Efficacy and Safety of Teneligliptin as Add on Therapy in Indian Type 2 Diabetes Mellitus Patients having Dyslipidemia

M. ParmarVinendra, S. GoswamiSunita
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Abstract

Objectives: The purpose of this study was to investigate the efficacy and safety of teneligliptin, a completely unique and highly selective DPP-4 inhibitor in type 2 diabetes mellitus (T2DM) patients having dyslipidemia who are inadequately controlled by relevant conventional therapy in India. Methods: Study protocol was approved by Institutional Ethics Committee. Diabetic patients having dyslipidemia (male/female) were randomized to receive treatments in two groups, namely conventional therapy [treatment (A)] and add on teneligliptin 20 mg with conventional therapy [treatment (B)] for 24 weeks. Predesigned case report form (CRF) was used to collect information from the prescribing physicians regarding the efficacy and safety of teneligliptin. Efficacy variables included change in serum glycaemic, lipid, and cytokines (IL-6, TNF-α and adiponectin) levels from baseline to week 24. Treatment-emergent adverse events (TEAEs) were also assessed. Results: A complete of 120 T2DM patient having dyslipidemia were analysed using graph pad prism. Teneligliptin, as add on therapy to conventional therapy significantly reduced serum lipid profile (TC, TG, and LDL) as well as glycaemic parameters (HbA1c, FBG, and PPBG) along with significant rise in serum adiponectin levels as compared to conventional therapy. Conclusion: Add- on therapy with teneligliptin was found better option over convetional therapy in term of significantly reduced glycemic as well as lipid profile. Further, it was found safe and well tolerated in T2DM patients having dyslipidemia.
替尼格列汀加药治疗印度2型糖尿病合并血脂异常患者的疗效和安全性
目的:本研究的目的是研究teneligliptin(一种完全独特的高选择性DPP-4抑制剂)在印度的2型糖尿病(T2DM)血脂异常患者的疗效和安全性,这些患者的相关常规治疗控制不足。方法:研究方案经机构伦理委员会批准。将合并血脂异常的糖尿病患者(男/女)随机分为两组,即常规治疗[治疗(A)]和在常规治疗[治疗(B)]的基础上加用替尼格列汀20 mg,疗程24周。采用预先设计的病例报告表(CRF)收集处方医师关于替尼格列汀疗效和安全性的信息。疗效变量包括从基线到第24周的血糖、脂质和细胞因子(IL-6、TNF-α和脂联素)水平的变化。治疗中出现的不良事件(teae)也进行了评估。结果:对120例T2DM合并血脂异常患者进行了图垫棱镜分析。与常规治疗相比,Teneligliptin作为常规治疗的补充治疗显著降低了血脂(TC、TG和LDL)以及血糖参数(HbA1c、FBG和PPBG),同时显著升高了血清脂联素水平。结论:加用替尼格列汀治疗在显著降低血糖和血脂方面优于常规治疗。此外,它被发现对患有血脂异常的2型糖尿病患者安全且耐受性良好。
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