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glucose lowering for cardiovascular prevention
systematic review
meta-analysis
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diabetes type 2
All type of patient
uncoded clinical condition ***
DPP-4 inhibitors
glucagon-like peptide 1 receptor agonist
induced HbA1c reduction
insulin
PPAR modulator
SGLT2 inhibitors
thiazolidinediones
aleglitazar
ertugliflozin
semaglutide
alogliptin
canagliflozin
dapagliflozin
empagliflozin
exenatide
glargine
linagliptin
liraglutide
lixisenatide
pioglitazone
saxagliptin
sitagliptin
vs placebo
vs SU
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NCT results
Cardiovascular death (40)
cardiovascular events (39)
All cause death (38)
stroke (fatal and non fatal) (31)
myocardial infarction (fatal and non fatal) (28)
macrovascular events (18)
Non fatal MI (11)
microvascular events (10)
hospitalisation for heart failure (10)
Fatal MI (7)
nephropathy (6)
macrovascular or microvascular events (5)
Non fatal stroke (5)
retinopathy (4)
Amputations (4)
all cause death, MI, stroke (1)
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Trial
Studied trt
Control trt
patients
tags
ROB
Trial result
Cardiovascular death
cardiovascular events
diabetes type 2
aleglitazar
ALEPREVENT
aleglitazar
placebo
Low risk of bias
-
ALECARDIO, 2014
NCT
aleglitazar
placebo
Low risk of bias
negative
15%
-4%
alogliptin
EXAMINE, 2013
NCT
alogliptin
placebo
Low risk of bias
negative
-15%
-4%
canagliflozin
CANVAS, 2017
NCT
canagliflozin
placebo
Low risk of bias
conclusive
-13%
-14%
dapagliflozin
DECLARE TIMI 58, 2018
NCT
dapagliflozin
placebo
Low risk of bias
-
empagliflozin
EMPA-REG OUTCOME, 2015
NCT
empagliflozin
placebo
Low risk of bias
conclusive
-38%
-14%
exenatide
EXSCEL, 2017
NCT
exenatide
placebo
Low risk of bias
conclusive
-12%
-9%
glargine
ORIGINE, 2012
NCT
insulin glargine
control
negative
0%
2%
linagliptin
CAROLINA, 2012
NCT
linagliptin
glimepiride
Low risk of bias
suggesting
0%
-54%
liraglutide
LEADER, 2016
NCT
liraglutide
placebo
Low risk of bias
conclusive
-21%
-12%
lixisenatide
ELIXA
NCT
lixisenatide
placebo
Low risk of bias
negative
2%
pioglitazone
PROACTIVE
NCT
pioglitazone
placebo
-
IRIS, 2016
NCT
pioglitazone
placebo
-
saxagliptin
SAVOR TIMI, 2013
NCT
saxagliptin
placebo
Low risk of bias
negative
3%
0%
semaglutide
SUSTAIN 6, 2016
NCT
semaglutide
placebo
Low risk of bias
conclusive
-2%
-26%
sitagliptin
TECOS, 2015
NCT
sitagliptin
placebo
Low risk of bias
negative
3%
-1%
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