CLINICAL SUMMARIES
Recent Obesity article
In patients with heart failure with preserved ejection fraction (HFpEF) and obesity, tirzepatide significantly reduced the composite risk of cardiovascular death or worsening heart failure and improved health status compared to placebo, though it was associated with higher gastrointestinal side effects.
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SUSTAIN
In patients with inadequately controlled type 2 diabetes on SGLT-2 inhibitors, adding semaglutide significantly improved HbA1c and reduced body weight compared to placebo, though it was associated with an increased frequency of gastrointestinal side effects.
Summary: In 788 adults with T2D (HbA1c 7.0-10.5%) inadequately controlled on stable metformin, BMI ≥25, once-weekly semaglutide 1.0…
Summary: In 1,748 adults with T2D (HbA1c 7.5-10.0%) inadequately controlled on basal insulin glargine and metformin, once-weekly semaglutide…
Summary: In 178 adults with T2D (HbA1c 7.0-10.5%) on stable metformin, once-weekly semaglutide (0.25-1.0 mg) for 52 weeks…
In patients with type 2 diabetes, weekly subcutaneous semaglutide significantly reduced HbA1c and body weight compared to dulaglutide at similar doses, though it was associated with higher gastrointestinal side effects.
In patients with type 2 diabetes on basal insulin, adding semaglutide significantly improved glycaemic control (HbA1c reduction) and weight loss compared to placebo, though it was associated with more gastrointestinal side effects.
RECENT
The CANVAS Programme demonstrated that canagliflozin reduced major adverse cardiovascular events by 14% in patients with type 2 diabetes at high cardiovascular risk, but identified an approximately twofold increase in lower-extremity amputation risk, primarily at the toe or metatarsal level, requiring careful patient selection and monitoring.
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