PMID- 24597840 OWN - NLM STAT- MEDLINE DCOM- 20150608 LR - 20221207 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 30 IP - 7 DP - 2014 Jul TI - Efficacy and safety of luseogliflozin monotherapy in Japanese patients with type 2 diabetes mellitus: a 12-week, randomized, placebo-controlled, phase II study. PG - 1219-30 LID - 10.1185/03007995.2014.901943 [doi] AB - OBJECTIVE: Luseogliflozin is a novel sodium glucose cotransporter 2 inhibitor for type 2 diabetes mellitus (T2DM) treatment. An exploratory Phase II study was conducted to assess the efficacy and safety of several doses of luseogliflozin in Japanese T2DM patients. PATIENTS AND METHODS: Japanese T2DM patients aged 20-74 years with hemoglobin A1c (HbA1c) of 6.9-10.5%, fasting plasma glucose (FPG) >/=126 mg/dL and on diet therapy were randomized in a double-blind manner to receive luseogliflozin (0.5, 2.5, or 5 mg) or placebo once daily for 12 weeks (n = 61, 61, 61, and 56, respectively). The primary endpoint was the change in HbA1c from baseline to end of treatment. Other endpoints included FPG, 2 h postprandial plasma glucose (PPG) in a meal tolerance test (MTT), and body weight. Drug safety was also assessed. TRIAL REGISTRATION: Japan Pharmaceutical Information Center (identifier: JapicCTI-090908). RESULTS: Changes in HbA1c from baseline to end of treatment were -0.36, -0.62, and -0.75% in the 0.5, 2.5, and 5 mg luseogliflozin groups, respectively, versus +0.06% in the placebo group (all P < 0.001). The reductions in FPG and 2 h-PPG in the MTT were also significantly greater in the luseogliflozin groups (all P < 0.01) without increases in insulin levels from baseline. Luseogliflozin reduced body weight at all doses. There were no significant differences in the incidences of adverse events among groups. Most adverse events were mild in severity. There were no serious adverse events. CONCLUSIONS: Although this was a small-scale study with a short duration, all tested doses of luseogliflozin significantly improved glycemic control, reduced body weight, and were well tolerated in Japanese T2DM patients over the 12-week treatment period. FAU - Seino, Yutaka AU - Seino Y AD - Kansai Electric Power Hospital , Osaka , Japan. FAU - Sasaki, Takashi AU - Sasaki T FAU - Fukatsu, Atsushi AU - Fukatsu A FAU - Sakai, Soichi AU - Sakai S FAU - Samukawa, Yoshishige AU - Samukawa Y LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140319 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (Biomarkers) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (hemoglobin A1c protein, human) RN - 506T60A25R (Sorbitol) RN - C596HWF74Z (1,5-anhydro-1-(5-(4-ethoxybenzyl)-2-methoxy-4-methylphenyl)-1-thioglucitol) SB - IM MH - Adult MH - Aged MH - Asian People MH - Biomarkers/blood 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/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Japan MH - Male MH - Middle Aged MH - Sorbitol/*analogs & derivatives/therapeutic use MH - Treatment Outcome MH - Weight Loss OTO - NOTNLM OT - Japanese OT - Luseogliflozin OT - Monotherapy OT - Phase II clinical study OT - Placebo OT - Sodium glucose cotransporter 2 (SGLT2) inhibitor OT - Type 2 diabetes mellitus EDAT- 2014/03/07 06:00 MHDA- 2015/06/09 06:00 CRDT- 2014/03/07 06:00 PHST- 2014/03/07 06:00 [entrez] PHST- 2014/03/07 06:00 [pubmed] PHST- 2015/06/09 06:00 [medline] AID - 10.1185/03007995.2014.901943 [doi] PST - ppublish SO - Curr Med Res Opin. 2014 Jul;30(7):1219-30. doi: 10.1185/03007995.2014.901943. Epub 2014 Mar 19.