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SGLT2抑制剂达格列净在心衰研究中显示出益处

2019-08-21 Allan MedSci原创

阿斯利康近日表示,对标准护理治疗中射血分数(HFrEF)降低的患者(包括有和没有2型糖尿病的患者)使用Farxiga(达格列净)的III期研究(DAPA-HF试验)符合其主要复合终点。

阿斯利康近日表示,对标准护理治疗中射血分数(HFrEF)降低的患者(包括有和没有2糖尿病的患者)使用Farxiga(达格列净)的III期研究(DAPA-HF试验)符合其主要复合终点。该公司指出,在DAPA-HF试验中,与安慰剂相比,每日一次的达格列净显著降低了心血管死亡或心力衰竭恶化的风险。

阿斯利康生物制药研发执行副总裁Mene Pangalos评论道:通过DAPA-HF试验,达格列净成为同类产品中第一个在标准护理基础上展示治疗心衰潜力的药物。我们期待尽快与卫生当局讨论结果。达格列净目前被批准作为单一疗法和联合疗法以改善糖尿病患者的血糖控制。由于中国和欧洲市场的增长,该产品第二季度的销售额同比增长11%至3.77亿美元。


原始出处:

http://www.firstwordpharma.com/node/1660176#axzz5x30BVUgr

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    2019-12-23 平常心医生

    了解

    0

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    2019-10-29 jklm09
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    2019-09-26 tulenzi
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    2019-08-22 jiekemin
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    2019-08-21 lovetcm

    这一类药物均对心衰改善明显

    0

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行业动态 1、FDA:达格列净、坎格列净走下神坛,导致严重生殖感染已被证实 8月29日,FDA发布警告称,服用钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂的患者可能会出现会阴部坏死性筋膜炎风险。该警告将会添加到处方信息及所有批准用于治疗2型糖尿病的SGLT2抑制剂类降糖药的单剂和联合制剂中。这些药物包括:坎格列净、达格列净、Ertugliflozin等。(医师报)

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研究表明钠-葡萄糖共转运体2抑制剂达格列净可降低2型糖尿病患者的心血管死亡/因心衰住院(HHF)复合结局。但基础左心室射血分数(EF)对钠-葡萄糖共转运体2抑制的临床疗效的影响尚不清楚。在DECLARE-TIMI 58试验中,收集了所有患者的基础心衰(HF)情况和EF。HF伴射血分数降低(HFrEF)定义:EF<45%。评估指标是心血管死亡/HHF和全因死亡的复合结局。17160位患者中有6

Lancet Diabetes Endo:达格列净联合沙格列汀用于糖尿病及中重度肾病患者

研究认为,达格列净联合沙格列汀可显著缓解II型糖尿病伴中重度慢性肾病患者肾脏疾病进展

Diabetes Care:达格列净治疗1型糖尿病利弊皆有

2018年12月,发表在《Diabetes Care》的DEPICT-1(Dapagliflozin Evaluation in Patients With Inadequately Controlled Type 1 Diabetes)为期52周的研究,考察了达格列净在未充分控制的1型糖尿病患者中的有效性和安全性。

2019年ACC:达格列净能够减少射血分数降低的心力衰竭患者的死亡率

根据2019年美国心脏病学会(ACC)年会上发表的一项研究(DECLARE-TIMI 58),SGLT2抑制剂达格列净可降低射血分数减少的心力衰竭患者的住院率和死亡率。

Circulation:达格列净与2型糖尿病合并心梗史的患者的心血管结局

葡萄糖钠转运蛋白-2抑制剂可降低2型糖尿病和有动脉粥样硬化性心血管疾病病史的患者发生重大心血管不良事件(MACE)的风险。鉴于有心梗(MI)病史的患者的基线风险高,其从葡萄糖钠转运蛋白-2抑制剂治疗中的获益可能会更大。将17160位2型糖尿病合并动脉粥样硬化性心血管疾病(6974位)或多种危险因素(10186位)的患者随机分至达格列净或安慰剂组。主要终点是MACE(心血管死亡、心肌梗死或缺血性中风

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