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October 24, 2021Diabetology & Metabolic SyndromeOpen Access

Sitagliptin treatment for 10 years in patients with type 2 diabetes mellitus significantly improved beta-cell function and reduced albuminuria, suggesting long-lasting renoprotective and islet-protective effects.

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Why the study?

Does sitagliptin improve glycemic control, renoprotective effects, and beta-cell function in Japanese patients with type 2 diabetes mellitus without a history of cardiovascular disease?

Population

Japanese patients with T2DM without a history of CVD (n = 17 sitagliptin, n = 9 control)

Comparison

Sitagliptin 50 mg monotherapy or combination therapy vs placebo monotherapy or combination therapy

Follow-up

Ten years

Key result

Sitagliptin treatment for 10 years in patients with type 2 diabetes mellitus significantly improved beta-cell function and reduced albuminuria, suggesting long-lasting renoprotective and islet-protective effects.

Authors

SHSachiko Hattori

Discussion

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Member takes

Overview

May support long-term renoprotection and β-cell preservation with early sitagliptin in T2DM; leaves open confirmation in randomized trials.

Study Design

Type

RCT (n=52)

Blinding

Open-label

Randomization

Randomized

Multicenter

No

Structured PICO

Does sitagliptin improve glycemic control, renoprotective effects, and beta-cell function in Japanese patients with type 2 diabetes mellitus without a history of cardiovascular disease?

P
Population
52 Japanese patients aged 20-75 years with type 2 diabetes mellitus, free of prior cardiovascular disease, followed for 10 years.
I
Intervention
Sitagliptin 50 mg as either monotherapy or combination therapy with other oral glucose-lowering drugs
C
Comparator
Placebo as either monotherapy or combination therapy with other glucose-lowering drugs
O
Outcome
Glycemic control (hemoglobin A1c), renoprotective effects (urinary albumin-to-creatinine ratio, estimated glomerular filtration rate), and beta-cell function (HOMA-beta) at 10 yearssurrogate

Ten-year treatment with sitagliptin in T2DM patients without prior CVD provides sustained renoprotective and beta-cell protective effects.

Limitations

  • Small number of participants
  • High dropout rate over the 10-year follow-up period

Cite This Study

Sachiko Hattori (2021) conducted an RCT in Type 2 diabetes mellitus (n=52). Sitagliptin vs. Placebo was evaluated on Change in urinary albumin excretion (ACR) and HOMA-β. Sitagliptin treatment for 10 years in patients with type 2 diabetes mellitus significantly improved beta-cell function and reduced albuminuria, suggesting long-lasting renoprotective and islet-protective effects.

synapsesocial.com/papers/6aaa1a3ecf2bca5c547e6636https://doi.org/10.1186/s13098-021-00735-3
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