title: Linagliptin monotherapy compared with voglibose monotherapy in patients with type 2 diabetes undergoing hemodialysis: a 12-week randomized trial.
abstract: OBJECTIVE
  Focusing on efficacy and tolerability, we compared linagliptin monotherapy with voglibose monotherapy in patients with type 2 diabetes undergoing hemodialysis (HD).
  
  
  METHODS
  In this multicenter, randomized, open-label, parallel-group, active-controlled study, 78 patients were randomized (1:1) to receive a 12-week treatment with 5 mg linagliptin once daily or 0.2 mg voglibose three times a day. To assess whether linagliptin was superior to voglibose, the primary efficacy end point was the change in glycated hemoglobin (HbA1c) level between baseline and week 12. Secondary efficacy end points included changes between baseline and week 12 in glycated albumin (GA) and casual plasma glucose (PG) levels.
  
  
  RESULTS
  At week 12, the adjusted mean HbA1c levels had decreased by -0.60% after treatment with linagliptin and by -0.20% after treatment with voglibose (treatment difference: -0.40%, 95% CI -0.74% to -0.06%, p=0.022). A significant reduction in casual PG level was also observed after treatment with linagliptin compared with treatment with voglibose. Relative to voglibose, linagliptin tended to elicit reductions in GA, although without statistical significance. No hypoglycemic symptoms or severe hypoglycemia occurred during the study.
  
  
  CONCLUSIONS
  In patients with type 2 diabetes undergoing HD, linagliptin monotherapy provided significantly better glycemic control without severe hypoglycemia than voglibose monotherapy. Linagliptin represents a promising agent for glycemic management in patients with type 2 diabetes undergoing HD.
  
  
  BACKGROUND
  UMIN000007635; results.
authors.affiliation: Department of Metabolism, Endocrinology and Molecular Medicine , Osaka City University Graduate School of Medicine , Osaka , Japan.
authors.forename: Katsuhito
authors.initials: K
authors.lastname: Mori
authors.affiliation: Department of Metabolism, Endocrinology and Molecular Medicine , Osaka City University Graduate School of Medicine , Osaka , Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Emoto
authors.affiliation: Department of Geriatrics and Vascular Medicine , Osaka City University Graduate School of Medicine , Osaka , Japan.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Shoji
authors.affiliation: Department of Metabolism, Endocrinology and Molecular Medicine , Osaka City University Graduate School of Medicine , Osaka , Japan.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Inaba
keywords: A1C; Nephropathy; Oral Antidiabetics