PMID- 32324082 OWN - NLM STAT- MEDLINE DCOM- 20210601 LR - 20221207 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 36 IP - 8 DP - 2020 Aug TI - Efficacy and safety of ertugliflozin across racial groups in patients with type 2 diabetes mellitus. PG - 1277-1284 LID - 10.1080/03007995.2020.1760228 [doi] AB - Objective: To assess the efficacy and safety of the sodium-glucose cotransporter 2 inhibitor ertugliflozin across racial groups in patients with type 2 diabetes mellitus (T2DM).Methods: Pooled analysis of data from randomized, double-blind studies in the ertugliflozin phase III development program. Seven placebo- and comparator-controlled studies were used to assess safety (N = 4859) and three placebo-controlled studies were used to assess efficacy (N = 1544). Least-squares (LS) mean change from baseline was calculated for glycated hemoglobin (HbA1c), body weight and systolic blood pressure (SBP). Safety evaluation included overall and prespecified adverse events (AEs).Results: At Week 26, ertugliflozin provided a greater reduction in HbA1c, body weight and SBP versus placebo in all racial subgroups. The placebo-adjusted LS mean change (95% confidence interval) from baseline in HbA1c was -0.8% (-1.0, -0.7) and -1.0% (-1.1, -0.8) with ertugliflozin 5 mg and 15 mg, respectively, in the White subgroup, -0.7% (-1.2, -0.2) and -0.8% (-1.3, -0.3) in the Black subgroup, and -0.8% (-1.1, -0.5) and -1.0% (-1.3, -0.8) in the Asian subgroup. The incidences of overall AEs, serious AEs and AEs leading to discontinuation from study medication were similar between the ertugliflozin 5 mg, 15 mg and non-ertugliflozin groups within each racial subgroup. The incidence of female genital mycotic infection (GMI) was higher with ertugliflozin than non-ertugliflozin across all racial subgroups. The incidence of male GMI was higher with ertugliflozin than non-ertugliflozin in the White sub-group; however, there were few male GMI events in the non-White subgroups.Conclusions: In patients with T2DM, treatment with ertugliflozin improved HbA1c, body weight and SBP across all racial subgroups. Ertugliflozin had a generally similar safety profile across racial subgroups and was generally well tolerated. Clinicaltrials.gov identifiers: NCT01986855, NCT01999218, NCT01958671, NCT02099110, NCT02036515, NCT02033889, and NCT02226003. FAU - Liu, Jie AU - Liu J AD - Merck & Co. Inc., Kenilworth, NJ, USA. FAU - Tarasenko, Lisa AU - Tarasenko L AD - Pfizer Inc., New York, NY, USA. FAU - Pong, Annpey AU - Pong A AD - Merck & Co. Inc., Kenilworth, NJ, USA. FAU - Huyck, Susan AU - Huyck S AD - Merck & Co. Inc., Kenilworth, NJ, USA. FAU - Wu, Larry AU - Wu L AD - Merck & Co. Inc., Kenilworth, NJ, USA. FAU - Patel, Shrita AU - Patel S AD - Merck & Co. Inc., Kenilworth, NJ, USA. FAU - Hickman, Anne AU - Hickman A AD - Pfizer Inc., Groton, CT, USA. FAU - Mancuso, James P AU - Mancuso JP AD - Pfizer Inc., Groton, CT, USA. FAU - Gantz, Ira AU - Gantz I AD - Merck & Co. Inc., Kenilworth, NJ, USA. FAU - Terra, Steven G AU - Terra SG AUID- ORCID: 0000-0002-5815-6193 AD - Pfizer Inc., Andover, MA, USA. LA - eng SI - ClinicalTrials.gov/NCT01986855 SI - ClinicalTrials.gov/NCT02033889 SI - ClinicalTrials.gov/NCT01999218 SI - ClinicalTrials.gov/NCT02226003 SI - ClinicalTrials.gov/NCT01958671 SI - ClinicalTrials.gov/NCT02036515 SI - ClinicalTrials.gov/NCT02099110 PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20200513 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (Bridged Bicyclo Compounds, Heterocyclic) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 6C282481IP (ertugliflozin) SB - IM MH - Adult MH - Aged MH - Black People MH - Bridged Bicyclo Compounds, Heterocyclic/adverse effects/*therapeutic use MH - Diabetes Mellitus, Type 2/*drug therapy/ethnology MH - Double-Blind Method MH - Female MH - Genital Diseases, Female/chemically induced MH - Genital Diseases, Male/chemically induced MH - Humans MH - Male MH - Middle Aged MH - Mycoses/chemically induced MH - Sodium-Glucose Transporter 2 Inhibitors/*therapeutic use MH - White People OTO - NOTNLM OT - HbA1c OT - SGLT2 inhibitor OT - ethnicity OT - race OT - type 2 diabetes EDAT- 2020/04/24 06:00 MHDA- 2021/06/02 06:00 CRDT- 2020/04/24 06:00 PHST- 2020/04/24 06:00 [pubmed] PHST- 2021/06/02 06:00 [medline] PHST- 2020/04/24 06:00 [entrez] AID - 10.1080/03007995.2020.1760228 [doi] PST - ppublish SO - Curr Med Res Opin. 2020 Aug;36(8):1277-1284. doi: 10.1080/03007995.2020.1760228. Epub 2020 May 13.