FDA OKs Jardiance/Synjardy for Pediatric Diabetes
FDA has approved Boehringer Ingelheim’s Jardiance (empagliflozin) and Synjardy (empagliflozin and metformin hydrochloride) as treatments, in addition to diet and exercise, for improving blood sugar control in children 10 years and older with Type 2 diabetes. Empagliflozin works by increasing glucose excretion in the urine, according to an FDA news release.
Their approval was based on data from a trial in 157 patients aged 10 to 17 years with inadequately controlled Type 2 diabetes. “The trial found that, at week 26, treatment with empagliflozin was superior in reducing hemoglobin A1c, a measure of average blood sugar, compared to placebo,” the agency says. “The 52 patients treated with empagliflozin had an average 0.2% decrease in hemoglobin A1c compared with an average 0.7% increase in hemoglobin A1c in the 53 patients taking placebo, representing a 0.8% decrease in hemoglobin A1c with empagliflozin as compared to placebo. Patients treated with empagliflozin also had reductions in fasting plasma glucose, a blood sugar measurement taken after not eating or drinking for at least eight hours, as compared to patients taking placebo.”
On the safety side, side effects commonly reported were similar to those reported in adults (urinary tract infections and female fungal infections), except there was a higher hypoglycemia risk among pediatric patients 10 years and older taking empagliflozin compared to placebo, FDA notes.