scholarly journals Dapagliflozin in patients with type 2 diabetes mellitus: A pooled analysis of safety data from phase IIb/III clinical trials

2017 ◽  
Vol 20 (3) ◽  
pp. 620-628 ◽  
Author(s):  
Serge Jabbour ◽  
Jochen Seufert ◽  
Andre Scheen ◽  
Clifford J. Bailey ◽  
Cathrina Karup ◽  
...  
2019 ◽  
Vol 10 (6) ◽  
pp. 2201-2217 ◽  
Author(s):  
Atsunori Kashiwagi ◽  
Marina V. Shestakova ◽  
Yuichiro Ito ◽  
Masahiro Noguchi ◽  
Wim Wilpshaar ◽  
...  

2014 ◽  
Vol 38 (5) ◽  
pp. S58
Author(s):  
Guntram Schernthaner ◽  
Kamlesh Khunti ◽  
sanjay Patel ◽  
Karen Cheng ◽  
Michaela Mattheus ◽  
...  

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
M Elharram ◽  
A Sharma ◽  
W White ◽  
G Bakris ◽  
P Rossignol ◽  
...  

Abstract Background The timing of enrolment following an acute coronary syndrome (ACS) may influence cardiovascular (CV) outcomes and potentially treatment effect in clinical trials. Using a large contemporary trial in patients with type 2 diabetes mellitus (T2DM) post-ACS, we examined the impact of timing of enrolment on subsequent CV outcomes. Methods EXAMINE was a randomized trial of alogliptin versus placebo in 5380 patients with T2DM and a recent ACS. The primary outcome was a composite of CV death, non-fatal myocardial infarction [MI], or non-fatal stroke. The median follow-up was 18 months. In this post hoc analysis, we examined the occurrence of subsequent CV events by timing of enrollment divided by tertiles of time from ACS to randomization: 8–34, 35–56, and 57–141 days. Results Patients randomized early (compared to the latest times) had less comorbidities at baseline including a history of heart failure (HF; 24.7% vs. 33.0%), prior coronary artery bypass graft (9.6% vs. 15.9%), or atrial fibrillation (5.9% vs. 9.4%). Despite the reduced comorbidity burden, the risk of the primary outcome was highest in patients randomized early compared to the latest time (adjusted hazard ratio [aHR] 1.47; 95% CI 1.21–1.74) (Figure 1). Similarly, patients randomized early had an increased risk of recurrent MI (aHR 1.51; 95% CI 1.17–1.96) and HF hospitalization (1.49; 95% CI 1.05–2.10). Conclusion In a contemporary cohort of T2DM with a recent ACS, early randomization following the ACS increases the risk of CV events including recurrent MI and HF hospitalization. This should be taken into account when designing future clinical trials. Figure 1 Funding Acknowledgement Type of funding source: Private grant(s) and/or Sponsorship. Main funding source(s): Takeda Pharmaceutical


2016 ◽  
Vol 36 (11) ◽  
pp. 925-933 ◽  
Author(s):  
Annika Mellander ◽  
Martin Billger ◽  
Eva Johnsson ◽  
Anna Karin Träff ◽  
Shigeru Yoshida ◽  
...  

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