#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Benefit of SGLT2 inhibitors in diabetes mellitus type 2


Authors: Ján Murín 1;  Jozef Bulas 1;  Martin Wavruch 2;  František Mikla 1;  Soňa Kiňová 1
Authors place of work: I. interná klinika LF UK a UNB, Nemocnica Staré Mesto, Bratislava 1;  Ústav klinickej farmakológie LF UK a UNB, Nemocnica Staré Mesto, Bratislava 2
Published in the journal: Forum Diab 2017; 6(3): 165-167
Category: Topic

Summary

Sodium – glucose co-transporter 2 (SGLT2) inhibitors are a new group of antidiabetic drugs, which supports glucosuria. In EMPA-REG OUTCOME clinical study empagliflozin, an SGLT2 inhibitor, presented a great benefit in type 2 diabetic patients: reduction of all-cause and cardiovascular mortalities, neutral effect in the incidence of myocardial infarctions and a non-significant increase of strokes. The effects of treatment were presented rather early in the study, just some few months for mortality reduction from the beginning of the study.

There exists also other SGLT2 inhibitors and these are tested in other studies. A meta-analysis showed a mortality benefit for this group of antidiabetic drugs, showed a reduction of the incidence of myocardial infarctions and a neutral effect for incidence of strokes.

Key words:
cardiovascular events, meta-analysis of SGLT2 inhibitors studies, mortality, SGLT2 inhibitors


Zdroje

1. Zinman B, Wanner C, Lachin JM et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N Engl J Med 2015; 373(22): 2117–2128. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1504720>.

2. Scirica BM, Bhatt DL, Braunwald E et al. Saxagliptin and cardiovascular outcomes in patients with type 2 diabetes mellitus. N Engl J Med 2013; 369(14): 1317–1326. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1307684>.

3. White WB, Cannon CP, Heller SR et al. Alogliptin after acute coronary syndrome in patients with type 2 diabetes. N Engl J Med 2013; 369(14): 1327–1335. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1305889>.

4. Green JB, Bethel MA, Armstrong PW et al. Effect of sitagliptin on cardiovascular outcomes in type 2 diabetes. N Engl J Med 2015; 373(3): 232–242. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1501352>. Erratum in Effect of Sitagliptin on Cardiovascular Outcomes in Type 2 Diabetes. [N Engl J Med. 2015].

5. Pfeffer MA, Claggett B, Diaz R et al. (2015) Lixisenatide in patients with type 2. diabetes and acute coronary syndrome. N Engl J Med 2015; 373(23): 2247–2257. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1509225>.

6. Ceriello A, Genovese S, Mannucci E et al. Understanding EMPA-REG OUTCOME. Lancet Diabetes Endocrinol 2015; 3(12): 929–930. Dostupné z DOI: <http://dx.doi.org/10.1016/S2213–8587(15)00426-X>. Erratum in Lancet Diabetes Endocrinol. Lancet Diabetes Endocrinol 2016; 4(2): e2.

7. Gilbert RE, Connelly KA. Understanding EMPA-REG OUTCOME. Lancet Diabetes Endocrinol 2015; 3(12): 930–931. Dostupné z DOI: <http://dx.doi.org/10.1016/S2213–8587(15)00427–1>.

8. Muskiet MH, van Raalte DH, van Bommel E et al. Understanding EMPA-REG OUTCOME. Lancet Diabetes Endocrinol 2015; 3(1): 928–929. Dostupné z DOI: <http://dx.doi.org/10.1016/S2213–8587(15)00424–6>.

9. CANVAS – CANagliflozin cardioVascular Assessment Study. Dostupné z WWW: <https://clinicaltrials.gov/ct2/show/NCT01032629>. [25 Jan 2016].

10. Multicenter trial to evaluate the effect of dapagliflozin on the incidence of cardiovascular events (DECLARE--TIMI58). Dostupné z WWW: <https://clinicaltrials.gov/ct2/show/NCT01730534>. [25 Jan 2016].

11. Cardiovascular outcomes following treatment with ertugliflozin in participants with type 2 diabetes mellitus and established vascular disease (MK-8835–004). [25 Jan 2016]. Dostupné z WWW: <https://clinicaltrials.gov/ct2/show/NCT01986881>.

12. Neal B, Perkovic V, Mahaffey KW et al. Canagliflozin and Cardiovascular and Renal Events in type 2 Diabetes. N Engl J Med 2017; 377(7): 644–657. Dostupné z DOI: <http://dx.doi.org/10.1056{NEJMoa1611925>.

13. Monami M, Dicembrini I, Mannuci E. Effects of SGLT2 inhibitors on mortality and cardiovascular events: a comprehensive meta-analysis of randomized controlled trials. Acta Diabetol 2017; 54(1): 19–36. Dostupné z DOI: <http://dx.doi.org/10.1007/s00592–016–0892–7>. Erratum: Effects of SGLT-2 inhibitors on mortality and cardiovascular events: a comprehensive meta-analysis of randomized controlled trials. [Acta Diabetol. 2017].

Štítky
Diabetology Endocrinology Internal medicine
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#