PMID- 30760125 OWN - NLM STAT- MEDLINE DCOM- 20200609 LR - 20200609 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 35 IP - 8 DP - 2019 Aug TI - Results of VERTIS SU extension study: safety and efficacy of ertugliflozin treatment over 104 weeks compared to glimepiride in patients with type 2 diabetes mellitus inadequately controlled on metformin. PG - 1335-1343 LID - 10.1080/03007995.2019.1583450 [doi] AB - Objective: To assess the safety and efficacy of ertugliflozin over 104 weeks in patients with type 2 diabetes mellitus (T2DM) inadequately controlled on metformin. Methods: In this double-blind, multicenter, randomized, phase III study (VERTIS SU; NCT01999218), adults with T2DM and glycated hemoglobin (HbA1c) 7.0-9.0% on metformin >/=1500 mg/day received ertugliflozin 5 mg or 15 mg, or glimepiride. The primary efficacy time point was Week 52; double-blinded treatment continued until Week 104. Results: Baseline characteristics of randomized, treated patients (n = 1315) were similar across groups (mean age 58.2 years, HbA1c 7.8%); 76.4% completed the study; 61.6% completed on study medication. Mean glimepiride dose at 104 weeks was 3.5 mg/day. At Week 104, least squares mean change from baseline in HbA1c (95% confidence intervals) were -0.3% (-0.4, -0.2), -0.4% (-0.5, -0.3) and -0.4% (-0.5, -0.3) for ertugliflozin 5 mg, 15 mg, and glimepiride, respectively. Ertugliflozin provided sustained reductions in body weight and systolic blood pressure (SBP) over 104 weeks. The incidence of adverse events (AEs) and serious AEs was similar across groups. The incidence of symptomatic hypoglycemia was 3.8%, 6.4% and 22.1% in the ertugliflozin 5 mg, 15 mg, and glimepiride groups, respectively. Genital mycotic infections were reported in 5.3%, 2.6% and 0% of men, respectively, and 9.2%, 12.3% and 1.4% of women, respectively. The incidence of urinary tract infection and hypovolemia AEs was similar across groups. Conclusions: Ertugliflozin was well tolerated and provided clinically meaningful glycemic control and durable reductions in body weight and SBP over 104 weeks. FAU - Hollander, Priscilla AU - Hollander P AD - a Baylor Endocrine Center , Dallas , TX , USA. FAU - Hill, Julie AU - Hill J AD - b Merck & Co. Inc. , Kenilworth , NJ , USA. FAU - Johnson, Jeremy AU - Johnson J AD - b Merck & Co. Inc. , Kenilworth , NJ , USA. FAU - Wei Jiang, Zhi AU - Wei Jiang Z AD - c MSD R&D (China) Co. Ltd , Beijing , China. FAU - Golm, Gregory AU - Golm G AD - b Merck & Co. Inc. , Kenilworth , NJ , USA. FAU - Huyck, Susan AU - Huyck S AD - b Merck & Co. Inc. , Kenilworth , NJ , USA. FAU - Terra, Steven G AU - Terra SG AD - d Pfizer Inc. , Andover , MA , USA. FAU - Mancuso, James P AU - Mancuso JP AD - e Pfizer Inc. , Groton , CT , USA. FAU - Engel, Samuel S AU - Engel SS AD - b Merck & Co. Inc. , Kenilworth , NJ , USA. FAU - Lauring, Brett AU - Lauring B AD - f formerly of Merck & Co. Inc. , Kenilworth , NJ , USA. AD - g Currently at Takeda Pharmaceuticals , Cambridge , MA , USA. FAU - Liu, Jie AU - Liu J AD - b Merck & Co. Inc. , Kenilworth , NJ , USA. LA - eng SI - ClinicalTrials.gov/NCT01999218 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20190325 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (Bridged Bicyclo Compounds, Heterocyclic) RN - 0 (Hypoglycemic Agents) RN - 0 (Sulfonylurea Compounds) RN - 6C282481IP (ertugliflozin) RN - 6KY687524K (glimepiride) RN - 9100L32L2N (Metformin) SB - IM MH - Blood Pressure MH - Body Weight MH - *Bridged Bicyclo Compounds, Heterocyclic/administration & dosage/adverse effects/therapeutic use MH - Diabetes Mellitus, Type 2/*drug therapy MH - Female MH - Humans MH - *Hypoglycemic Agents/administration & dosage/adverse effects/therapeutic use MH - Male MH - Metformin/adverse effects/therapeutic use MH - Middle Aged MH - *Sulfonylurea Compounds/administration & dosage/adverse effects/therapeutic use OTO - NOTNLM OT - Type 2 diabetes mellitus OT - ertugliflozin OT - glimepiride OT - glycemic control OT - sodium-glucose cotransporter 2 inhibitor OT - sulfonylurea EDAT- 2019/02/15 06:00 MHDA- 2020/06/10 06:00 CRDT- 2019/02/15 06:00 PHST- 2019/02/15 06:00 [pubmed] PHST- 2020/06/10 06:00 [medline] PHST- 2019/02/15 06:00 [entrez] AID - 10.1080/03007995.2019.1583450 [pii] AID - 10.1080/03007995.2019.1583450 [doi] PST - ppublish SO - Curr Med Res Opin. 2019 Aug;35(8):1335-1343. doi: 10.1080/03007995.2019.1583450. Epub 2019 Mar 25.