التفاصيل البيبلوغرافية
| العنوان: |
Diabetic Ketoacidosis and Related Events With Sotagliflozin Added to Insulin in Adults With Type 1 Diabetes: A Pooled Analysis of the inTandem 1 and 2 Studies. |
| المؤلفون: |
Peters, Anne L., McGuire, Darren K., Danne, Thomas, Kushner, Jake A., Rodbard, Helena W., Dhatariya, Ketan, Sawhney, Sangeeta, Banks, Phillip, Jiang, Wenjun, Davies, Michael J., Lapuerta, Pablo |
| المصدر: |
Diabetes Care; Nov2020, Vol. 43 Issue 11, p2713-2720, 8p |
| مصطلحات موضوعية: |
TYPE 1 diabetes, DIABETIC acidosis, INSULIN pumps, INSULIN, PATIENT education, ADULTS |
| مستخلص: |
Objective: To evaluate the incidence and risk factors for diabetic ketoacidosis (DKA) and related adverse events (AEs) in adults with type 1 diabetes treated with sotagliflozin adjunctive to insulin.Research Design and Methods: Data from two identically designed, 52-week, randomized studies were pooled and analyzed for DKA, changes in β-hydroxybutyrate (BHB), and percentage of patients with BHB >0.6 and >1.5 mmol/L. The patients were administered placebo, sotagliflozin 200 mg, or sotagliflozin 400 mg once daily.Results: A total of 191 ketosis-related AEs were reported, and 98 underwent adjudication. Of these, 37 events (36 patients) were adjudicated as DKA, with an exposure-adjusted incidence rate of 0.2, 3.1, and 4.2 events per 100 patient-years for placebo, sotagliflozin 200 mg, and sotagliflozin 400 mg, respectively. No patient died of a DKA event. From a baseline BHB of ∼0.13 mmol/L, sotagliflozin treatment led to a small median increase over 52 weeks (≤0.05 mmol/L at all time points). Of sotagliflozin-treated patients, approximately 47% and 7% had ≥1 BHB measurement >0.6 mmol/L and >1.5 mmol/L, respectively (vs. 20% and 2%, respectively, of placebo-treated patients). Subsequent to the implementation of a risk mitigation plan, annualized DKA incidence was lower versus preimplementation in both the sotagliflozin 200 and 400 mg groups.Conclusions: In patients with type 1 diabetes, confirmed DKA incidence increased when sotagliflozin was added to insulin compared with insulin alone. A lower incidence of DKA was observed following the implementation of an enhanced risk mitigation plan, suggesting that this risk can be managed with patient education. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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