Efficacy of ertugliflozin in monotherapy or combination therapy in patients with type 2 diabetes: A pooled analysis of placebo-controlled studies

Background: This pooled analysis assessed the efficacy of ertugliflozin versus placebo as monotherapy or with other antihyperglycaemic agents across patient subgroups defined by demographic and disease characteristics. Methods: Data from three phase III randomised, placebo-controlled, double-blind s...

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Veröffentlicht in:Diabetes & vascular disease research 2019-09, Vol.16 (5), p.415-423
Hauptverfasser: Liu, Jie, Tarasenko, Lisa, Terra, Steven G, Huyck, Susan, Wu, Larry, Pong, Annpey, Calle, Roberto A, Gallo, Silvina, Darekar, Amanda, Mancuso, James P
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container_end_page 423
container_issue 5
container_start_page 415
container_title Diabetes & vascular disease research
container_volume 16
creator Liu, Jie
Tarasenko, Lisa
Terra, Steven G
Huyck, Susan
Wu, Larry
Pong, Annpey
Calle, Roberto A
Gallo, Silvina
Darekar, Amanda
Mancuso, James P
description Background: This pooled analysis assessed the efficacy of ertugliflozin versus placebo as monotherapy or with other antihyperglycaemic agents across patient subgroups defined by demographic and disease characteristics. Methods: Data from three phase III randomised, placebo-controlled, double-blind studies (NCT01958671, NCT02033889 and NCT02036515) with similar designs and populations were pooled (N = 1544). Results: At Week 26, placebo-adjusted least squares mean changes from baseline in glycated haemoglobin with ertugliflozin 5 and 15 mg were −0.8% (95% confidence interval: −0.9, −0.7) and −0.9% (–1.0, −0.8), respectively. Reductions were consistent across subgroups. Placebo-adjusted least squares mean changes in body weight were −1.8 kg (−2.2, −1.4) for both ertugliflozin doses; for systolic blood pressure, these were −3.4 mmHg (−4.8, −2.0) and −3.5 mmHg (−4.9, −2.0) for ertugliflozin 5 and 15 mg, respectively. Higher proportions of patients receiving ertugliflozin had glycated haemoglobin
doi_str_mv 10.1177/1479164119842513
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Methods: Data from three phase III randomised, placebo-controlled, double-blind studies (NCT01958671, NCT02033889 and NCT02036515) with similar designs and populations were pooled (N = 1544). Results: At Week 26, placebo-adjusted least squares mean changes from baseline in glycated haemoglobin with ertugliflozin 5 and 15 mg were −0.8% (95% confidence interval: −0.9, −0.7) and −0.9% (–1.0, −0.8), respectively. Reductions were consistent across subgroups. Placebo-adjusted least squares mean changes in body weight were −1.8 kg (−2.2, −1.4) for both ertugliflozin doses; for systolic blood pressure, these were −3.4 mmHg (−4.8, −2.0) and −3.5 mmHg (−4.9, −2.0) for ertugliflozin 5 and 15 mg, respectively. Higher proportions of patients receiving ertugliflozin had glycated haemoglobin &lt;7.0%, weight loss ⩾5% and systolic blood pressure &lt;130 mmHg versus placebo. Ertugliflozin and placebo safety profiles were similar, including incidences of hypoglycaemia, urinary tract infection and hypovolaemia. Genital mycotic infection and adverse events related to osmotic diuresis were more common with ertugliflozin. Conclusion: Ertugliflozin demonstrated efficacy as monotherapy or with other antihyperglycaemic agents in patients with different demographic and disease characteristics and was generally well tolerated.</description><identifier>ISSN: 1479-1641</identifier><identifier>EISSN: 1752-8984</identifier><identifier>DOI: 10.1177/1479164119842513</identifier><identifier>PMID: 31081371</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Biomarkers - blood ; Blood Glucose - drug effects ; Blood Glucose - metabolism ; Blood Pressure - drug effects ; Bridged Bicyclo Compounds, Heterocyclic - adverse effects ; Bridged Bicyclo Compounds, Heterocyclic - therapeutic use ; Clinical Trials, Phase III as Topic ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetes Mellitus, Type 2 - drug therapy ; Diabetes Mellitus, Type 2 - physiopathology ; Drug Therapy, Combination ; Female ; Glycated Hemoglobin A - metabolism ; Humans ; Male ; Middle Aged ; Randomized Controlled Trials as Topic ; Sodium-Glucose Transporter 2 Inhibitors - adverse effects ; Sodium-Glucose Transporter 2 Inhibitors - therapeutic use ; Treatment Outcome</subject><ispartof>Diabetes &amp; vascular disease research, 2019-09, Vol.16 (5), p.415-423</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-32f7097a31fdf819c8a3fc4a50860c5488e6ab6eb2891d0a6dfeee1cc5f7bccb3</citedby><cites>FETCH-LOGICAL-c379t-32f7097a31fdf819c8a3fc4a50860c5488e6ab6eb2891d0a6dfeee1cc5f7bccb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1479164119842513$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1479164119842513$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21945,27830,27901,27902,44921,45309</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1479164119842513?utm_source=summon&amp;utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31081371$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Jie</creatorcontrib><creatorcontrib>Tarasenko, Lisa</creatorcontrib><creatorcontrib>Terra, Steven G</creatorcontrib><creatorcontrib>Huyck, Susan</creatorcontrib><creatorcontrib>Wu, Larry</creatorcontrib><creatorcontrib>Pong, Annpey</creatorcontrib><creatorcontrib>Calle, Roberto A</creatorcontrib><creatorcontrib>Gallo, Silvina</creatorcontrib><creatorcontrib>Darekar, Amanda</creatorcontrib><creatorcontrib>Mancuso, James P</creatorcontrib><title>Efficacy of ertugliflozin in monotherapy or combination therapy in patients with type 2 diabetes: A pooled analysis of placebo-controlled studies</title><title>Diabetes &amp; vascular disease research</title><addtitle>Diab Vasc Dis Res</addtitle><description>Background: This pooled analysis assessed the efficacy of ertugliflozin versus placebo as monotherapy or with other antihyperglycaemic agents across patient subgroups defined by demographic and disease characteristics. Methods: Data from three phase III randomised, placebo-controlled, double-blind studies (NCT01958671, NCT02033889 and NCT02036515) with similar designs and populations were pooled (N = 1544). Results: At Week 26, placebo-adjusted least squares mean changes from baseline in glycated haemoglobin with ertugliflozin 5 and 15 mg were −0.8% (95% confidence interval: −0.9, −0.7) and −0.9% (–1.0, −0.8), respectively. Reductions were consistent across subgroups. Placebo-adjusted least squares mean changes in body weight were −1.8 kg (−2.2, −1.4) for both ertugliflozin doses; for systolic blood pressure, these were −3.4 mmHg (−4.8, −2.0) and −3.5 mmHg (−4.9, −2.0) for ertugliflozin 5 and 15 mg, respectively. Higher proportions of patients receiving ertugliflozin had glycated haemoglobin &lt;7.0%, weight loss ⩾5% and systolic blood pressure &lt;130 mmHg versus placebo. Ertugliflozin and placebo safety profiles were similar, including incidences of hypoglycaemia, urinary tract infection and hypovolaemia. Genital mycotic infection and adverse events related to osmotic diuresis were more common with ertugliflozin. Conclusion: Ertugliflozin demonstrated efficacy as monotherapy or with other antihyperglycaemic agents in patients with different demographic and disease characteristics and was generally well tolerated.</description><subject>Aged</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - drug effects</subject><subject>Blood Glucose - metabolism</subject><subject>Blood Pressure - drug effects</subject><subject>Bridged Bicyclo Compounds, Heterocyclic - adverse effects</subject><subject>Bridged Bicyclo Compounds, Heterocyclic - therapeutic use</subject><subject>Clinical Trials, Phase III as Topic</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetes Mellitus, Type 2 - drug therapy</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Sodium-Glucose Transporter 2 Inhibitors - adverse effects</subject><subject>Sodium-Glucose Transporter 2 Inhibitors - therapeutic use</subject><subject>Treatment