PMID- 25452864 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20141202 LR - 20181113 IS - 2052-4897 (Print) IS - 2052-4897 (Electronic) IS - 2052-4897 (Linking) VI - 2 IP - 1 DP - 2014 TI - Efficacy and safety of linagliptin in Hispanic/Latino patients with type 2 diabetes mellitus: a pooled analysis from six randomized placebo-controlled phase 3 trials. PG - e000020 LID - 10.1136/bmjdrc-2014-000020 [doi] LID - e000020 AB - OBJECTIVE: The number of individuals diagnosed with type 2 diabetes mellitus is expected to rise disproportionately in Hispanic/Latino populations. We therefore aimed to assess the efficacy and safety of the dipeptidyl peptidase-4 inhibitor linagliptin specifically in Hispanic/Latino patients with type 2 diabetes mellitus. RESEARCH DESIGN AND METHODS: Data from 745 patients who self-identified their ethnicity as Hispanic or Latino were pooled from six randomized, placebo-controlled phase 3 trials. Participants received linagliptin (5 mg/day) or placebo as monotherapy, or in combination with other oral antidiabetes drugs for 18 or 24 weeks. RESULTS: The placebo-adjusted mean change (95% CI) in glycated hemoglobin from baseline (mean 8.2%) was -0.63% (-0.77 to -0.48; p<0.0001) at week 18, and -0.58% (-0.74 to -0.42; p<0.0001) at week 24. The placebo-adjusted mean change (95% CI) in fasting plasma glucose from baseline was -11.7 mg/dL (-19.3 to -4.0; p=0.0028) at week 18 and -14.1 mg/dL (-22.0 to -6.3; p=0.0004) at week 24. Hypoglycemia incidence was 17.4% with linagliptin and 21% with placebo. In patients not receiving concomitant sulfonylurea, the hypoglycemia incidence was 10.1% with linagliptin and 19.4% with placebo. The overall incidence of adverse events (AEs), drug-related AEs, and serious AEs with linagliptin was similar to placebo (AEs 67.6% vs 68.9%; drug-related AEs 15.1% vs 18.7%; serious AEs 3.6% vs 3.0%). The mean body weight remained unchanged in both groups. CONCLUSIONS: In Hispanic/Latino patients with inadequately controlled type 2 diabetes mellitus, linagliptin provided clinically meaningful improvements in glycemic control without weight gain or increased risk of hypoglycemia. FAU - Davidson, Jaime A AU - Davidson JA AD - The University of Texas Southwestern Medical Center , Dallas, Texas , USA. FAU - Lajara, Rosemarie AU - Lajara R AD - Diabetes America-PA President , Plano, Texas , USA. FAU - Aguilar, Richard B AU - Aguilar RB AD - Diabetes Nation , Sisters, Oregon , USA. FAU - Mattheus, Michaela AU - Mattheus M AD - Boehringer Ingelheim Pharma GmbH & Co. KG , Ingelheim , Germany. FAU - Woerle, Hans-Juergen AU - Woerle HJ AD - Boehringer Ingelheim Pharma GmbH & Co. KG , Ingelheim , Germany. FAU - von Eynatten, Maximilian AU - von Eynatten M AD - Boehringer Ingelheim Pharmaceuticals, Inc , Ridgefield, Connecticut , USA. LA - eng PT - Journal Article DEP - 20140416 PL - England TA - BMJ Open Diabetes Res Care JT - BMJ open diabetes research & care JID - 101641391 PMC - PMC4212575 OTO - NOTNLM OT - A1C OT - Clinical Trial(s) OT - Endocrinology Diabetes OT - Hispanic EDAT- 2014/12/03 06:00 MHDA- 2014/12/03 06:01 PMCR- 2014/04/16 CRDT- 2014/12/03 06:00 PHST- 2014/02/05 00:00 [received] PHST- 2014/03/04 00:00 [accepted] PHST- 2014/12/03 06:00 [entrez] PHST- 2014/12/03 06:00 [pubmed] PHST- 2014/12/03 06:01 [medline] PHST- 2014/04/16 00:00 [pmc-release] AID - bmjdrc-2014-000020 [pii] AID - 10.1136/bmjdrc-2014-000020 [doi] PST - epublish SO - BMJ Open Diabetes Res Care. 2014 Apr 16;2(1):e000020. doi: 10.1136/bmjdrc-2014-000020. eCollection 2014.