Type 1 diabetes

Sotagliflozin, a dual sodium‐glucose co‐transporter‐1 and sodium‐glucose co‐transporter‐2 inhibitor, reduces the risk of cardiovascular and kidney disease, as assessed by the Steno T1 Risk Engine in adults with type 1 diabetes

Diabetes Obes MetabPublished Post hoc analysis of the inTandem randomised trials

Authors' conclusion

This analysis provides additional clinical results that may positively balance the benefit/risk assessment of SGLT inhibition use in T1D.

Study context

Population
Adults with T1D in the inTandem trials, treated for 24 weeks
Participants
2,980 adults
Comparison
Sotagliflozin (SOTA) vs placebo
Primary endpoint
Predicted cumulative risk of CVD and kidney failure (Steno T1 Risk Engine)
Methodological detailsparticipant-level data, Steno T1 Risk Engine
  • Participant-level data
  • Steno T1 Risk Engine

Primary result

As reported in the abstract

Predicted CVD and kidney failure risk (Steno T1 Risk Engine), relative change vs placebo · 24 weeks
Each group vs placeboEstimate (95% CI)P value
SOTA 200 and 400 mg pooled
relative change, mean (predicted 5-year CVD risk) −6.6 %(−7.9 to −5.3)
P < 0.0001
SOTA 200 and 400 mg pooled
relative change, mean (predicted 10-year CVD risk) −6.4 %(−7.6 to −5.1)
P < 0.0001
Predicted 5-year ESKD risk: significant reduction, relative change
−5.0 (−7.6, −2.3) % (p = 0.0003)

Further findings

Individual doses and subgroup with BMI ≥ 27 kg/m²

Similar results with the individual doses and in participants with BMI ≥ 27 kg/m²

Original publication

Sotagliflozin, a dual sodium‐glucose co‐transporter‐1 and sodium‐glucose co‐transporter‐2 inhibitor, reduces the risk of cardiovascular and kidney disease, as assessed by the Steno T1 Risk Engine in adults with type 1 diabetes. Diabetes Obes Metab. Published 20 March 2023. doi:10.1111/dom.15047

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