Outcome</subject><issn>1479-1641</issn><issn>1752-8984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9L5TAQx8Pi4q_1vifJ0Us107RN6k3EXQXBy-65pOnkGUmbmqTI87_wPzaP9_QgCAOZme9nvoEZQn4DOwcQ4gIq0UJTAbSyKmvgP8ghiLosZK73cp7lYqMfkKMYnxirG1HLfXLAgUngAg7J240xViu9pt5QDGlZOWucf7UTzTH6yadHDGrOeqDaj72dVLJ-oh_tTM25g1OK9MWmR5rWM9KSDlb1mDBe0is6e-9woGpSbh1t3Hw1O6Wx94X2UwrebeSYlsFi_EV-GuUinuzeY_L_z82_69vi_uHv3fXVfaG5aFPBSyNYKxQHMxgJrZaKG12pmsmG6bqSEhvVN9iXsoWBqWYwiAha10b0Wvf8mJxtfefgnxeMqRtt1OicmtAvsStLDq1oZFVllG1RHXyMAU03BzuqsO6AdZtDdF8PkUdOd-5LP-LwOfCx-QwUWyCqFXZPfgl5O_F7w3dNbpP7</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Liu, Jie</creator><creator>Tarasenko, Lisa</creator><creator>Terra, Steven G</creator><creator>Huyck, Susan</creator><creator>Wu, Larry</creator><creator>Pong, Annpey</creator><creator>Calle, Roberto A</creator><creator>Gallo, Silvina</creator><creator>Darekar, Amanda</creator><creator>Mancuso, James P</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Efficacy of ertugliflozin in monotherapy or combination therapy in patients with type 2 diabetes: A pooled analysis of placebo-controlled studies</title><author>Liu, Jie ; 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vascular disease research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Liu, Jie</au><au>Tarasenko, Lisa</au><au>Terra, Steven G</au><au>Huyck, Susan</au><au>Wu, Larry</au><au>Pong, Annpey</au><au>Calle, Roberto A</au><au>Gallo, Silvina</au><au>Darekar, Amanda</au><au>Mancuso, James P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of ertugliflozin in monotherapy or combination therapy in patients with type 2 diabetes: A pooled analysis of placebo-controlled studies</atitle><jtitle>Diabetes &amp; vascular disease research</jtitle><addtitle>Diab Vasc Dis Res</addtitle><date>2019-09</date><risdate>2019</risdate><volume>16</volume><issue>5</issue><spage>415</spage><epage>423</epage><pages>415-423</pages><issn>1479-1641</issn><eissn>1752-8984</eissn><abstract>Background: This pooled analysis assessed the efficacy of ertugliflozin versus placebo as monotherapy or with other antihyperglycaemic agents across patient subgroups defined by demographic and disease characteristics. Methods: Data from three phase III randomised, placebo-controlled, double-blind studies (NCT01958671, NCT02033889 and NCT02036515) with similar designs and populations were pooled (N = 1544). Results: At Week 26, placebo-adjusted least squares mean changes from baseline in glycated haemoglobin with ertugliflozin 5 and 15 mg were −0.8% (95% confidence interval: −0.9, −0.7) and −0.9% (–1.0, −0.8), respectively. Reductions were consistent across subgroups. Placebo-adjusted least squares mean changes in body weight were −1.8 kg (−2.2, −1.4) for both ertugliflozin doses; for systolic blood pressure, these were −3.4 mmHg (−4.8, −2.0) and −3.5 mmHg (−4.9, −2.0) for ertugliflozin 5 and 15 mg, respectively. Higher proportions of patients receiving ertugliflozin had glycated haemoglobin &lt;7.0%, weight loss ⩾5% and systolic blood pressure &lt;130 mmHg versus placebo. Ertugliflozin and placebo safety profiles were similar, including incidences of hypoglycaemia, urinary tract infection and hypovolaemia. Genital mycotic infection and adverse events related to osmotic diuresis were more common with ertugliflozin. Conclusion: Ertugliflozin demonstrated efficacy as monotherapy or with other antihyperglycaemic agents in patients with different demographic and disease characteristics and was generally well tolerated.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31081371</pmid><doi>10.1177/1479164119842513</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1479-1641
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source SAGE Open Access Journals
subjects Aged
Biomarkers - blood
Blood Glucose - drug effects
Blood Glucose - metabolism
Blood Pressure - drug effects
Bridged Bicyclo Compounds, Heterocyclic - adverse effects
Bridged Bicyclo Compounds, Heterocyclic - therapeutic use
Clinical Trials, Phase III as Topic
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - physiopathology
Drug Therapy, Combination
Female
Glycated Hemoglobin A - metabolism
Humans
Male
Middle Aged
Randomized Controlled Trials as Topic
Sodium-Glucose Transporter 2 Inhibitors - adverse effects
Sodium-Glucose Transporter 2 Inhibitors - therapeutic use
Treatment Outcome
title Efficacy of ertugliflozin in monotherapy or combination therapy in patients with type 2 diabetes: A pooled analysis of placebo-controlled studies
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