PMID- 32700421 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 22 IP - 12 DP - 2020 Dec TI - Efficacy and safety of ertugliflozin in older patients with type 2 diabetes: A pooled analysis of phase III studies. PG - 2276-2286 LID - 10.1111/dom.14150 [doi] AB - AIM: To assess the efficacy and safety of ertugliflozin in older patients with type 2 diabetes (T2D). MATERIALS AND METHODS: This is a post hoc analysis of patients with T2D aged less than 65 years and those aged 65 years or older who participated in randomized, double-blind, phase III studies of ertugliflozin. Efficacy was evaluated in a pooled analysis of three placebo-controlled studies (ertugliflozin monotherapy and add-on therapy). Safety was evaluated in a pooled analysis of seven placebo- and active-controlled studies (including those used for efficacy). Least-squares mean change from baseline was calculated for HbA1c, fasting plasma glucose (FPG), body weight (BW) and systolic blood pressure (SBP). Safety evaluation included overall and prespecified adverse events (AEs). RESULTS: In participants aged less than 65 years, the placebo-adjusted mean changes from baseline in HbA1c, BW and SBP with ertugliflozin 5 and 15 mg at week 26 were -0.9% and -1.0%, -1.9 and -1.8 kg, and -3.7 and -3.6 mmHg, respectively; in participants aged 65 years or older they were -0.6% and -0.8%, -1.9 and -2.2 kg, and -2.7 and -3.4 mmHg, respectively. The incidences of AEs, serious AEs, discontinuations and deaths in participants aged less than 65 years and those aged 65 years or older were generally similar across the treatment groups. In patients aged 65 years or older the incidences of volume depletion AEs and genital mycotic infection were higher with ertugliflozin than with non-ertugliflozin. CONCLUSIONS: Ertugliflozin improved glycaemic control, BW and SBP in younger and older individuals with T2D and was generally well tolerated in both groups. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Pratley, Richard AU - Pratley R AUID- ORCID: 0000-0002-2912-1389 AD - AdventHealth Translational Research Institute for Metabolism and Diabetes, Orlando, Florida, USA. FAU - Dagogo-Jack, Samuel AU - Dagogo-Jack S AD - University of Tennessee Health Science Center, Memphis, Tennessee, USA. FAU - Charbonnel, Bernard AU - Charbonnel B AD - University of Nantes, Nantes, France. FAU - Patel, Shrita AU - Patel S AD - Merck & Co., Inc., Kenilworth, New Jersey, USA. FAU - Hickman, Anne AU - Hickman A AD - Pfizer Inc., Groton, Connecticut, USA. FAU - Liu, Jie AU - Liu J AD - Merck & Co., Inc., Kenilworth, New Jersey, USA. FAU - Tarasenko, Lisa AU - Tarasenko L AD - Pfizer Inc., New York, New York, USA. FAU - Pong, Annpey AU - Pong A AD - Merck & Co., Inc., Kenilworth, New Jersey, USA. FAU - Ellison, Misoo C AU - Ellison MC AD - Merck & Co., Inc., Kenilworth, New Jersey, USA. FAU - Huyck, Susan AU - Huyck S AD - Merck & Co., Inc., Kenilworth, New Jersey, USA. FAU - Gantz, Ira AU - Gantz I AD - Merck & Co., Inc., Kenilworth, New Jersey, USA. FAU - Terra, Steven G AU - Terra SG AUID- ORCID: 0000-0002-5815-6193 AD - Pfizer Inc., Andover, Massachusetts, USA. LA - eng GR - Funding for this research was provided by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, in collaboration with Pfizer Inc./ PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20200831 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (Bridged Bicyclo Compounds, Heterocyclic) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 6C282481IP (ertugliflozin) SB - IM MH - Aged MH - Blood Glucose MH - Bridged Bicyclo Compounds, Heterocyclic/adverse effects MH - *Diabetes Mellitus, Type 2/drug therapy MH - Double-Blind Method MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/adverse effects MH - Randomized Controlled Trials as Topic MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Treatment Outcome OTO - NOTNLM OT - SGLT2 inhibitor OT - antidiabetic drug OT - diabetes complications OT - glycaemic control OT - observational study OT - type 2 diabetes EDAT- 2020/07/24 06:00 MHDA- 2021/06/25 06:00 CRDT- 2020/07/24 06:00 PHST- 2020/03/31 00:00 [received] PHST- 2020/07/13 00:00 [revised] PHST- 2020/07/21 00:00 [accepted] PHST- 2020/07/24 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2020/07/24 06:00 [entrez] AID - 10.1111/dom.14150 [doi] PST - ppublish SO - Diabetes Obes Metab. 2020 Dec;22(12):2276-2286. doi: 10.1111/dom.14150. Epub 2020 Aug 31.