A Multicenter, Retrospective Study to Evaluate the Effectiveness and Safety of Imeglimin in Patients with Type 2 Diabetes Mellitus in a Real-World Clinical Setting (INDI-TIMES Study).

IF 2.6 3区 医学 Q2 Medicine Diabetes Therapy Pub Date : 2025-04-01 Epub Date: 2025-02-19 DOI:10.1007/s13300-025-01693-z
Shehla Shaikh, Surendra K Sharma, Sanjeev Phatak, Arthur Asirvatham, Supratik Bhattacharyya, Vinay K Dhandhania, Sameer Muchhala, Niddhi Baxi
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Abstract

Introduction: Imeglimin is a novel oral antidiabetic drug that was approved for use in India in October 2022. Thus far, no large-scale studies on the effectiveness and safety of imeglimin for the treatment of type-2 diabetes mellitus (T2DM) have been conducted in the Indian population. The objective of this study was to evaluate the effectiveness and safety of imeglimin in Indian patients with T2DM in a real-world setting.

Methods: This observational, retrospective, real-world study was conducted at 191 sites across India from May to June 2024. Adult patients with uncontrolled T2DM (7% ≤ glycated hemoglobin (HbA1c) ≤ 9%) who were prescribed imeglimin 1000 mg twice a day as part of routine clinical practice, who were either treatment naïve or on other antidiabetic agents, and for whom a valid prescription and required data were available were included in the study. The data were collected from the medical records of eligible subjects and analyzed for the changes in glycemic indices from baseline to the 3-month follow-up.

Result: The data for 8301 patients (male: 59.39%) were analyzed. Of these, 2009 (24.20%) subjects received imeglimin monotherapy and 5004 (60.28%) received dual therapy. The analysis showed a statistically significant (p < 0.0001) reduction from baseline to the 3-month follow-up in glycemic indices and weight. The mean HbA1c, fasting and postprandial plasma glucose, and weight were decreased by 1.12%, 29.41 mg/dL, 62.41 mg/dL, and 2.01 kg, respectively. A total of 3547 (45.35%) subjects achieved HbA1c < 7%. No adverse events were reported.

Conclusion: Imeglimin shows promise as an effective and well-tolerated option for managing T2DM in the Indian population. Also, secondary impacts of imeglimin, such as improvements in the lipid profile, hepatic function, blood pressure, and weight loss, warrant further clinical exploration.

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一项多中心回顾性研究,在真实世界的临床环境中评估伊美乐明对2型糖尿病患者的有效性和安全性(印度时报研究)。
Imeglimin是一种新型口服降糖药,于2022年10月在印度获批使用。到目前为止,还没有在印度人群中对伊米明治疗2型糖尿病(T2DM)的有效性和安全性进行大规模的研究。本研究的目的是在现实环境中评估伊米霉素对印度T2DM患者的有效性和安全性。方法:这项观察性、回顾性、真实世界的研究于2024年5月至6月在印度的191个地点进行。未控制的T2DM(7%≤糖化血红蛋白(HbA1c)≤9%)的成年患者,作为常规临床实践的一部分,给予伊美美明1000 mg,每天两次,治疗naïve或其他抗糖尿病药物,并且有有效的处方和所需的数据。数据从符合条件的受试者的医疗记录中收集,并分析从基线到3个月随访期间血糖指数的变化。结果:共分析8301例患者资料,其中男性占59.39%。其中,2009例(24.20%)接受伊美霉素单药治疗,5004例(60.28%)接受双药治疗。结论:依米明有望成为印度人群治疗2型糖尿病的有效且耐受性良好的选择。此外,伊米霉素的次要影响,如血脂、肝功能、血压和体重减轻的改善,值得进一步的临床探索。
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来源期刊
Diabetes Therapy
Diabetes Therapy Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.90
自引率
7.90%
发文量
130
审稿时长
6 weeks
期刊介绍: Diabetes Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all areas of diabetes. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Diabetes Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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