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1200-P: Predictors of Glycaemic and Weight Response to Empagliflozin Treatment: The ABCD Nationwide Empagliflozin Audit.

Authors :
THONG, KEN
CHUNG-WAH-CHEONG, JONATHAN
YADAGIRI, MAHENDER
CULL, MELISSA L.
BICKERTON, ALEX
PHILLIPS, SUZANNE M.
EVANS, ALISON
SENNIK, DEVESH K.
ROHILLA, ANURITA
REID, HAZEL
MORRIS, DAVID S.
ATKIN, MARC
ROBINSON, ANTHONY M.
WILLIAMS, DAVID M.
STEPHENS, JEFFREY W.
GALLEN, IAN W.
ADAMSON, KAREN
RYDER, ROBERT E.
Source :
Diabetes. 2019 Supplement, Vol. 68, pN.PAG-N.PAG. 1p.
Publication Year :
2019

Abstract

Introduction: We investigated clinical parameters that are potentially associated with improved empagliflozin treatment response. Methods: We obtained data from a large-scale audit of empagliflozin use in the UK. We analyzed the association between patients' baseline age, HbA1c, weight, diabetes duration, alanine aminotransferase (ALT), sex, chronic kidney disease (CKD) stage, empagliflozin dose (25 vs. 10mg), use of GLP-1RAs and use of insulin with HbA1c and weight changes at 26 weeks of treatment. Results: Among 1436 patients, HbA1c reduced by, mean[95% CI], 1.35%[1.27,1.42] (p<0.0001) from a baseline of, mean±SD, 9.41±1.41%. Among 1381 patients, weight reduced by 3.6 kg[3.3,3.9] (p<0.0001) from a baseline of 100.2±20.7 kg. Results of univariate analyses are shown in Table 1. In multivariate analysis, higher baseline HbA1c (p<0.0001), lower CKD stage (p=0.002) and higher ALT (log transformed)(p=0.02) were associated with greater HbA1c reduction. Higher baseline weight (p<0.001) and non-insulin use (p<0.0001) were associated with greater weight reduction. Conclusion: As expected, HbA1c reduction was associated with baseline HbA1c and background renal function, while weight reduction was associated with baseline weight. The interactions between HbA1c reduction and ALT levels, and weight reduction with insulin treatment status warrant further investigations. Disclosure: K. Thong: None. J. Chung-Wah-Cheong: None. M. Yadagiri: None. M.L. Cull: None. A. Bickerton: Employee; Self; MyWay Digital Health. S.M. Phillips: None. A. Evans: None. D.K. Sennik: Speaker's Bureau; Self; AstraZeneca, Boehringer Ingelheim Pharmaceuticals, Inc., Sanofi. A. Rohilla: None. H. Reid: None. D.S. Morris: Other Relationship; Self; AstraZeneca, Boehringer Ingelheim Pharmaceuticals, Inc., Merck Sharp & Dohme Corp., NAPP Pharmaceuticals Limited, Novo Nordisk A/S, Sanofi-Aventis. M. Atkin: Advisory Panel; Self; NAPP Pharmaceuticals Limited. Consultant; Self; My mHealth. Speaker's Bureau; Self; AstraZeneca, Novo Nordisk Inc. A.M. Robinson: Advisory Panel; Self; Takeda UK. D.M. Williams: None. J.W. Stephens: Advisory Panel; Self; Boehringer Ingelheim Pharmaceuticals, Inc., Novo Nordisk Inc. Speaker's Bureau; Self; Boehringer Ingelheim Pharmaceuticals, Inc., Lilly Diabetes, NAPP Pharmaceuticals Limited. I.W. Gallen: None. K. Adamson: None. R.E. Ryder: Advisory Panel; Self; Novo Nordisk A/S. Speaker's Bureau; Self; Bioquest. Funding: Association of British Clinical Diabetologists [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00121797
Volume :
68
Database :
Academic Search Index
Journal :
Diabetes
Publication Type :
Academic Journal
Accession number :
152326527
Full Text :
https://doi.org/10.2337/db19-1200-P