Diabetes complications

Ranibizumab with luseogliflozin in type 2 diabetes with diabetic macular oedema: A randomised clinical trial

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Although the overall number of anti-VEGF injections in the target eye showed no significant difference, some patients responded favourably to SGLT2i and required fewer injections. The reduction in fellow eye injections suggests SGLT2i's efficacy in treating early-stage DMO.

Study context

Population
Patients with T2D and diabetic macular oedema (DMO) eligible for anti-VEGF therapy; mostly with DR, half previously treated with anti-VEGF therapy
Participants
60 patients
Comparison
Luseogliflozin vs glimepiride, with ranibizumab
Primary endpoint
Number of ranibizumab doses (target eye)
Follow-up
Up to week 48
Methodological detailsmulticentre, open-label
  • Multicentre
  • Open-label

Primary result

As reported in the abstract

Injection frequency, target eye

P = 0.36

Further findings

OutcomeHR (95% CI)P value
Re-administration after the fourth injectionDecreased significantly in SGLT2i0.45 (0.22–0.92)P = 0.030
OutcomeSGLT2iSUP value
Fellow eye injectionsFewer with SGLT2i1.3 ± 0.63.4 ± 0.8P = 0.016

Fellow eye injections

Fellow eyes in SGLT2i showed significant central retinal thickness (CRT) reduction vs SU

HbA1c, CRT and best-corrected visual acuity

Equivalent improvements in SGLT2i and SU

Original publication

Ranibizumab with luseogliflozin in type 2 diabetes with diabetic macular oedema: A randomised clinical trial. Diabetes Obes Metab. Published 11 February 2025. doi:10.1111/dom.16244

Composed by AI from the published abstract and checked against it. How Briefs are made →

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