Type 2 & other diabetes

Comparative Efficacy of Glucagon-Like Peptide 1 Receptor Agonists for Cardiovascular Outcomes in Asian Versus White Populations: Systematic Review and Meta-analysis of Randomized Trials of Populations With or Without Type 2 Diabetes and/or Overweight or Obesity

Diabetes CarePublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

GLP-1RAs may offer greater MACE reductions in Asian compared with White individuals.

Study context

Population
Randomized placebo-controlled cardiovascular outcome trials (CVOTs) of GLP-1 RAs in populations with or without T2D and/or overweight or obesity; PubMed and ClinicalTrials.gov, 1 January 2015 to 1 November 20248 trials
Participants
5,909 vs 55,855
Comparison
GLP-1 RA vs placebo: Major adverse cardiovascular events (MACE) in Asian vs White individuals
  • Asiann = 5,909
  • Whiten = 55,855reference
Outcome
Ethnicity-specific hazard ratios (HRs) for MACE
Methodological detailsrandom-effects, PRISMA, risk of bias assessed (RoB 2), Lack of individual patient-level data precluded detailed subclassification of the Asian group
  • Random-effects
  • PRISMA
  • Risk of bias assessed (RoB 2)
  • Lack of individual patient-level data precluded detailed subclassification of the Asian group

Pooled result

As reported in the abstract

GLP-1 RA-associated MACE HR

Asian

0.69

HR · 95% CI 0.58–0.83

White

0.85

HR · 95% CI 0.79–0.91

P for interaction = 0.045

Further pooled results

OutcomeAsianWhite
Absolute MACE risk reduction2.9% (95% CI 1.5–4.2)1.4% (CI 0.9–1.9)

Original publication

Comparative Efficacy of Glucagon-Like Peptide 1 Receptor Agonists for Cardiovascular Outcomes in Asian Versus White Populations: Systematic Review and Meta-analysis of Randomized Trials of Populations With or Without Type 2 Diabetes and/or Overweight or Obesity. Diabetes Care. Published 20 February 2025. doi:10.2337/dc24-1533

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

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