Long-term effectiveness and safety of quadruple combination therapy with empagliflozin vs dapagliflozin in patients with type 2 diabetes: 3-year prospective observational study
Diabetes Research and Clinical Practice Nov 05, 2021
Ku EJ, Lee DH, Jeon HJ, et al. - Treatment of type 2 diabetes (T2D) using quadruple combination therapy with either empagliflozin or dapagliflozin results in a positive long-term impact in the glycemic control and body weight reduction with generally good tolerance. Use of empagliflozin outperforms dapagliflozin use, in general.
This is a 3-year open-label, prospective observational study of 362 patients with T2D who were given empagliflozin (25mg/day, n=185) or dapagliflozin (10mg/day, n=177) in addition to the existing triple drug regimen.
Alterations in HbA1c and fasting plasma glucose in the empagliflozin and dapagliflozin group were -1.7% and -60.0 mg/dL, and -1.1% and -48.1 mg/dL, respectively, at 3 years.
With empagliflozin use, a significantly greater bodyweight reduction (-4.5 kg vs -1.0 kg) was achieved and HDL cholesterol and LDL cholesterol were beneficially impacted.
No difference in the overall incidence of adverse events and cardiovascular events and mortality was found between the two groups.
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