5.4 Acute Kidney Injury and Impairment in Renal Function
5.5 Urosepsis and Pyelonephritis
5.6 Lower Limb Amputation
5.7 Heart Failure
5.8 Hypoglycemia with Concomitant Use with Insulin and Insulin Secretagogues
5.9 Genital Mycotic Infections
5.10 Hypersensitivity Reactions
5.11 Increases in Low-Density Lipoprotein Cholesterol (LDL-C)
5.12 Severe and Disabling Arthralgia
5.13 Bullous Pemphigoid
5.14 Macrovascular Outcomes
6 ADVERSE REACTIONS
6.1 Clinical Trials Experience
6.2 Postmarketing Experience
7 DRUG INTERACTIONS
7.1 Concomitant Use with Insulin and Insulin Secretagogues
7.2 Positive Urine Glucose Test
7.3 Interference with 1,5-anhydroglucitol (1,5-AG) Assay
7.4 Digoxin
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
8.2 Lactation
8.4 Pediatric Use
8.5 Geriatric Use
8.6 Renal Impairment
8.7 Hepatic Impairment
10 OVERDOSAGE
11 DESCRIPTION
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
12.2 Pharmacodynamics
12.3 Pharmacokinetics
13 NONCLINICAL TOXICOLOGY
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
14 CLINICAL STUDIES
14.1 Overview of Clinical Studies in Patients with Type 2 Diabetes Mellitus
14.2 In Combination with Sitagliptin versus Ertugliflozin Alone and Sitagliptin Alone, as Add-on to Metformin
14.3 Ertugliflozin as Add-on Combination Therapy with Metformin and Sitagliptin
14.4 Initial Combination Therapy of Ertugliflozin and Sitagliptin
16 HOW SUPPLIED/STORAGE AND HANDLING
17 PATIENT COUNSELING INFORMATION
* Sections or subsections omitted from the full prescribing information are not listed. Close
1 INDICATIONS AND USAGE
STEGLUJAN™ is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus when treatment with both ertugliflozin and sitagliptin is appropriate.
Limitations of Use
STEGLUJAN is not recommended in patients with type 1 diabetes mellitus or for the treatment of diabetic ketoacidosis.
STEGLUJAN has not been studied in patients with a history of pancreatitis. It is unknown whether patients with a history of pancreatitis are at increased risk for the development of pancreatitis while using STEGLUJAN. [See Warnings and Precautions (5.1).]
2 DOSAGE AND ADMINISTRATION
2.1 Recommended Dosage
The recommended starting dose of STEGLUJAN is 5 mg ertugliflozin/100 mg sitagliptin once daily, taken in the morning, with or without food. In patients tolerating STEGLUJ