Clinical Edge Journal Scan

T2D: Significant improvement in glycemic control with efpeglenatide


 

Key clinical point: Once-weekly efpeglenatide vs placebo led to significant improvements in glycemic control and body weight in patients with type 2 diabetes (T2D), with a safety profile similar to that of glucagon-like peptide 1 receptor agonist.

Major finding: At 30 weeks , 2 mg efpeglenatide (least squares mean difference [LSM] 0.5%; P = .0054), 4 mg (LSM 0.8%; P < .0001), and 6 mg (LSM 1.0%; P < .0001) vs placebo led to a significantly greater reduction in glycated hemoglobin levels, with a significant reduction in body weight with 4 and 6 mg efpeglenatide (both P < .05).

Study details: The data come from the AMPLITUDE-M trial including 406 patients with T2D inadequately controlled with diet and exercise alone who were randomly assigned to receive efpeglenatide (n = 304) or placebo (n = 102).

Disclosures: This study was initially sponsored by Sanofi and thereafter, the sponsorship was transferred to Hanmi Pharmaceutical Co., Ltd. Some authors reported serving as advisory board members or speakers and receiving research support from various organizations, including Sanofi. The other authors are employees of and hold stocks in Sanofi or Hanmi Pharmaceutical Co.

Source: Frias JP et al. Efficacy and safety of once-weekly efpeglenatide monotherapy versus placebo in type 2 diabetes: The AMPLITUDE-M randomized controlled trial. Diabetes Care. 2022;45(7):1592-1600 (Jul 6). Doi: 10.2337/dc21-2656

Recommended Reading

MLR may have clinical and predictive significance in patients with T2D and PDR
Type 2 Diabetes ICYMI
Glycemic variability remains a concern even in T2D patients with well-controlled glucose status
Type 2 Diabetes ICYMI
Food insecurity drives poor glycemic control
Type 2 Diabetes ICYMI
Mobile devices ‘addictive by design’: Obesity is one of many health effects
Type 2 Diabetes ICYMI
Commentary: Benefits of GLP-1 Receptor Agonists and Studies of Continuous Glucose Monitoring, July 2022
Type 2 Diabetes ICYMI
The Team Approach to Managing Type 2 Diabetes
Type 2 Diabetes ICYMI
Number of steps per day needed to prevent death in diabetes
Type 2 Diabetes ICYMI
New update focuses on NAFLD in lean people
Type 2 Diabetes ICYMI
Medicare advantage tied to less use of pricey diabetes drugs
Type 2 Diabetes ICYMI
Remnant cholesterol captures residual CV risk in patients with T2D
Type 2 Diabetes ICYMI