cardiovascular diseases recruited at 11 clinical units and randomly allocated to treatment with alogliptin (n = 172) or conventional treatment (n = 169). Primary outcomes were changes in mean common and maximum intima-media thickness (IMT) of the carotid artery measured by carotid arterial echography during a 24-month treatment period. Alogliptin treatment had a more potent glucose-lowering effect than the conventional treatment (-0.3 ± 0.7% vs. -0.1 ± 0.8%, P = 0.004) without an increase of hypoglycemia. Changes in the mean common and the right and left maximum IMT of the carotid arteries were significantly greater after alogliptin treatment than after conventional treatment (-0.026 mm [SE 0.009] vs. 0.005 mm [SE 0.009], P = 0.022; -0.045 mm [SE 0.018] vs. 0.011 mm [SE 0.017], P = 0.025, and -0.079 mm [SE 0.018] vs. -0.015 mm [SE 0.018], P = 0.013, respectively). Alogliptin treatment attenuated the progression of carotid IMT in patients with T2DM free of apparent cardiovascular disease compared with the conventional treatment.
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The current study investigated the effects of alogliptin, a DPP-4 inhibitor, on the progression of carotid atherosclerosis in patients with type 2 diabetes mellitus (T2DM). This prospective, randomized, open-label, blinded-end point, multicenter, parallel-group, comparative study included 341 patients with T2DM free of a history of apparent cardiovascular diseases recruited at 11 clinical units and randomly allocated to treatment with alogliptin (n = 172) or conventional treatment (n = 169). Primary outcomes were changes in mean common and maximum intima-media thickness (IMT) of the carotid artery measured by carotid arterial echography during a 24-month treatment period. Alogliptin treatment had a more potent glucose-lowering effect than the conventional treatment (-0.3 ± 0.7% vs. -0.1 ± 0.8%, P = 0.004) without an increase of hypoglycemia. 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The current study investigated the effects of alogliptin, a DPP-4 inhibitor, on the progression of carotid atherosclerosis in patients with type 2 diabetes mellitus (T2DM). This prospective, randomized, open-label, blinded-end point, multicenter, parallel-group, comparative study included 341 patients with T2DM free of a history of apparent cardiovascular diseases recruited at 11 clinical units and randomly allocated to treatment with alogliptin (n = 172) or conventional treatment (n = 169). Primary outcomes were changes in mean common and maximum intima-media thickness (IMT) of the carotid artery measured by carotid arterial echography during a 24-month treatment period. Alogliptin treatment had a more potent glucose-lowering effect than the conventional treatment (-0.3 ± 0.7% vs. -0.1 ± 0.8%, P = 0.004) without an increase of hypoglycemia. 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subjects Aged
Atherosclerosis
Atherosclerosis - prevention & control
Blood Glucose
Cardiovascular disease
Carotid Arteries - drug effects
Carotid Arteries - pathology
Carotid Artery Diseases - drug therapy
Carotid Intima-Media Thickness
Comparative analysis
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - drug therapy
Dipeptidyl-Peptidase IV Inhibitors - therapeutic use
Disease Progression
Female
Glucagon-Like Peptide 1 - metabolism
Glucose
Humans
Hypoglycemic Agents - therapeutic use
Japan
Male
Medical treatment
Middle Aged
Peptides
Piperidines - therapeutic use
Prospective Studies
Uracil - analogs & derivatives
Uracil - therapeutic use
title Alogliptin, a Dipeptidyl Peptidase 4 Inhibitor, Prevents the Progression of Carotid Atherosclerosis in Patients With Type 2 Diabetes: The Study of Preventive Effects of Alogliptin on Diabetic Atherosclerosis (SPEAD-A)
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