Type 2 & other diabetes

Cardiovascular and Renal Outcomes With Sodium-Glucose Cotransporter-2 Inhibitors and Dipeptidyl Peptidase-4 Inhibitors Combination Therapy: A Meta-Analysis of Randomized Cardiovascular Outcome Trials

Endocr PractPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Beneficial CV and renal effects of SGLT2i are similar against the placebo regardless of background DPP4i therapy.

Study context

Population
People with T2D in cardiovascular (CV) outcome trials of SGLT2i vs placebo; PubMed and Embase searched until January 31, 2023CV outcome trials (CVOTs) vs placebo
Comparison
SGLT2i with vs without background DPP-4i therapy, each vs placebo
Outcome
Heterogeneity of SGLT2i effect vs placebo by background DPP4i therapy
Methodological detailstrial-level, random-effects, inverse variance-weighted
  • Trial-level
  • Random-effects
  • Inverse variance-weighted

Pooled result

As reported in the abstract

  • Beneficial CV and renal outcomes with SGLT2i vs placebo were similar with or without background DPP4i therapy
  • Summary estimates for 3-point MACE, hHF and renal outcomes stronger with SGLT2i alone; for CV death or hHF larger with SGLT2i + background DPP4i
  • SGLT2i + DPP4i vs SGLT2i alone: P for heterogeneity = 0.71
  • SGLT2i + DPP4i vs SGLT2i alone: P for heterogeneity = 0.07
  • SGLT2i + DPP4i vs SGLT2i alone: P for heterogeneity = 0.87
  • SGLT2i + DPP4i vs SGLT2i alone: P for heterogeneity = 0.72
  • SGLT2i + DPP4i vs SGLT2i alone: P for heterogeneity = 0.25

Original publication

Cardiovascular and Renal Outcomes With Sodium-Glucose Cotransporter-2 Inhibitors and Dipeptidyl Peptidase-4 Inhibitors Combination Therapy: A Meta-Analysis of Randomized Cardiovascular Outcome Trials. Endocr Pract. Published 8 April 2023. doi:10.1016/j.eprac.2023.04.001

Composed by AI from the published abstract and checked against it. How Briefs are made →

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