Diabetes Unit, Department of Internal Medicine, Hadassah Hebrew University Hospital, Jerusalem, Israel.
TIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
Diabetes Obes Metab. 2018 May;20(5):1102-1110. doi: 10.1111/dom.13217. Epub 2018 Feb 14.
To describe the baseline characteristics of participants randomized in the Dapagliflozin Effect on CardiovascuLAR Events (DECLARE-TIMI 58) trial, the pivotal study conducted to assess cardiovascular (CV) outcomes with dapagliflozin.
The DECLARE-TIMI 58 trial will analyse 17 160 patients with type 2 diabetes randomized to treatment with dapagliflozin (10 mg/d) or matching placebo. We analysed their baseline characteristics.
The participants' mean ± SD age was 63.8 ± 6.8 years, 62.6% were male, and their mean ± SD diabetes duration was 11.8 ± 7.8 years, glycated haemoglobin 8.3% ± 1.2% (67 mmol/mol ± 9.7 mmol/mol) and body mass index 32.1 ± 6.0 kg/m . Randomization included 6971 (40.6%) patients with atherosclerotic CV disease (CVD), and 10 189 (59.4%) patients with multiple risk factors (MRF) for CVD (defined as men age ≥ 55 years or women ≥60 years, with at least one of dyslipidaemia, hypertension or smoking). Patients with CVD compared with patients with MRF were younger (62.5 ± 8.1 vs 64.7 ± 5.6 years), more frequently male (72.1% vs 56.1%), less often used metformin (74.6% vs 81.2%), more often used insulin (44.2% vs 36.4%), and more frequently used statins, aspirin, clopidogrel and β-blockers (82.2%, 71.1%, 24.7% and 66.6% vs 63.7%, 39.1%, 1.5% and 32.3%, respectively).
The DECLARE-TIMI 58 trial is expected to provide conclusive data on the effect of treatment with dapagliflozin in addition to standard of care, on CV outcomes in a broad patient population with type 2 diabetes and CVD or MRF for CVD.
描述在达格列净对心血管事件的影响(DECLARE-TIMI 58)试验中随机分组的参与者的基线特征,该关键性研究旨在评估达格列净的心血管(CV)结局。
DECLARE-TIMI 58 试验将分析 17160 例 2 型糖尿病患者,这些患者随机接受达格列净(10mg/d)或匹配安慰剂治疗。我们分析了他们的基线特征。
参与者的平均年龄±标准差为 63.8±6.8 岁,62.6%为男性,平均糖尿病病程为 11.8±7.8 年,糖化血红蛋白为 8.3%±1.2%(67mmol/mol±9.7mmol/mol),体重指数为 32.1±6.0kg/m。随机分组包括 6971 例(40.6%)有动脉粥样硬化性心血管疾病(CVD)的患者,以及 10189 例(59.4%)有 CVD 多种危险因素(MRF)的患者(定义为男性年龄≥55 岁或女性年龄≥60 岁,至少有一项血脂异常、高血压或吸烟)。与 MRF 患者相比,CVD 患者更年轻(62.5±8.1 岁 vs 64.7±5.6 岁),更频繁地为男性(72.1% vs 56.1%),更不常使用二甲双胍(74.6% vs 81.2%),更常使用胰岛素(44.2% vs 36.4%),更常使用他汀类药物、阿司匹林、氯吡格雷和β受体阻滞剂(82.2%、71.1%、24.7%和 66.6% vs 63.7%、39.1%、1.5%和 32.3%)。
DECLARE-TIMI 58 试验有望提供关于在标准治疗基础上,达格列净治疗 2 型糖尿病合并 CVD 或 CVD MRF 的广泛患者人群的 CV 结局的明确数据。