PMID- 29316164 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Print) IS - 1462-8902 (Linking) VI - 20 IP - 6 DP - 2018 Jun TI - Effects of exenatide once weekly plus dapagliflozin, exenatide once weekly, or dapagliflozin, added to metformin monotherapy, on body weight, systolic blood pressure, and triglycerides in patients with type 2 diabetes in the DURATION-8 study. PG - 1515-1519 LID - 10.1111/dom.13206 [doi] AB - This post hoc analysis assessed the effects on cardiovascular risk factors of body weight, systolic blood pressure (SBP) and triglycerides after 28 weeks' treatment with exenatide once weekly plus dapagliflozin, as compared with exenatide once weekly or dapagliflozin, in patient subpopulations from the DURATION-8 trial of patients with type 2 diabetes mellitus (T2DM) inadequately controlled with metformin alone. Subgroups of patients were stratified according to their baseline body weight, SBP and triglyceride levels. Body weight, SBP and triglyceride levels were reduced across most respective subgroups, with no significant subgroup-by-treatment interactions. For each treatment, weight loss was numerically greater as baseline body mass index increased. SBP reductions were greater among patients with SBP >/=140 vs <140 mm Hg for exenatide once weekly plus dapagliflozin and exenatide once weekly. Reductions in triglyceride levels were greater among patients with baseline triglycerides <1.69 vs >/=1.69 mmol/L for each treatment. The combination of exenatide once weekly plus dapagliflozin reduced cardiovascular risk factors across baseline subgroups for each variable to a greater extent than did either individual drug; the greatest effects were observed in the high baseline subgroups for body weight and SBP. CI - (c) 2018 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd. FAU - Jabbour, Serge A AU - Jabbour SA AUID- ORCID: 0000-0002-4080-0470 AD - Division of Endocrinology, Diabetes & Metabolic Diseases, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania. FAU - Frias, Juan P AU - Frias JP AUID- ORCID: 0000-0001-9486-1255 AD - National Research Institute, Los Angeles, California. FAU - Guja, Cristian AU - Guja C AUID- ORCID: 0000-0002-8703-0522 AD - Department of Diabetes, Nutrition and Metabolic Diseases, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. FAU - Hardy, Elise AU - Hardy E AD - AstraZeneca, Gaithersburg, Maryland. FAU - Ahmed, Azazuddin AU - Ahmed A AD - Apex Medical Research, Chicago, Illinois. FAU - Ohman, Peter AU - Ohman P AD - AstraZeneca, Gaithersburg, Maryland. LA - eng PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180204 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Anti-Obesity Agents) RN - 0 (Benzhydryl Compounds) RN - 0 (Glucosides) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Triglycerides) RN - 1ULL0QJ8UC (dapagliflozin) RN - 9100L32L2N (Metformin) RN - 9P1872D4OL (Exenatide) SB - IM MH - Anti-Obesity Agents/administration & dosage MH - Benzhydryl Compounds/*administration & dosage MH - Blood Pressure/drug effects MH - Body Mass Index MH - Body Weight/drug effects MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Double-Blind Method MH - Drug Administration Schedule MH - Drug Therapy, Combination MH - Exenatide/*administration & dosage MH - Glucosides/*administration & dosage MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypoglycemic Agents/*administration & dosage MH - Metformin/*administration & dosage MH - Sodium-Glucose Transporter 2 Inhibitors/administration & dosage MH - Triglycerides/metabolism PMC - PMC5969082 OTO - NOTNLM OT - GLP-1 analogue OT - SGLT2 inhibitor OT - dapagliflozin OT - exenatide OT - type 2 diabetes COIS- S.A.J. has worked as a consultant for AstraZeneca, Eli Lilly, and Janssen. J.P.F. has received research support from AbbVie, AstraZeneca, Boehringer Ingelheim, Bristol-Myers Squibb, Eli Lilly, IONIS, Janssen, Johnson and Johnson, Ligand, Merck, Mylan, Novartis, Novo Nordisk, Pfizer, Sanofi, Theracos, and vTv Therapeutics, and has participated in scientific advisory boards and received consulting fees from AstraZeneca, Bristol-Myers Squibb, Novo Nordisk, Sanofi, and Theracos. C.G. has participated in scientific advisory boards and received consulting fees from Alfa Wasserman, AstraZeneca, Bayer AG, Berlin-Chemie Menarini, Eli Lilly, Merck Sharp & Dohme, Novo Nordisk, and Sanofi. A.A. has received research grants from AbbVie, AstraZeneca, Kowa Pharmaceuticals, Novo Nordisk, and Sanofi-Aventis. E.H. and P.O. are employees of AstraZeneca. EDAT- 2018/01/10 06:00 MHDA- 2018/12/12 06:00 PMCR- 2018/05/25 CRDT- 2018/01/10 06:00 PHST- 2017/10/17 00:00 [received] PHST- 2017/12/26 00:00 [revised] PHST- 2017/12/29 00:00 [accepted] PHST- 2018/01/10 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2018/01/10 06:00 [entrez] PHST- 2018/05/25 00:00 [pmc-release] AID - DOM13206 [pii] AID - 10.1111/dom.13206 [doi] PST - ppublish SO - Diabetes Obes Metab. 2018 Jun;20(6):1515-1519. doi: 10.1111/dom.13206. Epub 2018 Feb 4.