Kalra Sanjay
Department of Endocrinology, Bharti Hospital, Karnal, India.
Diabetes Ther. 2015 Dec;6(4):405-409. doi: 10.1007/s13300-015-0144-9. Epub 2015 Nov 4.
This article discusses the recently published EMPA-REG OUTCOME trial, which assessed cardiovascular outcomes with empagliflozin therapy in persons with type 2 diabetes mellitus and coexisting cardiovascular disease. The article describes the background and challenges of modern cardiovascular outcome trials, points out the strengths of the EMPA-REG OUTCOME study, and places the results in perspective. It highlights the significant impact that these results will have on cardiovascular preventive pharmacotherapy, and on future drug development in diabetes. At the same time, it reminds readers of the limitations of the results, and lists the questions raised by, or left unanswered by, the trial.
本文讨论了最近发表的EMPA-REG OUTCOME试验,该试验评估了恩格列净治疗2型糖尿病合并心血管疾病患者的心血管结局。文章描述了现代心血管结局试验的背景和挑战,指出了EMPA-REG OUTCOME研究的优势,并对结果进行了客观分析。它强调了这些结果将对心血管预防药物治疗以及糖尿病未来药物研发产生的重大影响。同时,它提醒读者注意结果的局限性,并列出了该试验引发的或未解答的问题。