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The Elevated Role of GLP-1 RAs in Diabetes Management: Which Patients Should We Aim For?

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Presentation on theme: "The Elevated Role of GLP-1 RAs in Diabetes Management: Which Patients Should We Aim For?"— Presentation transcript:

1 The Elevated Role of GLP-1 RAs in Diabetes Management: Which Patients Should We Aim For?

2

3 Introduction/Overview

4 T2DM as a Risk Factor for CVD

5 Prevalence Rates of CV Comorbidities in Persons With T2DM: Results of a Systematic Literature Review

6 Mechanisms Associating Type 2 Diabetes and Cardiovascular Disease

7 Shorter-, Longer-Acting GLP-1 RAs: Compositional Differences and Comparative Clinical Trial Data

8 Molecular Structure: GLP-1, Liraglutide, Dulaglutide, Albiglutide, Exenatide, Lixisenatide, and Semaglutide

9 Results From SUSTAIN 1-5 (Semaglutide): Change in HbA1c

10 SUSTAIN 7: Changes in HbA1c and Body Weight, Semaglutide vs Dulaglutide

11 ELIXA: Primary Outcome: CV Death, Nonfatal MI, Nonfatal Stroke, or Hospitalization for Unstable Angina

12 Primary Endpoint Results From the LEADER Trial*

13 HARMONY OUTCOMES Primary Endpoint Results: Time to CV Death, MI or Stroke (MACE)

14 SUSTAIN-6 (Semaglutide): Primary Outcome Results

15 Dulaglutide’s Effect on the CV Composite Primary Outcome: First Occurrence of Nonfatal MI, Nonfatal Stroke, CV Death

16 Difference in CVOT Design: Patient Populations (Inclusion Criteria and Baseline Characteristics

17 CVOT Trials: Differences in Cardiovascular Risk

18 REWIND Results: CV Composite in Prespecified Subgroups

19 GLP-1 RAs and Experimental Models of CVD

20 Patient Preferences: Injection vs Increased Urinary Frequency

21 Sodium Salcaprozate (SNAC, sodium N-[8-(2-hydroxybenzoyl)amino] caprylate) Oral Absorption Promoter

22 PIONEER 1, 2, 3, 4, and 7: Change in HbA1c

23 PIONEER Clinical Development Program

24 PIONEER 1,5,8: Body Weight Change From Baseline: Oral Semaglutide vs Liraglutide

25 PIONEER 4: Estimated Mean Change From Baseline in HbA1c Oral Semaglutide vs SC Liraglutide

26 Will an Oral GLP-1 RA Change the Treatment Paradigm?

27 How Big a Problem Is Needle Phobia?

28 Pharmacologic Therapy for T2DM: ADA/EASD 2018 Recommendations

29 Patient Selection With Cardiorenal Protective Glucose-Lowering Agents

30 Decision Cycle for Patient-Centered Glycemic Management in Type 2 Diabetes

31 Summary and Conclusions

32 Abbreviations

33 Abbreviations (cont)


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