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Table 1 Retrospective Analysis of CV Events With Saxagliptin Versus Comparators in Phase II/III Clinical Trials [23]

From: Saxagliptin for the treatment of type 2 diabetes mellitus: assessing cardiovascular data

 

Number of Patients (%)

 
 

SAXA

2.5 mg

(n = 937)

SAXA

5 mg

(n = 1269)

SAXA

10 mg

(n = 1000)

All SAXA*

(n = 3356)

Controls

(n = 1251)

Hazard Ratio

(95% CI)†

Investigator-reported MACE

6 (0.6)

6 (0.5)

11 (1.1)

23 (0.7)

18 (1.4)

0.44

(0.2-0.82)

Adjudicated MACE

6 (0.6)

7 (0.6)

9 (0.9)

22 (0.7)

18 (1.4)

0.42

(0.23-0.80)

Myocardial infarction‡

Stroke‡

Other CV deaths§

2 (0.2)

4 (0.4)

0 (0)

4 (0.3)

4 (0.3)

0 (0)

2 (0.2)

3 (0.3)

4 (0.4)

8 (0.2)

11 (0.3)

4 (0.1)

8 (0.6)

5 (0.4)

6 (0.5)

 

All deaths

3 (0.3)

3 (0.2)

4 (0.4)

10 (0.3)

12 (1.0)

 

CV deaths||

1 (0.1)

2 (0.2)

4 (0.4)

7 (0.2)

10 (0.8)

 
  1. CV = cardiovascular; MACE = major adverse cardiovascular event; SAXA = saxagliptin.
  2. *Includes 150 patients who received saxagliptin 20, 40, and 100 mg daily in a dose-ranging trial.
  3. †Cox proportional hazard ratio (95% CI) for all saxagliptin vs controls.
  4. ‡Includes patients with fatal and nonfatal events; patients with a myocardial infarction and stroke were counted in each category.
  5. §CV deaths that could not be clearly determined as myocardial infarction or stroke.
  6. ||Investigator-reported and committee-adjudicated CV death rates were identical.
  7. Table reprinted from Postgraduate Medicine, (3)122, Frederich R, Alexander JH, Fiedorek FT et al. A Systematic Assessment of Cardiovascular Outcomes in the Saxagliptin Drug Development Program for Type 2 Diabetes, page 20. Copyright 2010, with permission from JTE Multimedia.