Table 4. Studies Reporting Changes in Body Composition with GLP-1RA and SGLT2i Combination Therapy.
| Drug/author (location) | Study design | No. (in group prescribed SGLT2i+ GLP-1RA therapy) | Population | Dose (all once-daily, unless otherwise specified; SGLT2i taken as oral tablet, GLP-1RA as subcutaneous injection) | Duration, wk | Tech. used | Total BW change, kg (% change from baseline) | FM change | LBM change | Skeletal muscle mass change, kg | Total body water change, kg | Proportion of weight loss from FM, % | Proportion of weight loss from LBM, % |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dapagliflozin+Exenatide | |||||||||||||
| Lundkvist et al. (2017) [67] (Sweden) | Two-arm RCT | 16 | Obesity and pre-diabetes mellitus | DAPA: 10 mg | 52 | MRI | −5.7 (−5.4%) | −5.3 La | −1.4 L | NR | NR | - | - |
| EXEN: 2 mg weekly | |||||||||||||
| Luseogliflozin+Liraglutide | |||||||||||||
| Seino et al. (2018) [68] (Japan) | Case series (prospective) (sub-study) | 22 | T2DM | LUSEO: 2.5 mg, titrated up to 5 mg where tolerated and safe (n=17 reached 5 mg dose) | 52 | BIA | −2.9 (−4.3%) | −2.5 kg | −0.4 kg | NR | NR | 86.2 | 13.8 |
| LIRA: 0.6 mg (n=1) or 0.9 mg (n=21) |
GLP-1RA, glucagon-like peptide-1 receptor agonist; SGLT2i, sodium-glucose cotransporter 2 inhibitor; BW, body weight; FM, fat mass; LBM, lean body mass; RCT, randomised controlled trial; DAPA, dapagliflozin; EXEN, exenatide; MRI, magnetic resonance imaging; NR, not reported; T2DM, type 2 diabetes mellitus; LUSEO, luseogliflozin; LIRA, liraglutide; BIA, bioelectrical impedance analysis.
aTotal adipose tissue.