Effect of rimonabant on glycemic control in insulin-treated type 2 diabetes: the ARPEGGIO trial.

Abstract:

:OBJECTIVE To examine the efficacy and safety of rimonabant, a selective cannabinoid receptor type-1 antagonist, in patients with type 2 diabetes receiving insulin monotherapy. RESEARCH DESIGN AND METHODS Patients (n = 368; A1C > or =7%) were randomized to 20 mg/day rimonabant or placebo in this 48-week, double-blind, placebo-controlled multicenter trial. Change in baseline A1C to week 48 (primary outcome) and changes in body weight, waist circumference, and lipid levels (secondary outcomes) were assessed. RESULTS Rimonabant significantly reduced baseline A1C versus placebo (-0.89 vs. -0.24%; P < 0.0001), and significantly greater improvements were observed in cardiometabolic risk factors. More rimonabant patients achieved >10% reduction in mean total daily insulin dose versus placebo (P = 0.0012), and fewer required rescue medication (P < 0.0001). Hypoglycemia, nausea, dizziness, anxiety, and depression were more frequent with rimonabant. CONCLUSIONS Rimonabant improved glycemic control and cardiometabolic risk factors in patients with type 2 diabetes receiving insulin.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Hollander PA,Amod A,Litwak LE,Chaudhari U,ARPEGGIO Study Group.

doi

10.2337/dc09-0455

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

605-7

issue

3

eissn

0149-5992

issn

1935-5548

pii

dc09-0455

journal_volume

33

pub_type

杂志文章,多中心研究,随机对照试验
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    pub_type: 杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章

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    更新日期:2016-07-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc12-0463

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:1994-09-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

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    更新日期:2004-01-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.2337/diacare.7.1.25

    authors: Davidson JK,Vander Zwaag R,Cox CL,Delcher HK,Mainzer I,Baggett H,Runyan JW

    更新日期:1984-01-01 00:00:00

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    pub_type: 杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章

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    pub_type: 杂志文章,随机对照试验

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    pub_type: 杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章,多中心研究

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章,多中心研究,随机对照试验

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-1849

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