PMID- 31927749 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20221207 IS - 1559-0100 (Electronic) IS - 1355-008X (Linking) VI - 68 IP - 3 DP - 2020 Jun TI - Efficacy and safety of long-acting glucagon-like peptide-1 receptor agonist dulaglutide in patients with type 2 diabetes: a systematic review and meta-analysis of 21 randomized controlled trials. PG - 508-517 LID - 10.1007/s12020-020-02193-9 [doi] AB - OBJECTIVES: To assess the efficacy and safety of once weekly glucagon-like peptide-1 receptor agonist (GLP-1 RA) dulaglutide for the treatment of type 2 diabetes mellitus (T2DM). MATERIALS AND METHODS: We searched PubMed, Embase, and Cochrane Library from inception to August 18, 2019. Revman5.3 and Stata13.0 software were used for meta-analysis. RESULTS: Twenty-one trials including 20,367 patients were analyzed. Compared with control group, hemoglobin A1c (HbA1c) in 0.75 mg dulaglutide group and 1.5 mg dulaglutide group were reduced by 0.29% and 0.55%, respectively. More patients treated with 0.75 mg dulaglutide [RR 1.24, 95% CI (1.08, 1.42), p = 0.002] and 1.5 mg dulaglutide [RR 1.66, 95% CI (1.40, 1.99), p < 0.00001] had reached the target of HbA1c 7.0%. In patients with T2DM, 0.75 mg dulaglutide and 1.5 mg dulaglutide had a statistically higher adverse events (AEs) incidence than control, whereas the risk of hypoglycaemia was lower in 0.75 mg dulaglutide group and 1.5 mg dulaglutide group than in control group. CONCLUSIONS: Based on the current evidence, 0.75 and 1.5 mg dulaglutide are associated with better glycemic control and lower rate of hypoglycemia in patients with T2DM. FAU - Qie, Suhui AU - Qie S AD - Department of Pharmacy, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China. FAU - Li, Xuejing AU - Li X AD - Department of Pharmacy, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China. FAU - Wang, Xianying AU - Wang X AD - Department of Pharmacy, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China. FAU - Liu, Yang AU - Liu Y AD - Department of Pharmacy, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China. FAU - Li, Jingxin AU - Li J AD - Department of Chinese pharmacy, Hebei Maternity Hospital, 27 Shifeng Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China. FAU - Liu, Guoqiang AU - Liu G AUID- ORCID: 0000-0003-3838-716X AD - Department of Pharmacy, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China. liugq1223@sohu.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20200111 PL - United States TA - Endocrine JT - Endocrine JID - 9434444 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Immunoglobulin Fc Fragments) RN - 0 (Recombinant Fusion Proteins) RN - 62340-29-8 (Glucagon-Like Peptides) RN - WTT295HSY5 (dulaglutide) SB - IM MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Glucagon-Like Peptide-1 Receptor MH - Glucagon-Like Peptides/analogs & derivatives MH - Glycated Hemoglobin MH - Humans MH - Hypoglycemic Agents/adverse effects MH - Immunoglobulin Fc Fragments MH - Randomized Controlled Trials as Topic MH - Recombinant Fusion Proteins OTO - NOTNLM OT - Dulaglutide OT - Efficacy OT - Meta-analysis OT - Safety OT - Systematic review OT - Type 2 diabetes mellitus EDAT- 2020/01/14 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/01/14 06:00 PHST- 2019/10/27 00:00 [received] PHST- 2020/01/05 00:00 [accepted] PHST- 2020/01/14 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/01/14 06:00 [entrez] AID - 10.1007/s12020-020-02193-9 [pii] AID - 10.1007/s12020-020-02193-9 [doi] PST - ppublish SO - Endocrine. 2020 Jun;68(3):508-517. doi: 10.1007/s12020-020-02193-9. Epub 2020 Jan 11.