Factors associated with the glucose‐lowering efficacy of sitagliptin in Japanese patients with type 2 diabetes mellitus: Pooled analysis of Japanese clinical trials
| Autor: | Taro Okamoto, Kotoba Okuyama, Jun-ichi Eiki, Samuel S. Engel, Masaru Kawashima, Naoko Tajima |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty endocrine system diseases Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Incretins Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences 0302 clinical medicine Insulin resistance Asian People Double-Blind Method Japan Internal medicine Diabetes mellitus Voglibose Internal Medicine medicine Humans Hypoglycemic Agents Sitagliptin Glycemic Aged Dipeptidyl peptidase‐4 inhibitors business.industry Sitagliptin Phosphate Type 2 Diabetes Mellitus General Medicine Articles Middle Aged medicine.disease RC648-665 Metformin Treatment Outcome Clinical Science and Care Diabetes Mellitus Type 2 Drug Therapy Combination Female Original Article business Pioglitazone medicine.drug |
| Zdroj: | Journal of Diabetes Investigation, Vol 11, Iss 3, Pp 640-646 (2020) Journal of Diabetes Investigation |
| ISSN: | 2040-1116 2040-1124 |
| Popis: | Aims/Introduction To explore the factors associated with the glucose‐lowering efficacy of sitagliptin treatment in Japanese patients with type 2 diabetes mellitus. Materials and Methods This was a post‐hoc analysis of pooled data from seven sitagliptin phase II and III clinical studies carried out in Japan. All studies were double‐blind, randomized, placebo‐controlled, parallel‐group and of 12‐week duration. The analysis population consisted of 1,075 type 2 diabetes mellitus patients. In two of the trials, sitagliptin 50 mg and/or 100 mg daily were used as monotherapy; in five others, sitagliptin 50 mg daily was used as add‐on treatment to ongoing pioglitazone, glimepiride, metformin, voglibose or glinides. Efficacy (reduction in hemoglobin A1c [HbA1c]) was evaluated in 12 sets of subgroups defined by demographic, glycemic, pancreatic β‐cell function and insulin resistance parameters. An analysis of covariance model was used to evaluate the interaction between each parameter and efficacy. Results Sitagliptin consistently provided a clinically meaningful reduction in HbA1c relative to placebo across all subgroups. Within subgroups, a greater absolute HbA1c reduction was associated with higher baseline HbA1c, fasting plasma glucose and 2‐h post‐meal glucose. Lower β‐cell function, represented by homeostatic model assessment of β‐cell function and insulinogenic index, was also associated with greater HbA1c reduction. In contrast, age, sex, body mass index, duration of type 2 diabetes mellitus and insulin resistance‐related parameters did not interact with HbA1c changes. Conclusions Sitagliptin treatment was associated with clinically meaningful improvement in glycemic control in all subgroups of Japanese patients with type 2 diabetes mellitus that were evaluated. Higher baseline glycemic status and lower baseline β‐cell function were identified as factors associated with greater HbA1c reduction after sitagliptin treatment. Sitagliptin treatment was associated with clinically meaningful improvement in glycemic control in all subgroups of Japanese patients with type 2 diabetes that were evaluated. Higher baseline glycemic status and lower baseline β‐cell function were identified as factors associated with greater hemoglobin A1c reduction after sitagliptin treatment. |
| Databáze: | OpenAIRE |
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