Drug updated on 10/21/2024
Dosage Form | Tablet (oral; 20 mg) |
Drug Class | Sodium-glucose co-transporter 2 (SGLT2) inhibitors |
Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
Latest News
Summary
- This summary is based on the review of three systematic review(s)/meta-analysis(es). [1-3]
- Bexagliflozin demonstrated non-inferiority in reducing major adverse cardiovascular events (MACE+), with a hazard ratio (HR) of 0.80 (95% CI 0.58, 1.09), and for MACE with an HR of 0.82 (95% CI 0.59, 1.13).
- In glycemic control, bexagliflozin significantly reduced HbA1c by -0.45 (95% CI -0.55 to -0.34), fasting plasma glucose (FPG) by -1.37 (95% CI -1.73 to -1.00), body weight by -1.77 kg (95% CI -2.44 to -1.10), and systolic blood pressure by -4.11 mmHg (95% CI -6.18 to -2.03).
- Bexagliflozin showed a renal protective effect with a reduction in eGFR of -3.48 (95% CI -6.57 to -0.39), comparable to other SGLT2 inhibitors such as dapagliflozin and luseogliflozin.
- Bexagliflozin did not increase the risk of major adverse cardiovascular events (MACE) in participants with type 2 diabetes mellitus (T2DM), with safety outcomes consistent with the placebo arm.
- Renal safety outcomes indicated a reduction in eGFR, similar to other SGLT2 inhibitors like luseogliflozin and dapagliflozin, without a significant increase in adverse renal events.
- The studies focused on participants with type 2 diabetes mellitus (T2DM) and chronic kidney disease, with no significant differences in effectiveness or safety among various population types or subgroups explicitly reported in the provided documents.
Product Monograph / Prescribing Information
Document Title | Year | Source |
---|---|---|
Brenzavvy (bexagliflozin) Prescribing Information. | 2023 | TheracosBio LLC, Marlborough, MA |
Systematic Reviews / Meta-Analyses
Document Title | Year | Source |
---|---|---|
Meta-analysis of risk of major adverse cardiovascular events in adults with type 2 diabetes treated with bexagliflozin | 2024 | Diabetes, Obesity and Metabolism |
Bexagliflozin, a sodium-glucose cotransporter 2 (SGLT2) inhibitor, for improvement of glycemia in type 2 diabetes mellitus: a systematic review and meta-analysis | 2023 | Expert Opinion on Pharmacotherapy |
Renal protective effect and safety of sodium-glucose cotransporter-2 inhibitors in patients with chronic kidney disease and type 2 diabetes mellitus: a network meta-analysis and systematic review | 2022 | International Urology and Nephrology |