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伏格列波糖胶囊治疗2型糖尿病的多中心、随机、双盲、平行对照临床试验(1)
http://www.100md.com 2013年1月1日 《上海医药》 2013年第1期
     摘 要 目的:评价伏格列波糖胶囊治疗2型糖尿病的有效性和安全性。方法:采用多中心、随机、双盲双模拟、平行对照的试验设计,在5个中心共入选239例2型糖尿病患者,随机分为试验组和对照组,分别在餐前即刻口服伏格列波糖胶囊和伏格列波糖片0.2 mg,每日3次,疗程12周。结果:试验组和对照组治疗后空腹血糖(毛细血管和静脉)、餐后1 h血糖(毛细血管和静脉)、餐后2 h血糖(毛细血管和静脉)和糖化血红蛋白与治疗前相比较均显著下降(P<0.001),而两组间比较均没有统计学差异(P>0.05)。两组糖化血红蛋白下降值的差值的95%可信区间为(-0.3574, 0.2864)。试验组和对照组的不良反应发生率分别为8.47%和5.88%,两组不良反应发生率无统计学差异(P>0.05)。结论:伏格列波糖胶囊能够有效地降低2型糖尿病患者的空腹血糖、餐后高血糖和糖化血红蛋白水平,其疗效和安全性与伏格列波糖片相当。

    关键词 伏格列波糖胶囊 伏格列波糖片 2型糖尿病

    中图分类号:R969.4; R977.15 文献标识码:B 文章编号:1006-1533(2013)01-0018-04
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    Multicenter, randomized, double-blind, parallel-controlled

    clinical trial of voglibose capsules for the treatment of type 2 diabetes

    YE Longbin1, MIAO Hong1, NING Guang2, LIU Zhiwei3, LIU Wei4, LIU Chao5, WANG Changjiang6

    (1. Central Research Institute, Shanghai Pharmaceutical Group Co., Ltd,Shanghai 201203, China;2. Ruijin Hospital affiliated to School

    of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China;3. Shanghai Changzheng Hospital,Shanghai 200003, China;
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    4. Renji Hospital affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai 200001, China;5. The First Hospital affiliated

    to Nanjing Medical University, Nanjing 210029, China;6. The First Hospital affiliated to Anhui Medical University, Hefei 230022, China)

    ABSTRACT Objective: To evaluate the efficacy and safety of voglibose capsules in the treatment of type 2 diabetes mellitus. Methods: A multicenter, randomized, double-blind, parallel-controlled clinical trial was carried out. A total of 239 patients with type 2 diabetes mellitus were enrolled at 5 sites, which were randomly divided into two groups at 1:1 and treated at thrice daily for 12 weeks with 0.2 mg of either voglibose capsules (experimental group) or voglibose tablets (control group) just before meals. Results: After treatment, the fasting blood glucose (capillary and venous), 1 and 2 hour’s postprandial capillary (or venous plasma) blood glucose, and HbA1c levels were significantly decreased (P<0.001) in both groups compared with baseline (before treatment). There was no significant difference between the two groups regarding these changes (P>0.05). The 95% confidence interval (CI) for the difference in HbA1c decrease between two groups was from -0.3574 to 0.2864. The incidence of adverse drug reactions in experimental group (8.47%) was similar (P>0.05) to that in control group (5.88%). Conclusion: The efficacy and safety of voglibose capsules in the treatment of type 2 diabetes mellitus is comparable to those of voglibose tablets.

    , http://www.100md.com(叶龙彬 苗红 宁光 刘志民 刘伟 刘超 王长江)
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