Dapagliflozin Aids Glycemic Control in Type 2 Diabetes
(HealthDay News) – For patients with inadequately controlled type 2 diabetes, treatment with dapagliflozin is associated with improved glycemic control, stabilized insulin dosing, and weight reductions, according to research published in the March 20 issue of the Annals of Internal Medicine.
To evaluate the efficacy and safety of dapagliflozin, John P.H. Wilding, DM, of University Hospital Aintree in Liverpool, UK, and associates randomly assigned 800 patients with inadequately controlled type 2 diabetes, receiving at least 30units of insulin daily, with or without up to two oral antidiabetic drugs, to receive a daily dose of dapagliflozin (2.5mg, 5mg, or 10mg) or placebo for 48 weeks.
After 24 weeks, the researchers found that patients taking dapagliflozin had a 0.79%–0.96% decrease in mean hemoglobin A1c, compared with a 0.39% decrease with placebo. The daily insulin dose decreased by 0.63units with dapagliflozin compared with an increase of 5.65units in the placebo group. Dapagliflozin was associated with a decrease of 0.92kg–1.61kg in body weight, compared with an increase of 0.43kg in the placebo group. At 48 weeks, these effects were maintained. Patients in the pooled dapagliflozin groups had a higher rate of hypoglycemic episodes compared with the placebo group (56.6% vs. 51.8%).
"Dapagliflozin improves glycemic control, stabilizes insulin dosing, and reduces weight without increasing major hypoglycemic episodes in patients with inadequately controlled type 2 diabetes mellitus," the authors write.
The study was funded by AstraZeneca and Bristol-Myers Squibb, co-developers of dapagliflozin. Several of the authors are employees of AstraZeneca.