Dapagliflozin stops working to prevent organ damage, death in adults hospitalized with COVID-19


April 12, 2021 2 min read Source/Disclosures Published by: Disclosures: Kosiborod reports he has actually gotten

grants or advisory board, consultant or speaking costs from Amarin, Amgen, Applied Therapeutics, AstraZeneca, Bayer, Boehringer Ingelheim, Eisai, GlaxoSmithKline, Glytec, Intarcia, Novo Nordisk Janssen, Merck, Novartis and Sanofi. Pangalos reports he is executive vice president of biopharmaceuticals research study and development at AstraZeneca.


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Top-line information from the stage 3 DARE-19 trial reveal that the SGLT2 inhibitor dapagliflozin failed to avoid organ dysfunction and all-cause mortality amongst hospitalized clients with COVID-19 at danger for developing serious problems.

In a news release, AstraZeneca and Saint Luke’s Mid America Heart Institute revealed that the trial did not accomplish statistical significance for the main endpoint of avoidance measuring organ dysfunction and all-cause mortality, and the main endpoint of recovery determining a change in scientific status– from early recovery to death– at 1 month. Nevertheless, researchers kept in mind the trial still yielded important medical information on the use of SGLT2 inhibitors in adults hospitalized with COVID-19.

COVID-19 Source: Adobe Stock”DARE-19 provided crucial data on the potential advantages and threats of utilizing SGLT2 inhibitors to deal with hospitalized clients with COVID-19,” Mikhail Kosiborod, MD, FACC, FAHA, cardiologist at Saint Luke’s Mid America Heart Institute, professor of medication at the University of Missouri-Kansas City School of Medicine and a primary investigator for DARE-19, said in a news release. “While the trial did not attain analytical significance, the findings are very fascinating and valuable, and will inform future clinical science. Likewise, of value, we learned that dapagliflozin’s reputable security profile was consistent in DARE-19.”

Mikhail Kosiborod As Healio formerly reported, researchers began hiring for the global phase 3 trial in April 2020. DARE-19 was the first stage 3 trial to assess the safety and effectiveness of an SGLT2 inhibitor in patients hospitalized with COVID-19 who also have threat aspects for developing serious complications, including high blood pressure, type 2 diabetes, atherosclerotic heart disease, cardiac arrest or persistent kidney disease. The trial design was supported by extensive data on the protective effect of dapagliflozin (Farxiga, AstraZeneca) among adults with cardiac arrest with minimized ejection fraction, CKD or type 2 diabetes.

In a virtual discussion at the Heart in Diabetes conference in August, Kosiborod said viral replication and spread after COVID-19 infection trigger metabolic derangements that result in inflammatory “overdrive,” endothelial injury and, ultimately, organ damage leading to complications and death. Information recommend antiviral treatments can operate in the early stage of the illness; anti-inflammatory medications reveal guarantee during the mid-phase of the illness, he stated.

“Prior to the DARE-19 phase 3 trial, there was little data on using SGLT2 inhibitors in hospitalized clients with COVID-19, and we have actually now helped to fill this understanding gap,”

Mene Pangalos, executive vice president of biopharmaceuticals research and advancement at AstraZeneca, stated in the release. “We eagerly anticipate the efficacy and security information existing in the coming weeks.”

The full DARE-19 trial outcomes will exist at the American College of Cardiology Scientific Session in May.


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