PMID- 28303056 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20221207 IS - 0027-7622 (Print) IS - 2186-3326 (Electronic) IS - 0027-7622 (Linking) VI - 79 IP - 1 DP - 2017 Feb TI - Fixed-dose combination of alogliptin/pioglitazone improves glycemic control in Japanese patients with type 2 diabetes mellitus independent of body mass index. PG - 9-16 LID - 10.18999/nagjms.79.1.9 [doi] AB - This study investigated the effects of switching from combination therapy with either alogliptin (Alo) or pioglitazone (Pio) to fixed-dose combination therapy (FDCT) with alogliptin and pioglitazone (Alo-Pio FDCT). The usefulness and efficacy of Alo-Pio FDCT were investigated. A total of 50 outpatients with type 2 diabetes mellitus (T2DM) treated with Alo and 47 outpatients with T2DM treated with Pio were switched to Alo-Pio FDCT, and its efficacy and usefulness were evaluated. Significant improvements were observed in hemoglobinA1c (HbA(1c)), alanine transaminase (ALT), and gamma-glutamyl transpeptidase (GGT) levels after switching to Alo-Pio FDCT for 16 weeks in both groups. Only the group switching from Alo to Alo-Pio FDCT showed significant improvements in high-density lipoprotein cholesterol (HDL) levels and triglyceride levels. In a multivariate logistic regression model of the variation in the change of HbA(1c) at 16 weeks, ALT and GGT were independent predictors of the change of HbA(1c) at 16 weeks. In addition, the switch to Alo-Pio FDCT improved glycemic control to a certain degree regardless of BMI. Switching from either Alo or Pio to Alo-PIO FDCT may, unlike monotherapy with a DPP-4 inhibitor, be effective for patients with T2DM regardless of whether they are obese or lean. FAU - Aoki, Chie AU - Aoki C AD - Department of Endocrinology and Metabolism, Dokkyo Medical University, Shimotugagun, Japan. FAU - Suzuki, Kunihiro AU - Suzuki K AD - Department of Endocrinology and Metabolism, Dokkyo Medical University, Shimotugagun, Japan. FAU - Kuroda, Hisamoto AU - Kuroda H AD - Department of Endocrinology and Metabolism, Dokkyo Medical University, Shimotugagun, Japan; Green Clinic, Shimotugagun, Japan. FAU - Sagara, Masaaki AU - Sagara M AD - Department of Endocrinology and Metabolism, Dokkyo Medical University, Shimotugagun, Japan. FAU - Shimizu, Masanori AU - Shimizu M AD - Department of Endocrinology and Metabolism, Dokkyo Medical University, Shimotugagun, Japan. FAU - Kasai, Kikuo AU - Kasai K AD - Ishibasi General Hospital, Shimotuke, Japan. FAU - Aso, Yoshimasa AU - Aso Y AD - Department of Endocrinology and Metabolism, Dokkyo Medical University, Shimotugagun, Japan. LA - eng PT - Clinical Trial PT - Journal Article PL - Japan TA - Nagoya J Med Sci JT - Nagoya journal of medical science JID - 0412011 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, HDL) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Piperidines) RN - 56HH86ZVCT (Uracil) RN - EC 2.3.2.2 (gamma-Glutamyltransferase) RN - EC 2.6.1.2 (Alanine Transaminase) RN - JHC049LO86 (alogliptin) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Aged MH - Alanine Transaminase/blood MH - Blood Glucose/*drug effects MH - Body Mass Index MH - Cholesterol, HDL/blood MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Male MH - Middle Aged MH - Pioglitazone/*therapeutic use MH - Piperidines/*therapeutic use MH - Uracil/*analogs & derivatives/therapeutic use MH - gamma-Glutamyltransferase/blood PMC - PMC5346615 OTO - NOTNLM OT - alogliptin OT - dipeptidyl peptidase-4 inhibitor OT - fixed-dose combination therapy OT - pioglitazone OT - type 2 diabetes mellitus EDAT- 2017/03/18 06:00 MHDA- 2018/12/12 06:00 PMCR- 2017/02/01 CRDT- 2017/03/18 06:00 PHST- 2017/03/18 06:00 [entrez] PHST- 2017/03/18 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2017/02/01 00:00 [pmc-release] AID - 10.18999/nagjms.79.1.9 [doi] PST - ppublish SO - Nagoya J Med Sci. 2017 Feb;79(1):9-16. doi: 10.18999/nagjms.79.1.9.