Autor: |
Dario Giugliano, Katherine Esposito |
Jazyk: |
angličtina |
Rok vydání: |
2019 |
Předmět: |
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Zdroj: |
Cardiovascular Diabetology, Vol 18, Iss 1, Pp 1-4 (2019) |
Druh dokumentu: |
article |
ISSN: |
1475-2840 |
DOI: |
10.1186/s12933-019-0899-9 |
Popis: |
Abstract The definition of class effect for SGLT-2 inhibitors may be based on three concepts: a similar chemical structure, a similar mechanism of action and similar pharmacological effects. We have also assumed that a class effect does exist when an effect on a particular outcome is present and is significant for each drug within the class of SGLT-2 inhibitors. For major cardiovascular events (MACE), there is no class effect for SGLT-2 inhibitors, as the 7% reduction of MACE risk observed with dapagliflozin in the DECLARE trial was not significant; on the other hand, a class effect is evident for both heart failure and diabetic kidney disease, as in all four trials so far completed (EMPAREG-OUTCOME, CANVAS, DECLARE, CREDENCE) the risk of hospitalization for heart failure and progression of diabetic kidney disease was significantly reduced by all SGLT-2 inhibitors. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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