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Davis RA, Rippner DA, Hausner SH, Parikh SJ, McElrone AJ, Sutcliffe JL. In Vivo Tracking of Copper-64 Radiolabeled Nanoparticles in Lactuca sativa. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2017; 51:12537-12546. [PMID: 28954194 DOI: 10.1021/acs.est.7b03333] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Engineered nanoparticles (NPs) are increasingly used in commercial products including automotive lubricants, clothing, deodorants, sunscreens, and cosmetics and can potentially accumulate in our food supply. Given their size it is difficult to detect and visualize the presence of NPs in environmental samples, including crop plants. New analytical tools are needed to fill the void for detection and visualization of NPs in complex biological and environmental matrices. We aimed to determine whether radiolabeled NPs could be used as a noninvasive, highly sensitive analytical tool to quantitatively track and visualize NP transport and accumulation in vivo in lettuce (Lactuca sativa) and to investigate the effect of NP size on transport and distribution over time using a combination of autoradiography, positron emission tomography (PET)/computed tomography (CT), scanning electron microscopy (SEM), and transition electron microscopy (TEM). Azide functionalized NPs were radiolabeled via a "click" reaction with copper-64 (64Cu)-1,4,7-triazacyclononane triacetic acid (NOTA) azadibenzocyclooctyne (ADIBO) conjugate ([64Cu]-ADIBO-NOTA) via copper-free Huisgen-1,3-dipolar cycloaddition reaction. This yielded radiolabeled [64Cu]-NPs of uniform shape and size with a high radiochemical purity (>99%), specific activity of 2.2 mCi/mg of NP, and high stability (i.e., no detectable dissolution) over 24 h across a pH range of 5-9. Both PET/CT and autoradiography showed that [64Cu]-NPs entered the lettuce seedling roots and were rapidly transported to the cotyledons with the majority of the accumulation inside the roots. Uptake and transport of intact NPs was size-dependent, and in combination with the accumulation within the roots suggests a filtering effect of the plant cell walls at various points along the water transport pathway.
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Wang D, Fonte SJ, Parikh SJ, Six J, Scow KM. Biochar additions can enhance soil structure and the physical stabilization of C in aggregates. GEODERMA 2017; 303:110-117. [PMID: 29109589 PMCID: PMC5669273 DOI: 10.1016/j.geoderma.2017.05.027] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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Bair DA, Popova IE, Tate KW, Parikh SJ. Transport of oxytetracycline, chlortetracycline, and ivermectin in surface runoff from irrigated pasture. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART. B, PESTICIDES, FOOD CONTAMINANTS, AND AGRICULTURAL WASTES 2017; 52:631-640. [PMID: 28898166 DOI: 10.1080/03601234.2017.1330069] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The transport of oxytetracycline, chlortetracycline, and ivermectin from manure was assessed via surface runoff on irrigated pasture. Surface runoff plots in the Sierra Foothills of Northern California were used to evaluate the effects of irrigation water application rates, pharmaceutical application conditions, vegetative cover, and vegetative filter strip length on the pharmaceutical discharge in surface runoff. Experiments were designed to permit the maximum potential transport of pharmaceuticals to surface runoff water, which included pre-irrigation to saturate soil, trimming grass where manure was applied, and laying a continuous manure strip perpendicular to the flow of water. However, due to high sorption of the pharmaceuticals to manure and soil, less than 0.1% of applied pharmaceuticals were detected in runoff water. Results demonstrated an increase of pharmaceutical transport in surface runoff with increased pharmaceutical concentration in manure, the concentration of pharmaceuticals in runoff water remained constant with increased irrigation flow rate, and no appreciable decrease in pharmaceutical runoff was produced with the vegetative filter strip length increased from 30.5 to 91.5 cm. Most of the applied pharmaceuticals were retained in the manure or within the upper 5 cm of soil directly beneath the manure application sites. As this study evaluated conditions for high transport potential, the data suggest that the risk for significant chlortetracycline, oxytetracycline, and ivermectin transport to surface water from cattle manure on irrigated pasture is low.
