PMID- 34536208 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211030 IS - 1869-6953 (Print) IS - 1869-6961 (Electronic) IS - 1869-6961 (Linking) VI - 12 IP - 11 DP - 2021 Nov TI - Efficacy and Safety of Switching to Teneligliptin in Patients with Type 2 Diabetes Inadequately Controlled with Dipeptidyl Peptidase-4 Inhibitors: 52-Week Results from a Prospective Observational Study. PG - 2907-2920 LID - 10.1007/s13300-021-01148-1 [doi] AB - INTRODUCTION: The aim of this study was to assess the efficacy and safety of switching to teneligliptin from other dipeptidyl peptidase-4 (DPP-4) inhibitors in patients with type 2 diabetes mellitus (T2DM) inadequately controlled despite treatment with a stable dose of other DPP-4 inhibitors. METHODS: Patients with glycosylated hemoglobin (HbA1c) >/= 7% despite taking DPP-4 inhibitors other than teneligliptin, with or without other antidiabetic agents, for at least 3 months were enrolled in this study. Patients on DPP-4 inhibitors administered prior to participation in this study were switched to 20 mg teneligliptin once daily and the dose was maintained for the 52-week study period. The primary endpoint was the change in HbA1c at week 12. Fasting plasma glucose (FPG) and the blood lipid profile were also evaluated. Adverse events were monitored for safety assessment. RESULTS: At weeks 12, 24, and 52, the HbA1c values significantly decreased by - 0.39, - 0.44, and - 0.52%, respectively, compared to the baseline value (p < 0.0001); in addition, 56.3, 60.3, and 62.3% of patients, respectively, achieved decreases in HbA1c of at least 0.3%, and 40.1, 46.5, and 52.4% of patients, respectively, achieved decreases in HbA1c of at least 0.5%. The proportion of the patient population achieving HbA1c < 7.0% increased throughout the study period, reaching 30.4, 35.4, and 36.9% at weeks 12, 24, and 52, respectively; at these same time points, the percentage of patients achieving HbA1c < 6.5% increased to 9.5, 11.9, and 13.2% of the total study population. FPG levels and lipid parameters were also significantly decreased after teneligliptin treatment. There were no significant safety concerns. CONCLUSION: Our results suggest the significant glucose-lowering effect of teneligliptin after switching from other DPP-4 inhibitors in patients with T2DM. The improvement in glycemic control was maintained for up to 52 weeks without safety concerns. CI - (c) 2021. The Author(s). FAU - Kim, Hae Jin AU - Kim HJ AD - Department of Endocrinology and Metabolism, Ajou University School of Medicine, San 5, Woncheon-dong, Yeongtong-gu, Suwon, 443-721, South Korea. FAU - Kim, Young Sik AU - Kim YS AD - Department of Family Medicine, University of Ulsan College of Medicine, Seoul, South Korea. FAU - Lee, Chang Beom AU - Lee CB AD - Department of Internal Medicine, Hanyang University College of Medicine, Guri, South Korea. FAU - Choi, Moon-Gi AU - Choi MG AD - Department of Internal Medicine, College of Medicine, Hallym University, Chuncheon, South Korea. FAU - Chang, Hyuk-Jae AU - Chang HJ AD - Department of Cardiology, Yonsei University College of Medicine, Seoul, South Korea. FAU - Kim, Soo Kyoung AU - Kim SK AD - Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, South Korea. FAU - Yu, Jae Myung AU - Yu JM AD - Department of Internal Medicine, Hallym University College of Medicine, Seoul, South Korea. FAU - Kim, Tae Ho AU - Kim TH AD - Department of Internal Medicine, Seoul Medical Center, Seoul, South Korea. FAU - Lee, Ji Hyun AU - Lee JH AD - Department of Internal Medicine, Catholic University of Daegu, Daegu, South Korea. FAU - Ahn, Kyu Jeung AU - Ahn KJ AD - Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, South Korea. FAU - Min, Kyung Wan AU - Min KW AD - Department of Internal Medicine, Eulji University School of Medicine, Seoul, South Korea. FAU - Kyung, Eun Jung AU - Kyung EJ AD - Medical Affairs, Handok Inc, Seoul, South Korea. FAU - Kim, Yeo Kyeong AU - Kim YK AD - Medical Affairs, Handok Inc, Seoul, South Korea. FAU - Lee, Kwan Woo AU - Lee KW AUID- ORCID: 0000-0002-7965-9662 AD - Department of Endocrinology and Metabolism, Ajou University School of Medicine, San 5, Woncheon-dong, Yeongtong-gu, Suwon, 443-721, South Korea. lkw65@ajou.ac.kr. LA - eng PT - Journal Article DEP - 20210918 PL - United States TA - Diabetes Ther JT - Diabetes therapy : research, treatment and education of diabetes and related disorders JID - 101539025 PMC - PMC8519978 OTO - NOTNLM OT - Diabetes mellitus, type 2 OT - Dipeptidyl peptidase IV inhibitors OT - Teneligliptin EDAT- 2021/09/19 06:00 MHDA- 2021/09/19 06:01 PMCR- 2021/09/18 CRDT- 2021/09/18 12:10 PHST- 2021/07/07 00:00 [received] PHST- 2021/08/25 00:00 [accepted] PHST- 2021/09/19 06:00 [pubmed] PHST- 2021/09/19 06:01 [medline] PHST- 2021/09/18 12:10 [entrez] PHST- 2021/09/18 00:00 [pmc-release] AID - 10.1007/s13300-021-01148-1 [pii] AID - 1148 [pii] AID - 10.1007/s13300-021-01148-1 [doi] PST - ppublish SO - Diabetes Ther. 2021 Nov;12(11):2907-2920. doi: 10.1007/s13300-021-01148-1. Epub 2021 Sep 18.