Division of Cardiology, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
Department of Medicine, University of Mississippi, Jackson, MS.
Am Heart J. 2021 Mar;233:86-91. doi: 10.1016/j.ahj.2020.12.007. Epub 2020 Dec 29.
In this report, we aim to provide an updated meta-analysis of the sodium-glucose cotransporter 2 (SGLT2) inhibitors trial data with the new trial data on sotagliflozin, a first-in-class dual SGLT1 and SGLT2 inhibitor. We searched Medline, Cochrane library, and Embase databases for randomized clinical trials comparing cardiovascular and kidney outcomes between SGLT2 and dual SGLT1/2 inhibitors and placebo. Nine randomized clinical trials with a total of 60,914 patients with type 2 diabetes were included. In patients with type 2 diabetes, the use of SGLT2 and dual SGLT1/2 inhibitors improves the cardiovascular and kidney outcome.
在本报告中,我们旨在提供钠-葡萄糖共转运蛋白 2(SGLT2)抑制剂试验数据的最新荟萃分析,并纳入新型 SGLT1 和 SGLT2 双重抑制剂索格列净的新试验数据。我们检索了 Medline、Cochrane 图书馆和 Embase 数据库,以查找比较 SGLT2 抑制剂和双重 SGLT1/2 抑制剂与安慰剂在心血管和肾脏结局方面的随机临床试验。共有 9 项包含 60914 例 2 型糖尿病患者的随机临床试验被纳入分析。在 2 型糖尿病患者中,SGLT2 和双重 SGLT1/2 抑制剂的使用可改善心血管和肾脏结局。