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1491-P: Insights from 1,062 Clinicians—Evaluating the Efficacy and Clinical Utility of Empagliflozin-Linagliptin Combination Therapy in T2DM Management

Shankhajit Sen, Akashkumar N. Singh, A. Tewari, Dinesh Kumar, M. Lokhande, Gaurab Bhaduri, Atanu Acharyya, S. Ghosh et al.

Diabetes, 2025

Abstract

Introduction and Objective: The empagliflozin-linagliptin combination is a preferred therapeutic option for type 2 diabetes mellitus (T2DM), addressing glycemic control while providing cardiovascular and renal protection. Its broad-spectrum efficacy makes it essential for managing complex T2DM cases.

Methods: The EMBRACE Survey (Empagliflozin and Linagliptin as Benchmark in Research Adapted for Clinical Experience) was conducted across India from November 8 to December 31, 2024. It included 1,062 clinicians with a cumulative clinical experience of 18,549 man-years (mean: 17 years, SD: 12). The survey evaluated the combination’s efficacy, patient suitability, and clinician preferences using structured questionnaires. Statistical analyses assessed consensus and agreement levels.

Results: Among clinicians, 65% rated the combination as “significantly more effective” in reducing HbA1c than other SGLT-2 and DPP-4 inhibitor combinations, while 29% rated it “slightly more effective.” Weighted scores indicated strong consensus, with a mean score of 122 for efficacy. Patient suitability was highest for individuals with multiple treatment needs (score: 118), cardiovascular or renal protection requirements (112), and uncontrolled HbA1c on monotherapy (109). Indications like weight reduction (10.8%) and discontinuation-prone patients (6.1%) were less frequent. Over 50% of clinicians strongly preferred the combination for its broad efficacy and simplicity, with 51% rating it “extremely…

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