PMID- 23464664 OWN - NLM STAT- MEDLINE DCOM- 20140311 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 15 IP - 9 DP - 2013 Sep TI - Efficacy, safety and dose-response relationship of teneligliptin, a dipeptidyl peptidase-4 inhibitor, in Japanese patients with type 2 diabetes mellitus. PG - 810-8 LID - 10.1111/dom.12092 [doi] AB - AIM: To assess the efficacy, safety and dose-response relationship of once-daily teneligliptin, a novel dipeptidyl peptidase-4 inhibitor, in Japanese patients with type 2 diabetes mellitus (T2DM) inadequately controlled with diet and exercise. METHODS: In this randomized, double-blind, placebo-controlled, parallel-group study, patients (n = 324) were randomized to receive teneligliptin 10, 20 or 40 mg, or placebo, once daily before breakfast for 12 weeks. The primary endpoint was the change in haemoglobin (Hb)A1c from baseline to week 12. RESULTS: All teneligliptin-treated groups showed significantly greater reductions in HbA1c and fasting plasma glucose (FPG) than did the placebo group. The differences between the teneligliptin 10, 20 or 40 mg groups and the placebo group for the change in HbA1c were -0.9 [least-squares (LS) mean; 95% confidence interval: -1.0, -0.7], -0.9 (-1.1, -0.7) and -1.0 (-1.2, -0.9)%, respectively (all, p < 0.001). The respective LS means for FPG were -17.8 (-23.4, -12.1), -16.9 (-22.6, -11.2) and -20.0 (-25.7, -14.3) mg/dl (all, p < 0.001). There were no significant differences in HbA1c among the three doses of teneligliptin. The incidence of adverse events and adverse drug reactions was similar in each group. The incidence of hypoglycaemia was not significantly different among the four groups. CONCLUSIONS: Treatment with teneligliptin for 12 weeks provided significant and clinically meaningful reductions in HbA1c and FPG across the dose range studied and was generally well tolerated in Japanese patients with T2DM. CI - (c) 2013 Blackwell Publishing Ltd. FAU - Kadowaki, T AU - Kadowaki T AD - Department of Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Kondo, K AU - Kondo K LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130407 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (3-(4-(4-(3-methyl-1-phenyl-1H-pyrazol-5-yl)piperazin-1-yl)pyrrolidin-2-ylcarbonyl)thiazolidine) RN - 0 (Blood Glucose) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Glycated Hemoglobin A) RN - 0 (Pyrazoles) RN - 0 (Thiazolidines) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Adult MH - Aged MH - Area Under Curve MH - Asian People/statistics & numerical data MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/blood/*drug therapy/epidemiology MH - Dipeptidyl-Peptidase IV Inhibitors/administration & dosage/adverse effects/*therapeutic use MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Fasting MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Japan/epidemiology MH - Male MH - Middle Aged MH - Pyrazoles/administration & dosage/adverse effects/*therapeutic use MH - Thiazolidines/administration & dosage/adverse effects/*therapeutic use MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - DPP-4 inhibitor OT - HbA1c OT - teneligliptin OT - type 2 diabetes mellitus EDAT- 2013/03/08 06:00 MHDA- 2014/03/13 06:00 CRDT- 2013/03/08 06:00 PHST- 2012/08/31 00:00 [received] PHST- 2012/10/01 00:00 [revised] PHST- 2013/03/03 00:00 [accepted] PHST- 2013/03/08 06:00 [entrez] PHST- 2013/03/08 06:00 [pubmed] PHST- 2014/03/13 06:00 [medline] AID - 10.1111/dom.12092 [doi] PST - ppublish SO - Diabetes Obes Metab. 2013 Sep;15(9):810-8. doi: 10.1111/dom.12092. Epub 2013 Apr 7.