Type 2 & other diabetes

Comparative efficacy and safety of dipeptidyl peptidase‐4 inhibitors in adults with type 2 diabetes mellitus: A network meta‐analysis

Diabetes Obes MetabPublished Systematic review and network meta-analysis

Pooled result · HbA1cResult — go to the resultMD −0.81 % 95% CI −1.03 to −0.60

Authors' conclusion

In adults with type 2 diabetes, teneligliptin was most effective for HbA1c control, and vildagliptin for fasting blood glucose. No significant differences in serious adverse events were noted among DPP-4 inhibitors compared to placebo. Given the therapeutic significance of these findings, more studies are needed to explore this issue more thoroughly.

Study context

Population
Adults with T2D treated with DPP-4 inhibitors; PubMed, Embase, Cochrane Library and ClinicalTrials.gov searched to 20 May 2024
Participants
21,332 adults58 studies
Comparison
DPP-4 inhibitors vs each other and vs placebo
Outcome
HbA1c
Methodological detailsfrequentist framework, P-score ranking
  • Frequentist framework
  • P-score ranking

Pooled result

As reported in the abstract

MD

−0.81 %

95% CI −1.03 to −0.60

Teneligliptinvs Placebo
MD −0.81 % (95% CI −1.03 to −0.60)

Further pooled results

OutcomeMD (mmol/L) (95% CI)
Fasting blood glucoseVildagliptinvs PlaceboModerate certainty; superior to all other DPP-4 inhibitors−1.18 (−1.56 to −0.81)

Safety

No conclusive differences between interventions for serious adverse events
  • Low to very low certainty

Original publication

Comparative efficacy and safety of dipeptidyl peptidase‐4 inhibitors in adults with type 2 diabetes mellitus: A network meta‐analysis. Diabetes Obes Metab. Published 6 December 2024. doi:10.1111/dom.16114

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

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