Type 2 & other diabetes

Lack of impact of ipragliflozin on endothelial function in patients with type 2 diabetes: sub-analysis of the PROTECT study

Cardiovasc DiabetolPublished Secondary analysis of the PROTECT randomised trial

Authors' conclusion

Over a 24-month period, the addition of ipragliflozin to standard therapy in patients with type 2 diabetes did not change endothelial function assessed by FMD in the brachial artery.

Study context

Population
Patients with T2D in the PROTECT study with FMD assessed before and after 24 months of treatment482 in PROTECT
Participants
26 vs 32
Comparison
Add-on ipragliflozin vs standard antihyperglycemic treatment
  • Ipragliflozinn = 26
  • Controln = 32reference
Primary endpoint
Endothelial function assessed by flow-mediated vasodilation (FMD)
Follow-up
24 months
Methodological detailssub-analysis, randomized 1:1
  • Sub-analysis
  • Randomized 1:1

Primary result

As reported in the abstract

FMD, baseline vs 24 months
Ipragliflozin: FMD baseline vs 24 months 5.2 ± 2.6% vs 5.2 ± 2.6%, no significant difference
P = 0.98
Control: FMD baseline vs 24 months 5.4 ± 2.9% vs 5.0 ± 3.2%, no significant difference
P = 0.34

Further findings

OutcomeP value
HbA1c, baseline vs 24 monthsNo significant difference between changesP = 0.08

HbA1c, baseline vs 24 months

Ipragliflozin: HbA1c 7.4 ± 0.8% vs 7.0 ± 0.9%, significantly decreased from baseline
Control: HbA1c 7.4 ± 0.7% vs 7.3 ± 0.7%, not significantly decreased

Original publication

Lack of impact of ipragliflozin on endothelial function in patients with type 2 diabetes: sub-analysis of the PROTECT study. Cardiovasc Diabetol. Published 20 May 2023. doi:10.1186/s12933-023-01856-x

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