PMID- 23163910 OWN - NLM STAT- MEDLINE DCOM- 20130930 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 15 IP - 4 DP - 2013 Apr TI - Long-term safety of linagliptin monotherapy in Japanese patients with type 2 diabetes. PG - 364-71 LID - 10.1111/dom.12039 [doi] AB - AIMS: In a phase III study conducted among Japanese patients with type 2 diabetes mellitus (T2DM), linagliptin 5 and 10 mg showed clinically meaningful improvements in glycaemic parameters after 12 and 26 weeks compared with placebo and voglibose, respectively. This extension study assessed long-term tolerability of linagliptin over 52 weeks. METHODS: Japanese patients with T2DM who completed either phase of a 12-week/26-week study comparing linagliptin monotherapy with placebo or voglibose were eligible to enrol. In the extension study, the comparator groups switched to linagliptin 5 or 10 mg, while the linagliptin groups maintained dosage. RESULTS: In all, 540 patients received at least one dose of linagliptin 5 or 10 mg and 494 completed the extension. Long-term treatment with linagliptin was well tolerated; adverse events (AEs) of special interest and serious AEs occurred in small percentages of patients. Drug-related AEs occurred in 10.2 and 10.6% of patients in the linagliptin 5- and 10-mg groups, respectively, and discontinuations due to drug-related AEs occurred in 1.1 and 0.7%, respectively. Only one (0.4%) patient in each dose group experienced investigator-defined hypoglycaemia during the treatment period (both events were non-severe). Body weight was not clinically altered in either group. The glycated haemoglobin A1c profiles over time were similar with linagliptin 5 and 10 mg. CONCLUSIONS: These findings provide evidence for the safety and tolerability of oral linagliptin at either 5 or 10 mg for up to 52 weeks for the treatment of Japanese patients with T2DM, without clinically relevant increase in the risk of hypoglycaemia or weight gain. CI - (c) 2012 Blackwell Publishing Ltd. FAU - Araki, E AU - Araki E AD - Department of Metabolic Medicine, Kumamoto University Graduate School of Medicine, Kumamoto, Japan. FAU - Kawamori, R AU - Kawamori R FAU - Inagaki, N AU - Inagaki N FAU - Watada, H AU - Watada H FAU - Hayashi, N AU - Hayashi N FAU - Horie, Y AU - Horie Y FAU - Sarashina, A AU - Sarashina A FAU - Thiemann, S AU - Thiemann S FAU - von Eynatten, M AU - von Eynatten M FAU - Dugi, K AU - Dugi K FAU - Woerle, H-J AU - Woerle HJ LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20121207 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Purines) RN - 0 (Quinazolines) RN - 0 (hemoglobin A1c protein, human) RN - 3X29ZEJ4R2 (Linagliptin) RN - 4L6452S749 (Inositol) RN - S77P977AG8 (voglibose) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Asian People MH - Blood Glucose/drug effects/metabolism MH - Body Mass Index MH - Body Weight MH - Diabetes Mellitus, Type 2/blood/*drug therapy/ethnology MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Glycated Hemoglobin/drug effects/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Inositol/*analogs & derivatives/therapeutic use MH - Linagliptin MH - Male MH - Middle Aged MH - Purines/*therapeutic use MH - Quinazolines/*therapeutic use MH - Time Factors EDAT- 2012/11/21 06:00 MHDA- 2013/10/01 06:00 CRDT- 2012/11/21 06:00 PHST- 2012/08/06 00:00 [received] PHST- 2012/09/11 00:00 [revised] PHST- 2012/11/12 00:00 [accepted] PHST- 2012/11/21 06:00 [entrez] PHST- 2012/11/21 06:00 [pubmed] PHST- 2013/10/01 06:00 [medline] AID - 10.1111/dom.12039 [doi] PST - ppublish SO - Diabetes Obes Metab. 2013 Apr;15(4):364-71. doi: 10.1111/dom.12039. Epub 2012 Dec 7.