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Anderson CG, Joshi G, Bair DA, Oriol C, He G, Parikh SJ, Denison MS, Scow KM. Use of nuclear receptor luciferase-based bioassays to detect endocrine active chemicals in a biosolids-biochar amended soil. CHEMOSPHERE 2017; 181:160-167. [PMID: 28437741 DOI: 10.1016/j.chemosphere.2017.04.035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Revised: 03/14/2017] [Accepted: 04/08/2017] [Indexed: 06/07/2023]
Abstract
Biosolids are a potentially valuable source of carbon and nutrients for agricultural soils; however, potential unintended impacts on human health and the environment must be considered. Virtually all biosolids contain trace amounts endocrine-disrupting chemicals derived from human use of pharmaceuticals and personal care products (PPCPs). One potential way to reduce the bioavailability of PPCPs is to co-apply biosolids with biochar to soil, because biochar's chemical (e.g., aromaticity) and physical properties (e.g., surface area) give it a high affinity to bind many organic chemicals in the environment. We developed a soil-specific extraction method and utilized a luciferase-based bioassay (CALUX) to detect endocrine active chemicals in a biosolids-biochar co-amendment soil greenhouse study. Both biochar (walnut shell, 900 °C) and biosolids had positive impacts on carrot and lettuce biomass accumulation over our study period. However, the walnut shell biochar stimulated aryl hydrocarbon receptor activity, suggesting the presence of potential endocrine active chemicals in the biochar. Since the biochar rate tested (100 t ha-1) is above the average agronomic rate (10-20 t ha-1), endocrine effects would not be expected in most environmental applications. The effect of high temperature biochars on endocrine system pathways must be explored further, using both quantitative analytical tools to identify potential endocrine active chemicals and highly sensitive bioanalytical assays such as CALUX to measure the resulting biological activity of such compounds.
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Hafner SC, Watanabe N, Harter T, Bergamaschi BA, Parikh SJ. Effects of solid-liquid separation and storage on monensin attenuation in dairy waste management systems. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2017; 190:28-34. [PMID: 28030781 DOI: 10.1016/j.jenvman.2016.12.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Revised: 12/05/2016] [Accepted: 12/11/2016] [Indexed: 06/06/2023]
Abstract
Environmental release of veterinary pharmaceuticals has been of regulatory concern for more than a decade. Monensin is a feed additive antibiotic that is prevalent throughout the dairy industry and is excreted in dairy waste. This study investigates the potential of dairy waste management practices to alter the amount of monensin available for release into the environment. Analysis of wastewater and groundwater from two dairy farms in California consistently concluded that monensin is most present in lagoon water and groundwater downgradient of lagoons. Since the lagoons represent a direct source of monensin to groundwater, the effect of waste management, by mechanical screen separation and lagoon aeration, on aqueous monensin concentration was investigated through construction of lagoon microcosms. The results indicate that monensin attenuation is not improved by increased solid-liquid separation prior to storage in lagoons, as monensin is rapidly desorbed after dilution with water. Monensin is also shown to be easily degraded in lagoon microcosms receiving aeration, but is relatively stable and available for leaching under typical anaerobic lagoon conditions.
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Bair DA, Mukome FND, Popova IE, Ogunyoku TA, Jefferson A, Wang D, Hafner SC, Young TM, Parikh SJ. Sorption of Pharmaceuticals, Heavy Metals, and Herbicides to Biochar in the Presence of Biosolids. JOURNAL OF ENVIRONMENTAL QUALITY 2016; 45:1998-2006. [PMID: 27898796 DOI: 10.2134/jeq2016.03.0106] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Agricultural practices are increasingly incorporating recycled waste materials, such as biosolids, to provide plant nutrients and enhance soil functions. Although biosolids provide benefits to soil, municipal wastewater treatment plants receive pharmaceuticals and heavy metals that can accumulate in biosolids, and land application of biosolids can transfer these contaminants to the soil. Environmental exposure of these contaminants may adversely affect wildlife, disrupt microbial communities, detrimentally affect human health through long-term exposure, and cause the proliferation of antibiotic-resistant bacteria. This study considers the use of biochar co-amendments as sorbents for contaminants from biosolids. The sorption of pharmaceuticals (ciprofloxacin, triclocarban, triclosan), and heavy metals (Cu, Cd, Ni, Pb) to biochars and biochar-biosolids-soil mixtures was examined. Phenylurea herbicide (monuron, diuron, linuron) sorption was also studied to determine the potential effect of biochar on soil-applied herbicides. A softwood (SW) biochar (510°C) and a walnut shell (WN) biochar (900°C) were used as contrasting biochars to highlight potential differences in biochar reactivity. Kaolinite and activated carbon served as mineral and organic controls. Greater sorption for almost all contaminants was observed with WN biochar over SW biochar. The addition of biosolids decreased sorption of herbicides to SW biochar, whereas there was no observable change with WN biochar. The WN biochar showed potential for reducing agrochemical and contaminant transport but may inhibit the efficacy of soil-applied herbicides. This study provides support for minimizing contaminant mobility from biosolids using biochar as a co-amendment and highlights the importance of tailoring biochars for specific characteristics through feedstock selection and pyrolysis-gasification conditions.
