Type 2 & other diabetes

Real-world safety of dapagliflozin plus metformin in patients of type 2 diabetes mellitus in China: Post-hoc analysis of the DONATE study

Diabetes Res Clin PractPublished Post-hoc analysis of the DONATE real-world study

Authors' conclusion

Dapagliflozin and metformin combination therapy is well-tolerated in real-world Chinese T2DM patients.

Study context

Population
Chinese T2D patients receiving dapagliflozin in DONATE (n = 2,990), of whom 2,165 (72.4%) received concomitant metforminof 2,990 in DONATE
Participants
2,165 patients
Primary endpoint
Safety outcomes:
  • AEs
  • Serious AEs
  • AEs leading to dapagliflozin discontinuation
Methodological detailslarge-scale
  • Large-scale

Primary result

As reported in the abstract

Safety in patients on dapagliflozin + metformin

≥1 adverse event (AE)

780

36.0%

Serious AE

129

6.0%

AE leading to dapagliflozin discontinuation

96

4.4%

Further findings

Dapagliflozin + metformin dual-therapy subgroup

AE
26.7%
Serious AE
2.5%
AE leading to dapagliflozin discontinuation
1.9%
Numerically lower than total population and most other dual-therapy subgroups
Numerically improved metabolic outcomes vs baseline

Safety

Most common AEs

Upper respiratory tract infection
4.0%
Urinary tract infection (UTI)
2.1%
Constipation
1.5%

Most common AEs of special interest of dapagliflozin

UTI
2.3%
Genital tract infection
1.5%
Hypoglycaemia
1.1%

Original publication

Real-world safety of dapagliflozin plus metformin in patients of type 2 diabetes mellitus in China: Post-hoc analysis of the DONATE study. Diabetes Res Clin Pract. Published 13 December 2024. doi:10.1016/j.diabres.2024.111959

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