PMID- 27181910 OWN - NLM STAT- MEDLINE DCOM- 20170227 LR - 20221207 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 17 IP - 10 DP - 2016 Jul TI - The efficacy and safety of teneligliptin added to ongoing metformin monotherapy in patients with type 2 diabetes: a randomized study with open label extension. PG - 1309-16 LID - 10.1080/14656566.2016.1190334 [doi] AB - OBJECTIVE: The study investigated the efficacy and tolerability of teneligliptin co-administered to patients with type 2 diabetes mellitus (T2DM) who were inadequately controlled by stable metformin monotherapy >/= 1000 mg/day. METHODS: A total of 447 patients from 55 European centers who completed a 14-day screening and 14-day run-in phase, received randomized double-blind treatment with 5, 10, 20 or 40 mg teneligliptin or placebo once daily, for 24 weeks. 364 patients continued treatment in a 28-week open label extension during which they received teneligliptin 20 mg once daily. RESULTS: Co-administration of teneligliptin (5 to 40 mg) with metformin demonstrated dose-related and statistically significant reductions in HbA1c after 24 weeks (-0.30 to -0.63% placebo adjusted) of double-blind treatment. The greatest reduction in HbA1c was seen with teneligliptin at 40 mg (-0.63%) at Week 24. There was also a dose-dependent increase in proportion of responders achieving HbA1c < 7.0% at this endpoint. Responses were maintained throughout 28 weeks open label treatment with 20 mg teneligliptin. Treatment was well tolerated to Week 52 and the overall incidence of hypoglycemia during 52 weeks was 2.3%. CONCLUSIONS: Teneligliptin co-administered with metformin produced significant reductions in HbA1c in patients with T2DM without increasing the risk of hypoglycemia. FAU - Bryson, Andrew AU - Bryson A AD - a Clinical Department , Mitsubishi Tanabe Pharma Europe Ltd , London , UK. FAU - Jennings, Paul E AU - Jennings PE AD - b Center for Diabetes and Endocrinology , York Teaching Hospital NHS Foundation Trust Ringgold , York , UK. FAU - Deak, Laszlo AU - Deak L AD - c Department of Internal Medicine , Kaposi Mor County Hospital , Kaposvar , Hungary. FAU - Paveliu, Fraga S AU - Paveliu FS AD - d Department of Nutrition and Endocrinology , Societatea Civila Medicala , Bucharest , Romania. FAU - Lawson, Matt AU - Lawson M AD - a Clinical Department , Mitsubishi Tanabe Pharma Europe Ltd , London , UK. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160526 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 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 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Pyrazoles) RN - 0 (Thiazolidines) RN - 9100L32L2N (Metformin) SB - IM MH - Adult MH - Aged MH - Blood Glucose/analysis MH - Diabetes Mellitus, Type 2/*drug therapy MH - Double-Blind Method MH - Drug Therapy, Combination MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemia/epidemiology MH - Hypoglycemic Agents/*therapeutic use MH - Incidence MH - Male MH - Metformin/*therapeutic use MH - Middle Aged MH - Pyrazoles/*therapeutic use MH - Thiazolidines/*therapeutic use MH - Treatment Outcome OTO - NOTNLM OT - Co-administration OT - diabetes mellitus OT - metformin OT - teneligliptin OT - type 2 EDAT- 2016/05/18 06:00 MHDA- 2017/02/28 06:00 CRDT- 2016/05/17 06:00 PHST- 2016/05/17 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2017/02/28 06:00 [medline] AID - 10.1080/14656566.2016.1190334 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2016 Jul;17(10):1309-16. doi: 10.1080/14656566.2016.1190334. Epub 2016 May 26.