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Wang D, Griffin DE, Parikh SJ, Scow KM. Impact of biochar amendment on soil water soluble carbon in the context of extreme hydrological events. CHEMOSPHERE 2016; 160:287-292. [PMID: 27391051 DOI: 10.1016/j.chemosphere.2016.06.100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Revised: 05/23/2016] [Accepted: 06/26/2016] [Indexed: 06/06/2023]
Abstract
Biochar amendments to soil have been promoted as a low cost carbon (C) sequestration strategy as well as a way to increase nutrient retention and remediate contaminants. If biochar is to become part of a long-term management strategy, it is important to consider its positive and negative impacts, and their trade-offs, on soil organic matter (SOM) and soluble C under different hydrological conditions such as prolonged drought or frequent wet-dry cycles. A 52-week incubation experiment measuring the influence of biochar on soil water soluble C under different soil moisture conditions (wet, dry, or wet-dry cycles) indicated that, in general, dry and wet-dry cycles increased water soluble C, and biochar addition further increased release of water soluble C from native SOM. Biochar amendment appeared to increase transformation of native SOM to water soluble C, based on specific ultraviolet absorption (SUVA) and C stable isotope composition; however, the increased amount of water soluble C from native SOM is less than 1% of total biochar C. The impacts of biochar on water soluble C need to be carefully considered when applying biochar to agricultural soil.
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Hafner SC, Harter T, Parikh SJ. Evaluation of Monensin Transport to Shallow Groundwater after Irrigation with Dairy Lagoon Water. JOURNAL OF ENVIRONMENTAL QUALITY 2016; 45:480-487. [PMID: 27065394 DOI: 10.2134/jeq2015.05.0251] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Animal waste products from concentrated animal feeding operations are a significant source of antibiotics to the environment. Monensin, an ionophore antibiotic commonly used to increase feed efficiency in livestock, is known to have varied toxicological effects on nontarget species. The current study builds on prior studies evaluating the impact of dairy management on groundwater quality by examining the transport of monensin in an agricultural field with coarse-textured soils during irrigation with lagoon wastewater. The dairy is located in California's San Joaquin Valley, where groundwater can be encountered <5 m below the surface. Groundwater samples were collected from a network of monitoring wells installed throughout the dairy and adjacent to irrigated fields before and after an irrigation event, which allowed for measurement of monensin potentially reaching the shallow groundwater as a direct result of irrigation with lagoon water. Monensin was extracted from water samples via hydrophilic-lipophilic balance solid-phase extraction and quantified with liquid chromatography-mass spectrometry. Irrigation water was found to contain up to 1.6 μg L monensin, but monensin was only detected in monitoring wells surrounding the waste storage lagoon. Water chemistry changes in the wells bordering the irrigated field suggest that up to 7% of irrigation water reached groundwater within days of irrigation. The study suggests that contamination of groundwater with monensin can occur primarily by compromised waste storage systems and that rapid transport of monensin to groundwater is not likely to occur from a single irrigation event.
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Mulligan RA, Parikh SJ, Tjeerdema RS. Abiotic partitioning of clothianidin under simulated rice field conditions. PEST MANAGEMENT SCIENCE 2015; 71:1419-1424. [PMID: 25450761 DOI: 10.1002/ps.3946] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Revised: 09/23/2014] [Accepted: 11/25/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Clothianidin is registered for pre- and post-flood application in Californian rice fields for control of the rice seed midge, Cricotopus sylvestris, and the rice water weevil, Lissorhoptrus oryzophilus. The objective was to characterize air-water and soil-water partitioning of clothianidin under simulated Californian rice field conditions. RESULTS Clothianidin was confirmed to be non-volatile (from water) via the gas purge method, as no loss from the aqueous phase was observed at 22 and 37 °C; an upper-limit KH value was calculated at 2.9 × 10(-11) Pa m(3) mol(-1) (20 °C). Soil-water partitioning was determined by the batch equilibrium method using four soils collected from rice fields in the Sacramento Valley, and sorption affinity (Kd ), sorbent capacity, desorption and organic-carbon-normalized distribution (Koc ) were determined. Values for pH, cation exchange capacity and organic matter content ranged from 4.5 to 6.6, from 5.9 to 37.9 and from 1.25 to 1.97% respectively. The log Koc values (22 and 37 °C) ranged from 2.6 to 2.7, while sorption capacity was low at 22 °C and decreased further at 37 °C. Hysteresis was observed in soils at both temperatures, suggesting that bound residues do not readily desorb. CONCLUSIONS Soil-water and air-water partitioning will not significantly reduce offsite transport of clothianidin from flooded rice fields via drainage.
