Effects of luseogliflozin on estimated plasma volume in patients with heart failure with preserved ejection fraction
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- Mitsutaka Nakashima
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
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- Toru Miyoshi
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
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- Kentaro Ejiri
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
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- Hajime Kihara
- Department of Internal Medicine Kihara Cardiovascular Clinic Asahikawa Japan
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- Yoshiki Hata
- Department of Cardiology Minamino Cardiovascular Hospital Hachioji Japan
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- Toshihiko Nagano
- Department of Internal Medicine Iwasa Hospital Gifu Japan
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- Atsushi Takaishi
- Department of Cardiology Mitoyo General Hospital Kanonji Japan
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- Hironobu Toda
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
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- Seiji Nanba
- Department of Cardiology Okayama Rosai Hospital Okayama Japan
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- Yoichi Nakamura
- Department of Cardiovascular Medicine Specified Clinic of Soyokaze CardioVascular Medicine and Diabetes Care Matsuyama Japan
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- Satoshi Akagi
- Department of Internal Medicine Akaiwa Medical Association Hospital Okayama Japan
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- Satoru Sakuragi
- Department of Cardiovascular Medicine Iwakuni Clinical Center Iwakuni Japan
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- Taro Minagawa
- Department of Internal Medicine Minagawa Cardiovascular Clinic Gifu Japan
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- Yusuke Kawai
- Department of Cardiovascular Medicine Okayama City Hospital Okayama Japan
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- Nobuhiro Nishii
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
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- Soichiro Fuke
- Department of Cardiovascular Medicine Japanese Red Cross Okayama Hospital Okayama Japan
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- Masaki Yoshikawa
- Department of Cardiology Fukuyama City Hospital Fukuyama Japan
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- Kazufumi Nakamura
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
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- Hiroshi Ito
- Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 2‐5‐1 Shikata‐cho, Kita‐ku Okayama 700‐8558 Japan
抄録
<jats:title>Abstract</jats:title><jats:sec><jats:title>Aims</jats:title><jats:p>Sodium glucose co‐transporter 2 inhibitors have diuretic effects in both patients with glycosuria and with natriuresis. We sought to assess the effect of luseogliflozin on estimated plasma volume (ePV) in patients with type 2 diabetes and heart failure with preserved ejection fraction (HFpEF).</jats:p></jats:sec><jats:sec><jats:title>Methods and results</jats:title><jats:p>This study was a post‐hoc analysis of the MUSCAT‐HF trial (UMIN000018395), a multicentre, prospective, open‐label, randomized controlled trial that assessed the effect of 12 weeks of luseogliflozin (2.5 mg, once daily, <jats:italic>n</jats:italic> = 83) as compared with voglibose (0.2 mg, three times daily, <jats:italic>n</jats:italic> = 82) on the reduction in brain natriuretic peptide (BNP) in patients with type 2 diabetes and HFpEF. The analysis compared the change in ePV calculated by the Straus formula from baseline to Weeks 4, 12, and 24, using a mixed‐effects model for repeated measures. We also estimated the association between changes in ePV and changes in other clinical parameters, including BNP levels. Luseogliflozin significantly reduced ePV as compared to voglibose at Week 4 {adjusted mean group‐difference −6.43% [95% confidence interval (CI): −9.11 to −3.74]}, at Week 12 [−8.73% (95%CI: −11.40 to −6.05)], and at Week 24 [−11.02% (95%CI: −13.71 to −8.33)]. The effect of luseogliflozin on these parameters was mostly consistent across various patient clinical characteristics. The change in ePV at Week 12 was significantly associated with log‐transformed BNP (<jats:italic>r</jats:italic> = 0.197, <jats:italic>P</jats:italic> = 0.015) and left atrial volume index (<jats:italic>r</jats:italic> = 0.283, <jats:italic>P</jats:italic> = 0.019).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Luseogliflozin significantly reduced ePV in patients with type 2 diabetes and HFpEF, as compared with voglibose. The reduction of intravascular volume by luseogliflozin may provide clinical benefits to patients with type 2 diabetes and HFpEF.</jats:p></jats:sec>
収録刊行物
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- ESC Heart Failure
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ESC Heart Failure 9 (1), 712-720, 2021-11-03
Wiley