Khan Parvej, Venkatesh Shubhashree, Parveen Rizwana, Mishra Pinki, Jain Seema, Agarwal Nidhi
Department for Translational and Clinical Research, School of Chemical and Life Sciences, Jamia Hamdard, New Delhi, India.
Independent Researcher, New Delhi, India.
Expert Opin Pharmacother. 2023 Sep-Dec;24(18):2199-2210. doi: 10.1080/14656566.2023.2279100. Epub 2024 Jan 5.
Ertugliflozin, a sodium-glucose cotransporter-2 inhibitor, seems to improve glycemic control in type 2 diabetes mellitus (T2DM). We aim to evaluate the efficacy of Ertugliflozin across multiple time intervals (18, 26, and 52 weeks) in T2DM patients.
A literature search was conducted on electronic databases. Data was extracted from eligible studies at both 5 mg and 15 mg doses in monotherapy and as add-on therapy. Cochrane RevMan was used to perform the meta-analysis.
Ertugliflozin, at both 5 mg and 15 mg doses, demonstrated a significant improvement in HbA1c levels at 18 weeks 5 mg [ = 0.00001], 15 mg [ = 0.05], and at 26 weeks in monotherapy 5 mg [ = 0.006], monotherapy 15 mg [ = 0.006], 5 mg as add-on therapy [ = 0.00001], 15 mg add-on therapy [ = 0.00001] respectively. At 52 weeks, the reduction in HbA1c was significant in 15 mg add-on therapy [ = 0.0001]. Additionally, ertugliflozin as an add-on therapy also led to a significant reduction in FPG, body weight, and systolic blood pressure.
Ertugliflozin showed clinical efficacy in improving glycemic control, fasting plasma glucose, body weight, and systolic blood pressure in T2DM patients over the studied time intervals compared to placebo.
恩格列净是一种钠-葡萄糖协同转运蛋白2抑制剂,似乎能改善2型糖尿病(T2DM)患者的血糖控制。我们旨在评估恩格列净在T2DM患者多个时间间隔(18、26和52周)的疗效。
在电子数据库中进行文献检索。从单药治疗和联合治疗中5毫克和15毫克剂量的合格研究中提取数据。使用Cochrane RevMan进行荟萃分析。
恩格列净5毫克和15毫克剂量在18周时均显示糖化血红蛋白(HbA1c)水平显著改善,5毫克组[P = 0.00001],15毫克组[P = 0.05];在26周时,单药治疗5毫克组[P = 0.006],单药治疗15毫克组[P = 0.006],5毫克联合治疗组[P = 0.00001],15毫克联合治疗组[P = 0.00001]。在52周时,15毫克联合治疗组HbA1c的降低具有显著性[P = 0.0001]。此外,恩格列净作为联合治疗还导致空腹血糖(FPG)、体重和收缩压显著降低。
与安慰剂相比,在研究的时间间隔内,恩格列净在改善T2DM患者的血糖控制、空腹血糖、体重和收缩压方面显示出临床疗效。