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Rohwedder K, Johnsson E, Parikh SJ. Verringertes Hypoglykämierisiko mit Dapagliflozin gegenüber Glipizid als Add-on-Therapie bei Typ 2 Diabetes mellitus: 4-Jahresdaten einer Phase-3-Studie. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Katz A, Yeh H, Sugg JE, Parikh SJ, List JF, Heidorn C. Wirksamkeit von Dapagliflozin bei Patienten mit Typ 2 Diabetes mellitus und Ausgangs-HbA1c ≥9,0%. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549684] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Yavin Y, Mansfield TA, Ptaszynska A, Apanovitch AM, Johnsson KM, Johnsson E, Parikh SJ, List JF, Marbach S. Keine erhöhte Hyperkaliämie-Inzidenz bei Therapie mit dem SGLT-2 Inhibitor Dapagliflozin. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Johnsson E, Johnsson KM, Mansfield TA, Apanovitch A, Yavin Y, Ptaszynska A, Parikh SJ, List JF, Rist R. Sicherheit und Verträglichkeit von Dapagliflozin hinsichtlich Diurese zur Behandlung des Typ 2 Diabetes mellitus über 24 Wochen. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Ptaszynska A, Mansfield TA, Johnsson E, Parikh SJ, Yavin Y, List JF, Pieperhoff S. Langfristige renale Verträglichkeit der Dapagliflozin-Behandlung. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Johnsson KM, Ptaszynska A, Mansfield TA, Apanovitch A, Johnsson E, Parikh SJ, List JF, Job S. Der selektive SGLT-2 Inhibitor Dapagliflozin ist nicht mit einem erhöhten Frakturrisiko assoziiert. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Gause-Nilsson I, de Bruin TWA, Sugg J, Parikh SJ, Johnsson E, Leiter LA, Pieperhoff S. Wirksamkeit und Verträglichkeit von Dapagliflozin über 2 Jahre bei T2DM-Patienten mit kardiovaskulärer Vorerkrankung. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Cefalu WT, Gause-Nilsson I, de Bruin TWA, Sugg JE, Parikh SJ, Johnsson E, Hein UK. Langfristige Wirksamkeit und Verträglichkeit von Dapagliflozin bei Patienten mit Typ 2 Diabetes, kardiovaskulärer Erkrankung und Hypertonie. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Mansfield TA, Fioretto P, Ptaszynska A, Yavin Y, Apanovitch A, Johnsson E, Parikh SJ, List JF, Kuske M. Dapagliflozin ist sicher und gut verträglich bei älteren Patienten mit Typ 2 Diabetes mellitus. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Katz A, Ptaszynska A, Mansfield TA, Iqbal N, Sugg JE, Yeh H, Parikh SJ, List JF, Proske O. Verbesserung der glykämischen Parameter und des Körpergewichts im Zeitverlauf bei Patienten, die Dapagliflozin als Add-on zu Metformin oder als initiale Kombinationstherapie mit Metformin erhalten haben. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Rohwedder K, Del Prato S, Nauck M, Johnsson E, Parikh SJ. Bessere Beständigkeit der glykämischen Kontrolle mit Dapagliflozin im Vergleich zu Glipizid als Add-on-Therapie bei unter Metformin unzureichend kontrolliertem Typ 2 Diabetes: 4-Jahres Daten. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Suarez MD, Southard RJ, Parikh SJ. Understanding Variations of Soil Mapping Units and Associated Data for Forensic Science. J Forensic Sci 2015; 60:894-905. [PMID: 25808848 DOI: 10.1111/1556-4029.12762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2013] [Revised: 05/27/2014] [Accepted: 07/21/2014] [Indexed: 11/28/2022]
Abstract
Soil samples have potential to be useful in forensic investigations, but their utility may be limited due to the inherent variability of soil properties, the wide array of analytical methods, and complexity of data analysis. This study examined the differentiation of similar soils based on both gross (texture, color, mineralogy) and explicit soil properties (elemental composition, cation exchange, Fe-oxyhydroxides). Soils were collected from Fallbrook and adjacent map units from Riverside and San Diego Counties in California. Samples were characterized using multiple techniques, including chemical extracts, X-ray diffraction (XRD), and Fourier transform infrared spectroscopy. Results were analyzed using multiple analytical approaches to compare counties and land uses. Some analyses (XRD, extractions) were better at distinguishing among samples than others (color, texture). Ratios of rare earth elements were particularly useful for distinguishing samples between counties. This potential to "fingerprint" soils illustrates the usefulness of a comprehensive soil database for criminal investigators.
