Efficacy and safety of enavogliflozin, a novel SGLT2 inhibitor, in Korean people with type 2 diabetes : A 24-week, multicentre, randomized, double-blind, placebo-controlled, phase III trial

© 2023 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd..

AIMS: To evaluate the efficacy and safety of a novel sodium-glucose cotransporter 2 inhibitor, enavogliflozin 0.3 mg monotherapy, in Korean people with type 2 diabetes mellitus (T2DM) inadequately controlled with diet and exercise.

MATERIALS AND METHODS: This study was a randomized, double-blind, placebo-controlled trial conducted in 23 hospitals. Individuals with haemoglobin A1c (HbA1c) of 7.0%-10.0% after at least 8 weeks of diet and exercise modification were randomized to receive enavogliflozin 0.3 mg (n = 83) or placebo (n = 84) for 24 weeks. The primary outcome was a change in HbA1c at week 24 from baseline. Secondary outcomes included the proportion of participants achieving HbA1c <7.0%, change in fasting glucose, body weight and lipid levels. Adverse events were investigated throughout the study.

RESULTS: At week 24, the placebo-adjusted mean change in HbA1c from baseline in the enavogliflozin group was -0.99% (95% confidence interval -1.24%, -0.74%). The proportions of patients achieving HbA1c <7.0% (71% vs. 24%) at week 24 was significantly higher in the enavogliflozin group (p < .0001). Placebo-adjusted mean changes in fasting plasma glucose (-40.1 mg/dl) and body weight (-2.5 kg) at week 24 were statistically significant (p < .0001). In addition, a significant decrease in blood pressure, low-density lipoprotein cholesterol, triglyceride, and homeostasis model assessment of insulin resistance were observed, along with a significant increase in high-density lipoprotein cholesterol. No significant increase in treatment-related adverse events was observed for enavogliflozin.

CONCLUSIONS: Monotherapy with enavogliflozin 0.3 mg improved glycaemic control in people with T2DM. Enavogliflozin therapy also exerted beneficial effects on body weight, blood pressure and lipid profile.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Diabetes, obesity & metabolism - 25(2023), 7 vom: 20. Juli, Seite 1865-1873

Sprache:

Englisch

Beteiligte Personen:

Kwak, Soo Heon [VerfasserIn]
Han, Kyung Ah [VerfasserIn]
Kim, Kyung-Soo [VerfasserIn]
Yu, Jae Myung [VerfasserIn]
Kim, EunSook [VerfasserIn]
Won, Jong Chul [VerfasserIn]
Kang, Jun Goo [VerfasserIn]
Chung, Choon Hee [VerfasserIn]
Oh, Seungjoon [VerfasserIn]
Choi, Sung Hee [VerfasserIn]
Won, Kyu Chang [VerfasserIn]
Kim, Sin Gon [VerfasserIn]
Cho, Seung Ah [VerfasserIn]
Cho, Bo Young [VerfasserIn]
Park, Kyong Soo [VerfasserIn]

Links:

Volltext

Themen:

97C5T2UQ7J
Blood Glucose
Cholesterol
Clinical Trial, Phase III
Glycated Hemoglobin
Hypoglycemic Agents
Journal Article
Lipids
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Sodium-Glucose Transporter 2 Inhibitors

Anmerkungen:

Date Completed 05.06.2023

Date Revised 06.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/dom.15046

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353779504