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Saxagliptin: A Review in Type 2 Diabetes

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Abstract

Saxagliptin (Onglyza®) is a highly potent, reversible, competitive dipeptidyl peptidase-4 inhibitor indicated for the treatment of patients with type 2 diabetes. Numerous well-designed clinical studies and their extensions showed that saxagliptin as monotherapy or as dual or triple combination therapy with other antihyperglycaemics improved glycaemic control and was generally well tolerated in patients with type 2 diabetes during ≤2 years’ therapy. Saxagliptin was generally weight-neutral and had a low risk of hypoglycaemia (unless coadministered with agents that may be associated with hypoglycaemia, such as sulfonylureas or insulin). In addition, at a median follow-up of 2.1 years in the large SAVOR-TIMI 53 study, with the exception of a 27 % greater risk of hospitalization for heart failure, the addition of saxagliptin to standard of care neither reduced nor increased the rate of ischemic cardiovascular events in at-risk patients. Although further long-term data will be beneficial, current evidence indicates that saxagliptin is a useful option for the treatment of patients with type 2 diabetes.

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Acknowledgments

During the peer review process, the manufacturer of saxagliptin was also offered an opportunity to review this article. Changes resulting from comments received were made on the basis of scientific and editorial merit.

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Correspondence to Sohita Dhillon.

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The preparation of this review was not supported by any external funding.

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Sohita Dhillon is a salaried employee of Adis/Springer, is responsible for the article content and declares no relevant conflicts of interest.

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The manuscript was reviewed by: C. A. Aguilar-Salinas, Department of Endocrinology, Instituto Ncional de Ciencias Medicas Nutricion Salvador Zubiran, Mexico City, Mexico; D. S. Bell, Southside Endocrinology, University of Alabama Medical School, Birmingham, AL, USA; G. Dimitriadis, 2nd Department of Internal Medicine, Research Institute and Diabetes Center, Attikon Hospital, University of Athens, Greece; J. G. Eriksson, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; O. Mosenzon, Department of Medicine, Diabetes Unit, Hadassah Hebrew University Hospital, Jerusalem, Israel, I. Raz, Department of Medicine, Diabetes Unit, Hadassah Hebrew University Hospital, Jerusalem, Israel.

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Dhillon, S. Saxagliptin: A Review in Type 2 Diabetes. Drugs 75, 1783–1796 (2015). https://doi.org/10.1007/s40265-015-0473-z

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