期刊
DIABETES OBESITY & METABOLISM
卷 20, 期 5, 页码 1102-1110出版社
WILEY
DOI: 10.1111/dom.13217
关键词
cardiovascular outcomes; CVOTs; dapagliflozin; SGLT2 inhibitors; type 2 diabetes
资金
- AstraZeneca
Aim: To describe the baseline characteristics of participants randomized in the Dapagliflozin Effect on CardiovascuLAR Events (DECLARE-TIMI 58) trial, the pivotal study conducted to assess cardiovascular (CV) outcomes with dapagliflozin. Methods: The DECLARE-TIMI 58 trial will analyse 17 160 patients with type 2 diabetes randomized to treatment with dapagliflozin (10 mg/d) or matching placebo. We analysed their baseline characteristics. Results: The participants' mean +/- SD age was 63.8 +/- 6.8 years, 62.6% were male, and their mean +/- SD diabetes duration was 11.8 +/- 7.8 years, glycated haemoglobin 8.3% +/- 1.2% (67 mmol/mol +/- 9.7 mmol/mol) and body mass index 32.1 +/- 6.0 kg/m(2). Randomization included 6971 (40.6%) patients with atherosclerotic CV disease (CVD), and 10 189 (59.4%) patients with multiple risk factors (MRF) for CVD (defined as men age >= 55 years or women >= 60 years, with at least one of dyslipidaemia, hypertension or smoking). Patients with CVD compared with patients with MRF were younger (62.5 +/- 8.1 vs 64.7 +/- 5.6 years), more frequently male (72.1% vs 56.1%), less often used metformin (74.6% vs 81.2%), more often used insulin (44.2% vs 36.4%), and more frequently used statins, aspirin, clopidogrel and beta-blockers (82.2%, 71.1%, 24.7% and 66.6% vs 63.7%, 39.1%, 1.5% and 32.3%, respectively). Conclusion: The DECLARE-TIMI 58 trial is expected to provide conclusive data on the effect of treatment with dapagliflozin in addition to standard of care, on CV outcomes in a broad patient population with type 2 diabetes and CVD or MRF for CVD.
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