Use and effectiveness of dapagliflozin in patients with type 2 diabetes mellitus: a multicenter retrospective study in Taiwan

Jung Fu Chen, Yun Shing Peng, Chung Sen Chen, Chin Hsiao Tseng, Pei Chi Chen, Ting I. Lee, Yung Chuan Lu, Yi Sun Yang, Ching Ling Lin, Yi Jen Hung, Szu Ta Chen, Chieh Hsiang Lu, Chwen Yi Yang, Ching Chu Chen, Chun Chuan Lee, Pi Jung Hsiao, Ju Ying Jiang, Shih Te Tu

Research output: Contribution to journalArticlepeer-review

Abstract

Aims/Introduction. To investigate the clinical outcomes of patients with type 2 diabetes mellitus (T2DM) who initiated dapagliflozin in real-world practice in Taiwan. Materials and Methods. In this multicenter retrospective study, adult patients with T2DM who initiated dapagliflozin after May 1st 2016 either as add-on or switch therapy were included. Changes in clinical and laboratory parameters were evaluated at 3 and 6 months. Baseline factors associated with dapagliflozin response in glycated hemoglobin (HbA1c) were analyzed by univariate and multivariate logistic regression. Results. A total of 1,960 patients were eligible. At 6 months, significant changes were observed: HbA1c by −0.73% (95% confidence interval [CI] −0.80, −0.67), body weight was -1.61 kg (95% CI −1.79, −1.42), and systolic/diastolic blood pressure by −3.6/−1.4 mmHg. Add-on dapagliflozin showed significantly greater HbA1c reduction (−0.82%) than switched therapy (−0.66%) (p = 0.002). The proportion of patients achieving HbA1c <7% target increased from 6% at baseline to 19% at Month 6. Almost 80% of patients experienced at least 1% reduction in HbA1c, and 65% of patients showed both weight loss and reduction in HbA1c. Around 37% of patients had at least 3% weight loss. Multivariate logistic regression analysis indicated patients with higher baseline HbA1c and those who initiated dapagliflozin as add-on therapy were associated with a greater reduction in HbA1c. Conclusions. In this real-world study with the highest patient number of Chinese population to date, the use of dapagliflozin was associated with significant improvement in glycemic control, body weight, and blood pressure in patients with T2DM. Initiating dapagliflozin as add-on therapy showed better glycemic control than as switch therapy.

Original languageEnglish
Article numbere9998
JournalPeerJ
Volume8
DOIs
Publication statusPublished - Nov 17 2020

Keywords

  • Dapagliflozin
  • HbA1c
  • Real-world evidence
  • SGLT2 inhibitors
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

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