MEDI:GATE NEWS DAPA-HF study, additional benefit for heart failure patients receiving the maximum amount of standard treatment… Expectations to change the treatment paradigm

Photo: Korea AstraZeneca held an online press conference to commemorate the additional indications for treatment of chronic heart failure by Posey on the 25th (from left, Professor Jin-oh Choi, Seoul National University Bundang Hospital, Professor Sung-Hoon Choi of Gangnam Sacred Heart Hospital, Professor Eung-Joo Kim of Daehak Guro Hospital).

On the 25th, AstraZeneca Korea held an online press conference to commemorate the addition of Posiga (ingredient name dapagliflozin) for treatment of chronic heart failure, and the efficacy and clinical value of Posiga’s heart failure treatment confirmed through the DAPA-HF study. Introduced about.

The press conference was held by three members of the Korean Society of Heart Failure, chaired by Professor Dong-ju Choi (Department of Cardiology, Department of Cardiology, Bundang Seoul National University Hospital), and a relay lecture and discussion of three members who are in charge of research, academic and general affairs directors at the Korean Society of Heart Failure. The main topics were ▲Introduction of heart failure diseases and treatment goals ▲Possiga’s heart failure treatment effect and safety examined through the’DAPA-HF’ study ▲Management of comorbid diseases in heart failure patients.

Prof. Jin-oh Choi of the Department of Cardiology at Samsung Seoul Hospital, who was in charge of the first presentation, said that while the prevalence and medical costs of heart failure in Korea are constantly rising, hospitalization prevention and mortality reduction, concomitant disease management and improvement of clinical condition, patient function range as considerations for heart failure treatment He pointed out the improvement of the quality of life and the importance of applying the optimal treatment for each patient.

The mortality rate of heart failure patients in Korea is fatal. According to domestic HF registry data, the mortality rate during hospitalization is as high as 6%, increasing to 10% after half a year, 20% after 2 years, and 30% after 4 years. In addition, cardiovascular disease risk remains even with standard treatment for heart failure, and 9 out of 10 patients still struggle with symptoms even with standard treatment.

Professor Jin-oh Choi said, “Despite standard treatment, the survival rate is low enough that more than half of the patients diagnosed with heart failure die within 5 years, and efforts are needed to further reduce the death and hospitalization rates due to heart failure and reduce medical costs.” He expressed his expectations for the option.

Professor Seong-Hoon Choi of the Department of Cardiovascular Medicine at Kangnam Sacred Heart Hospital, who was the second speaker, confirmed the benefits of hospitalization for heart failure and prevention of cardiovascular death in a DECLARE study for patients with type 2 diabetes by Posiga, and the relationship with the presence or absence of type 2 diabetes in the DAPA-HF study. It was emphasized that it reduced death due to cardiovascular disease or worsening of heart failure in patients with chronic heart failure with decreased left ventricular contractile function. Particularly, the subjects were patients with symptoms while receiving drug treatment well.

Prof. Sung-Hoon Choi said, “Among the results of the DAPA-HF study, it is the most meaningful part of this study to reduce the risk of death from worsening heart failure and cardiovascular disease in patients who are already receiving standard treatment for heart failure.” The potential value of the drug can be considered in that it has the effect of reducing not only death by death, but also total death.”

Prof. Sung-Hoon Choi said, “Based on these reasons, it is recommended to use SGLT-2 inhibitors preferentially in patients with cardiovascular disease or in high-risk patients in recent years. In particular, it is strongly recommended as a major drug to reduce death and readmission in HFrEF patients. There is” he explained.

He added, “In the future, changes in the current standard heart failure treatment are expected, and if the confirmed scientific results of dapaglogine are reflected in the field of actual first-line treatment, the health of Korean heart failure patients is expected to increase explosively in the future. In addition, it is expected to provide sufficient benefits in the health care sector of the country and society, including the family,” he added.

Lastly, Professor Eung-ju Kim of the Cardiovascular Center of Daegu Guro Hospital introduced the data related to the kidney of Posiga. In the DECLARE study, Fossiga showed an advantage in reducing the renal complex variable by 47% in patients with type 2 diabetes. The DAPA-HF study also showed a tendency of 29% reduction of the renal complex variable in the chronic heart failure patient group with decreased left ventricular contractile function, and the effect of treating heart failure was confirmed regardless of the patient’s renal function.

Professor Kim said, “As kidney function deteriorates in heart failure patients, the risk of hospitalization and death from heart failure also increases, so it is important to check kidney-related data in cardiology in terms of managing comorbid diseases,” he said.

Professor Choi Dong-ju said, “Because heart failure is a disease with a low survival rate, the emergence of new treatment options is of great significance.” If the results confirmed through Posiga’s clinical research are applied to the actual treatment environment, it will greatly improve the survival rate of heart failure patients in Korea. We are looking forward to making a contribution.”

Il Shim, Managing Director of the CVRM Division of AstraZeneca Korea said, “AstraZeneca proclaimed the vision’CaReMe (Cardiovascular, Renal, Metabolism)’ in 2018, which promotes an integrated approach to cardiovascular and renal endocrine diseases. We have been working steadily to resolve unmet demand and ultimately improve treatment outcomes and reduce mortality,” he said. “As the first SGLT-2 inhibitor to acquire the indication for chronic heart failure treatment, we hope that it can contribute to an innovative change in the heart failure treatment paradigm.” Revealed.

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