Cardiometabolic & kidney

Effect of ipragliflozin on carotid intima-media thickness in patients with type 2 diabetes: a multicenter, randomized, controlled trial

Eur Heart J Cardiovasc PharmacotherPublished Randomised controlled trial

Primary result · Change in mean CCA-IMTResult — go to the resultEstimated group difference −0.0001 mm 95% CI −0.0191-0.0189

Authors' conclusion

Twenty-four months of ipragliflozin treatment did not affect carotid IMT status in patients with type 2 diabetes recruited in the PROTECT study, relative to the non-SGLT2 inhibitor-use standard care for type 2 diabetes.

Study context

Population
Adults with T2DM and haemoglobin A1C (HbA1c) 6.0–10.0% (42–86 mmol/mol)464 analysed
Participants
482 adults
Comparison
Ipragliflozin vs non-SGLT2 inhibitor standard care
  • Ipragliflozinn = 241
  • Controln = 241reference
Primary endpoint
Change in mean common carotid artery intima-media thickness (IMT) (common carotid artery IMT (CCA-IMT))
Follow-up
Baseline to 24 months
Methodological detailsmulticentre, prospective, open-label, blinded-endpoint, investigator-initiated
  • Multicentre
  • Prospective
  • Open-label
  • Blinded-endpoint
  • Investigator-initiated

Primary result

Change in mean CCA-IMT · up to 24 months

Estimated group difference

−0.0001 mm

95% CI −0.0191-0.0189

P = 0.989

Change by group

Ipragliflozin

0.0013

change · 95% CI −0.0155–0.0182 · mm

Control

0.0015

change · 95% CI −0.0155–0.0184 · mm

Ipragliflozinvs Control
estimated group difference −0.0001 mm (95% CI −0.0191-0.0189); P = 0.989

As reported in the abstract

Further findings

HbA1c change · up to 24 months

Non-significant group difference in HbA1c change between the treatment groups: −0.1% (95% CI, −0.2-0.1)
P = 0.359

Original publication

Effect of ipragliflozin on carotid intima-media thickness in patients with type 2 diabetes: a multicenter, randomized, controlled trial. Eur Heart J Cardiovasc Pharmacother. Published 29 October 2022. doi:10.1093/ehjcvp/pvac059

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