PMID- 26307900 OWN - NLM STAT- MEDLINE DCOM- 20160729 LR - 20221207 IS - 1530-891X (Print) IS - 1530-891X (Linking) VI - 21 IP - 12 DP - 2015 Dec TI - SGLT-2 INHIBITOR THERAPY ADDED TO GLP-1 AGONIST THERAPY IN THE MANAGEMENT OF T2DM. PG - 1315-22 LID - 10.4158/EP15877.OR [doi] AB - OBJECTIVE: To assess the real-world efficacy and safety of canagliflozin therapy added to type 2 diabetes mellitus (T2DM) patients who have received a minimum 1 year of glucagon-like peptide-1 (GLP-1) agonist therapy. METHODS: This pre-post observational study assessed the efficacy and safety of canagliflozin in a group of T2DM patients from a community endocrinology practice who received GLP-1 agonist therapy for a minimum of 12 months. The primary study outcome was change in mean glycated hemoglobin (HbA1c) level from baseline. Secondary endpoints included changes in average weight, and comparison of the percentage of patients obtaining an HbA1c <7%. RESULTS: A total of 75 patients met all the study criteria. Baseline patient characteristics were as follows: average age, 58 +/- 9 years; mean duration of T2DM, 14 +/- 6 years; 56% male; 92% Caucasian; baseline body mass index (BMI), 39.4 +/- 9.4 kg/m(2); and mean baseline HbA1c, 7.94 +/- 0.69%. HbA1c and weight were significantly reduced by 0.39% and 4.6 kg, respectively. Adverse effects were reported by 13 (17.3%) patients, including 4 (5.3%) who discontinued canagliflozin because of adverse reactions. CONCLUSION: Canagliflozin was generally well tolerated and significantly further reduced mean HbA1c levels and body weight in patients with T2DM when added to GLP-1 regimen. FAU - Saroka, Rachel M AU - Saroka RM FAU - Kane, Michael P AU - Kane MP FAU - Busch, Robert S AU - Busch RS FAU - Watsky, Jay AU - Watsky J FAU - Hamilton, Robert A AU - Hamilton RA LA - eng PT - Journal Article PT - Observational Study DEP - 20150826 PL - United States TA - Endocr Pract JT - Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists JID - 9607439 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0SAC974Z85 (Canagliflozin) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM CIN - Endocr Pract. 2015 Dec;21(12):1442-4. PMID: 26484408 MH - Adult MH - Aged MH - Blood Glucose/drug effects MH - Body Weight/drug effects MH - Canagliflozin/*administration & dosage/adverse effects MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Drug Therapy, Combination MH - Female MH - Follow-Up Studies MH - Glucagon-Like Peptide 1/administration & dosage/adverse effects/*agonists MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypoglycemic Agents/*administration & dosage/adverse effects MH - Male MH - Middle Aged MH - Sodium-Glucose Transporter 2 MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Treatment Outcome EDAT- 2015/08/27 06:00 MHDA- 2016/07/30 06:00 CRDT- 2015/08/27 06:00 PHST- 2015/08/27 06:00 [entrez] PHST- 2015/08/27 06:00 [pubmed] PHST- 2016/07/30 06:00 [medline] AID - S1530-891X(20)39370-8 [pii] AID - 10.4158/EP15877.OR [doi] PST - ppublish SO - Endocr Pract. 2015 Dec;21(12):1315-22. doi: 10.4158/EP15877.OR. Epub 2015 Aug 26.