Journal
NEPHRON CLINICAL PRACTICE
Volume 123, Issue 1-2, Pages 46-51Publisher
KARGER
DOI: 10.1159/000351678
Keywords
Alogliptin benzoate; DPP-4 inhibitor; Diabetes; Hemodialysis; Active glucagon-like peptide-1
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Aim: To evaluate the long-term efficacy of monotherapy with the dipeptidase-4 inhibitor alogliptin benzoate in hemodialysis (HD) patients with type 2 diabetes. Methods: Sixteen diabetic HD patients with inadequate glycemic control (hemoglobin A(1c) (HbA1c) level >6.5% and glycated albumin (GA) level >20%) on diet and exercise participated in the study. No patients were taking other oral antidiabetic drugs or receiving insulin therapy. Alogliptin 6.25 mg was administered to patients once daily. HbA1c, GA levels were obtained before and after 2 years of treatment. Body weight and active glucagon-like peptide-1, blood glucose, insulin, C-peptide immunoreactivity, glucagon, albumin, hemoglobin, and total cholesterol levels were also examined before and after treatment. Results: Both HbA1c and GA levels decreased after starting alogliptin administration. As compared to the pretreatment levels, HbA1c and GA levels significantly decreased at 3 and 18 months, respectively, after starting alogliptin administration. HbA1c and GA levels decreased from 7.1 +/- 0.2 to 5.8 +/- 1.6% and from 22.5 +/- 0.7 to 19.6 +/- 0.6%, respectively, 24 months after beginning treatment. Glucagon-like peptide-1 levels (8.9 +/- 5.7 pmol/l before treatment) doubled after treatment. Body weight and blood glucose, insulin, C-peptide immunoreactivity, glucagon, albumin, hemoglobin, and total cholesterol levels did not change with treatment. Only one significant adverse effect, a drug-related rash, was seen in 1 patient. Conclusion: Longterm (2-year) effects of alogliptin benzoate monotherapy suggest its efficacy as a new treatment strategy in diabetic HD patients. Copyright (C) 2013 S. Karger AG, Basel
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