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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Clin+Transl+Endocrinol
2014 ; 1
(2
): 31-37
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Efficacy and safety of the glucagon-like peptide-1 receptor agonist lixisenatide
versus the dipeptidyl peptidase-4 inhibitor sitagliptin in young ( 50 years)
obese patients with type 2 diabetes mellitus
#MMPMID29159080
Van Gaal L
; Souhami E
; Zhou T
; Aronson R
J Clin Transl Endocrinol
2014[Jun]; 1
(2
): 31-37
PMID29159080
show ga
OBJECTIVE: To compare the efficacy and safety of the once-daily prandial
glucagon-like peptide-1 receptor agonist lixisenatide with the dipeptidyl
peptidase-4 inhibitor sitagliptin in patients aged <50 years affected by obesity
and type 2 diabetes mellitus (T2DM). MATERIALS AND METHODS: This was a 24-week,
double-blind, randomized, parallel-group study. Obese patients with T2DM
inadequately controlled on metformin were randomized to lixisenatide 20 ?g
once-daily injection (n = 158) or once-daily oral sitagliptin 100 mg (n = 161).
The primary endpoint was the proportion of patients with a glycated hemoglobin
(HbA(1c)) <7% and ?5% weight loss at 24 weeks. RESULTS: The proportion of
patients that achieved the primary endpoint was 12.0% for lixisenatide versus
7.5% for sitagliptin; weighted average of proportion difference: 4.6%,
p = 0.1696). A total of 40.7% of patients achieved HbA(1c) <7% with lixisenatide
versus 40.0% with sitagliptin. Lixisenatide produced greater reductions in body
weight (LS mean difference: -1.3 kg, p = 0.0006) and postprandial plasma glucose
after a standardized meal test (LS mean difference: -34.4 mg/dL [-1.9 mmol/L],
p = 0.0001) versus sitagliptin. There was a similar incidence of
treatment-emergent adverse events (63.9% vs. 60.9%) and serious
treatment-emergent adverse events (1.9% vs. 1.9%), with low rates of symptomatic
hypoglycemia (0.6% vs. 1.9%) for lixisenatide and sitagliptin, respectively, and
no cases of severe hypoglycemia. CONCLUSION: In obese patients aged <50 years
with T2DM, the proportion of patients with an HbA(1c) <7% with weight loss ?5%
was similar between groups. Lixisenatide, however, resulted in significantly
greater reductions in body weight and postprandial plasma glucose excursions than
sitagliptin. Tolerability was similar between groups.