III期临床试验证明:Dorzagliatin单药治疗2型糖尿病疗效确切

2020-06-18 Allan MedSci原创

专注于研发糖尿病疗法的华领医药(Hua Medicine)今日公布了III期SEED研究的第一阶段和第三阶段的主要成果。

专注于研发糖尿病疗法的华领医药(Hua Medicine)今日公布了III期SEED研究的第一阶段和第三阶段的主要成果。这项为期52周的III期临床试验研究了Dorzagliatin(75mg BID)在463例2型糖尿病患者中的有效性和安全性,最初采用24周双盲、安慰剂对照治疗,然后采用开放标签治疗28周。在24周时评估主要疗效和安全性终点。Dorzagliatin是一款葡萄糖激酶激活剂。

2019年11月,华领医药宣布该试验在最初的24周双盲期内达到了其主要功效和安全性终点。在52周的治疗期内,主要数据表明,经Dorzagliatin治疗的患者可维持疗效。在开放标签的28周期间,最初接受安慰剂的患者(即安慰剂组)首次接受了Dorzagliatin治疗。

在28周的开放标签治疗期内,Dorzagliatin继续表现出安全且耐受良好的临床特征。在Dorzagliatin治疗组和安慰剂组之间,不良事件的发生率相似。在52周的治疗期间,血糖<3 mmol / L的低血糖发生率不足1%。在为期28周的开放标签治疗期间,患者胰岛素抵抗持续降低。

 

原始出处:

https://www.firstwordpharma.com/node/1733706?tsid=4

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    2021-02-04 juliusluan78
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  5. 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  6. 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  7. 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  9. 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    2020-06-18 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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Diabetes Care:2型糖尿病患者发病年龄与终末期肾脏疾病长期风险之间的关系

2型糖尿病患者的ESKD长期风险很高,这对那些较年轻的糖尿病患者影响更大,因为他们糖尿病病程更长。

Diabetes Obes Metab:缬沙坦,贝那普利及其组合对2型糖尿病明显肾病的作用

本研究旨在评估血管紧张素转换酶(ACE)抑制剂和血管紧张素Ⅱ受体阻滞剂(ARB)联合治疗是否比ACE抑制剂或ARB单药治疗对2型糖尿病和显性肾病患者的肾脏保护作用更大。

Clin J Am Soc Nephrol:Imarikiren在2型糖尿病和微量白蛋白尿患者中的疗效和安全性

伊马利克仑是一种新型的、强效的、选择性的直接肾素抑制剂,在临床开发过程中表现出较高的口服可用性,用于治疗糖尿病肾病。我们评估了伊马利克仑在2型糖尿病和微量白蛋白尿患者中的疗效和安全性。

Metabolism:DPP-4抑制剂在2型糖尿病治疗中的疗效和安全性

心血管结局试验已证明采用西他列汀、沙格列汀、阿格列汀、利那列汀和维达列汀治疗的患者对于缺血性事件具有心血管安全性。研究显示沙格列汀治疗的患者住院率增加的数据似乎不是药物类别的效应。

Diabetes Obes Metab:2型糖尿病和慢性肾脏病患者二甲双胍的使用和心血管事件的发生

二甲双胍可能对心血管疾病和肾脏疾病的进展有好处,但由于担心它可能会增加乳酸酸中毒的风险,因此糖尿病和慢性肾脏病患者通常不服用二甲双胍。

J Am Soc Nephrol:白蛋白尿而非GFR的变化与2型糖尿病患者肾脏结构的早期变化有关

在1型糖尿病中,GFR和尿液白蛋白与肌酐比值(ACR)的变化与反映疾病进展的肾脏结构变化有关。然而,这种变化尚未在2型糖尿病中进行研究。

拓展阅读

BMC Geriatr :利用多代谢参数作为预测中国老年2型糖尿病患者骨骼肌肉质量的决定因素

在这项横断面研究中,身体质量指数、女性和PPCP与T2DM相关是低肌肉质量的保护因素。BF与T2DM和低肌肉质量风险因素相关。

Front Cell Infect Microbiol:肠道菌群与2型糖尿病发病之间的关系

GM与T2DM有潜在的因果关系,尤其是粪种、细尾种和长尾种。还需要进一步的研究来澄清某些与先前发现相矛盾的结果。

Eur Heart J-Card Pha:GLP-1 RA在心衰和2型糖尿病治疗中的应用及其与患者预后的关系

在HF和T2DM患者中,GLP-1 RA的使用与更严重的T2DM、EF和肥胖的减少独立相关,与HHF/CV死亡的高风险无关,但与更长的生存期和更少的主要CV不良事件相关。

Eur J Prev Cardiol:心血管疾病患者发生2型糖尿病的终生预测模型的开发和验证

在已确诊的心血管疾病患者中,使用容易获得的临床预测指标,可以通过心血管疾病T2D模型估计T2D的10年和终生风险。

J Diabetes:贝格列净与达格列净联合二甲双胍治疗中国2型糖尿病患者的疗效和安全性比较

二甲双胍由于其有效的降糖作用、良好的成本性价比、可获得性和丰富的临床使用经验,通常是治疗2型糖尿病(T2DM)的一线治疗药物。

J Diabetes:运动可以改善2型糖尿病患者血糖波动及脂肪与肌肉分布的关系

糖尿病是一种慢性代谢性疾病,其特征是出现一系列并发症,导致残疾和死亡率增加,血糖控制对糖尿病及其并发症的预防和治疗至关重要。