PMID- 23356556 OWN - NLM STAT- MEDLINE DCOM- 20140110 LR - 20220408 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 15 IP - 7 DP - 2013 Jul TI - Safety, tolerability, pharmacokinetics and pharmacodynamics following 4 weeks' treatment with empagliflozin once daily in patients with type 2 diabetes. PG - 613-21 LID - 10.1111/dom.12073 [doi] AB - AIM: To investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of empagliflozin in patients with type 2 diabetes following oral administration of 10, 25 or 100 mg doses once daily over 28 days. METHODS: A total of 78 patients were assigned to empagliflozin 10 mg (n = 16), 25 mg (n = 16) or 100 mg (n = 30) or placebo (n = 16) for 28 days. Assessments included adverse events (AEs) and pharmacokinetic and pharmacodynamic endpoints. RESULTS: Empagliflozin exposure increased dose-proportionally over the dose range 10-100 mg and showed linear pharmacokinetics with respect to time. Urinary glucose excretion (UGE) increased from baseline to day 1 by 74, 90 and 81 g with empagliflozin 10, 25 and 100 mg, respectively. The increases in UGE were maintained over 28 days with multiple dosing. Virtually no change in UGE was observed in the placebo group. Significant reductions from baseline in mean daily plasma glucose and fasting plasma glucose were observed with empagliflozin compared with placebo. The incidence of AEs was similar in the empagliflozin and placebo groups (50.0, 56.3 and 66.7% with empagliflozin rising doses and 62.5% with placebo). The most frequently reported AEs were pollakiuria (10.3%), nasopharyngitis (9.0%), constipation (9.0%) and headache (7.7%). CONCLUSIONS: Oral administration of empagliflozin at doses of 10, 25 or 100 mg once daily over 28 days resulted in significant increases in UGE and reductions in blood glucose compared with placebo, and were well tolerated in patients with type 2 diabetes. CI - (c) 2013 Blackwell Publishing Ltd. FAU - Heise, T AU - Heise T AD - Profil, Hellersbergstrasse 9, Neuss, Germany. tim.heise@profil.com FAU - Seewaldt-Becker, E AU - Seewaldt-Becker E FAU - Macha, S AU - Macha S FAU - Hantel, S AU - Hantel S FAU - Pinnetti, S AU - Pinnetti S FAU - Seman, L AU - Seman L FAU - Woerle, H J AU - Woerle HJ LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20130217 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Benzhydryl Compounds) RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (Membrane Transport Modulators) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - HDC1R2M35U (empagliflozin) SB - IM MH - Administration, Oral MH - Adult MH - Aged MH - Benzhydryl Compounds/*administration & dosage/adverse effects/pharmacology/therapeutic use MH - Diabetes Mellitus, Type 2/blood/*drug therapy/urine MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Germany/epidemiology MH - Glucosides/*administration & dosage/adverse effects/pharmacology/therapeutic use MH - Glycosuria/chemically induced/epidemiology/physiopathology MH - Humans MH - Hyperglycemia/prevention & control MH - Hypoglycemic Agents/*administration & dosage/adverse effects/pharmacology/therapeutic use MH - Incidence MH - Male MH - Membrane Transport Modulators/*administration & dosage/adverse effects/pharmacology/therapeutic use MH - Middle Aged MH - Polyuria/epidemiology/etiology MH - *Sodium-Glucose Transporter 2 Inhibitors EDAT- 2013/01/30 06:00 MHDA- 2014/01/11 06:00 CRDT- 2013/01/30 06:00 PHST- 2012/08/03 00:00 [received] PHST- 2012/09/27 00:00 [revised] PHST- 2012/12/28 00:00 [accepted] PHST- 2013/01/30 06:00 [entrez] PHST- 2013/01/30 06:00 [pubmed] PHST- 2014/01/11 06:00 [medline] AID - 10.1111/dom.12073 [doi] PST - ppublish SO - Diabetes Obes Metab. 2013 Jul;15(7):613-21. doi: 10.1111/dom.12073. Epub 2013 Feb 17.