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Nauck MA, Del Prato S, Durán-García S, Rohwedder K, Langkilde AM, Sugg J, Parikh SJ. Durability of glycaemic efficacy over 2 years with dapagliflozin versus glipizide as add-on therapies in patients whose type 2 diabetes mellitus is inadequately controlled with metformin. Diabetes Obes Metab 2014; 16:1111-20. [PMID: 24919526 DOI: 10.1111/dom.12327] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Revised: 04/28/2014] [Accepted: 06/05/2014] [Indexed: 01/10/2023]
Abstract
AIMS To assess the long-term glycaemic durability, safety and tolerability of dapagliflozin versus glipizide as add-on therapies in patients with type 2 diabetes inadequately controlled by metformin alone. METHODS This was a 52-week, randomised, double-blind study of dapagliflozin (n = 406) versus glipizide (n = 408), uptitrated over 18 weeks according to tolerability and glycaemic response to a maximum of 10 and 20 mg/day, respectively, as add-on therapies to metformin (≥ 1500 mg/day) with a 156-week double-blind extension period. Data over 104 weeks are reported here. RESULTS In total, 53.1% of patients completed 104 weeks of treatment. After the greater initial decrease (0-18 weeks) in glycated haemoglobin (HbA1c) with glipizide, the 18-104-week HbA1c coefficient of failure (CoF) was lower with dapagliflozin (0.13%/year) than with glipizide (0.59%/year), resulting in significant dapagliflozin versus glipizide differences of -0.46%/year (95% CI -0.60,-0.33; p = 0.0001) for CoF and -0.18%(-2.0 mmol/mol) [95% CI -0.33(-3.6),-0.03(-0.3); p = 0.021] for 104-week HbA1c. Dapagliflozin produced sustained reductions in weight and systolic blood pressure, whereas glipizide increased weight and systolic blood pressure, giving 104-week dapagliflozin versus glipizide differences of -5.1 kg (95% CI: -5.7,-4.4) and -3.9 mmHg (95% CI: -6.1,-1.7), respectively. Over 104 weeks, the hypoglycaemia rate was 10-fold lower with dapagliflozin than with glipizide (4.2 vs. 45.8%), whereas patient proportions with events suggestive of genital infection and of urinary tract infection (UTI) were greater with dapagliflozin (14.8 and 13.5%, respectively) than with glipizide (2.9 and 9.1%, respectively). CONCLUSIONS Over 2 years, compared with glipizide, dapagliflozin demonstrated greater glycaemic durability, sustained reductions in weight and systolic blood pressure and a low hypoglycaemia rate; however, genital infections and UTIs occurred more frequently.
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T. Nguyen K, B. Ita K, J. Parikh S, E. Popova I, A. Bair D. Transdermal Delivery of Captopril and Metoprolol Tartrate with Microneedles. ACTA ACUST UNITED AC 2014. [DOI: 10.2174/2210303104666141001003127] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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de Bruin TWA, Fioretto P, Johnsson E, Ptasynska A, Parikh SJ, List J, Rohwedder K. Sicherheit und Wirksamkeit des SGLT-2-Hemmers Dapagliflozin bei älteren Patienten mit Typ-2-Diabetes. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1374992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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de Bruin TWA, Leiter LA, Cefalu WT, Gause-Nilsson I, Johnsson E, Parikh SJ, Rohwedder K. Dapagliflozin bei Patienten mit Typ-2-Diabetes und bestehender kardiovaskulärer Erkrankung: Hypotonie und Verträglichkeit in Bezug auf Volumenverlust. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1374990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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