Comparison of protective effects of teneligliptin and luseogliflozin on pancreatic β-cell function: randomized, parallel-group, multicenter, open-label study (SECRETE-I study)

Comparison of Teneligliptin and Luseogliflozin on Pancreatic β-cell Function

Study Overview

This study aims to compare the effects of two medications, SGLT2 inhibitors (luseogliflozin) and DPP-4 inhibitors (teneligliptin), on pancreatic β-cell function in patients with type 2 diabetes.

Study Details

We conducted a 26-week study with 103 patients who had type 2 diabetes. Participants were randomly assigned to take either luseogliflozin or teneligliptin. The main goal was to measure changes in β-cell function using an oral glucose tolerance test.

Key Findings

  • Improvement in β-cell Function: Both medications showed improvements in β-cell function, but luseogliflozin had a more significant effect on reducing β-cell dysfunction compared to teneligliptin.
  • Results:
    • Luseogliflozin group: Improved from -0.46 to -0.20 (p=0.03)
    • Teneligliptin group: Improved from -0.26 to -0.05 (p=0.01)
  • Proinsulin/C-peptide Ratio: This ratio decreased in the luseogliflozin group but increased in the teneligliptin group, indicating better β-cell function with luseogliflozin.

Conclusion

Both medications improved β-cell function in patients with type 2 diabetes, but luseogliflozin was more effective at reducing β-cell dysfunction.

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