PMID- 32888896 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 1878-0210 (Electronic) IS - 1878-0210 (Linking) VI - 15 IP - 2 DP - 2021 Apr TI - Comparison of glucagons like peptide-1 receptor agonists and dipeptidyl peptide-4 inhibitors regarding cardiovascular safety and mortality in type 2 diabetes mellitus: A network meta-analysis. PG - 227-233 LID - S1751-9918(20)30248-5 [pii] LID - 10.1016/j.pcd.2020.08.012 [doi] AB - AIM: The effects of dipeptidyl peptide-4 inhibitors (DPP-4is) and sodium-glucose cotransporter-2 inhibitors (SGLT-2is) on type 2 diabetes mellitus (T2DM) on cardiovascular events and all-cause mortality were compared. METHODS: The literature on DPP-4is and SGLT-2is treatment of T2DM was searched through Pubmed, Embase, and the web of science databases with the search deadline May 15, 2020. Network meta-analysis (NMA) was used to compare the effects of two types of inhibitors on cardiovascular events (major adverse cardiovascular events (MACE), nonfatal myocardial infarction (MI), nonfatal stroke, and cardiovascular (CV) death) and all-cause mortality in T2DM patients. RESULTS: A total of 15 articles were screened, including 125,796 patients. Compared with DPP-4is, SGLT-2is can significantly reduce MACE [OR: 0.86 95% CI (0.78, 0.92)], CV death [OR: 0.85 95% CI (0.71, 1.01)], nonfatal MI [OR: 0.84 95%CI (0.74, 0.95)] and all-cause mortality [OR: 0.78 95% CI (0.69, 0.89)]. For nonfatal stroke, DPP-4is and SGLT-2is have no statistically significant difference [OR: 0.99 95% CI (0.91, 1.07)]. CONCLUSION: These data indicate that SGLT-2is is more beneficial to MACE and all-cause mortality in T2DM patients than DPP-4is. CI - Copyright (c) 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. FAU - Hu, Jing AU - Hu J AD - Deptarment of Pharmacy, Shanghai Ruijin Rehabilitation Hospital, Shanghai 200023, China. Electronic address: jinghu0202@163.com. FAU - Chen, Liyun AU - Chen L AD - Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, China. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20200901 PL - England TA - Prim Care Diabetes JT - Primary care diabetes JID - 101463825 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Peptides) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) SB - IM EIN - Prim Care Diabetes. 2021 Jun;15(3):623. PMID: 33839056 MH - *Cardiovascular Diseases/diagnosis/prevention & control MH - *Diabetes Mellitus, Type 2/diagnosis/drug therapy MH - *Dipeptidyl-Peptidase IV Inhibitors/adverse effects MH - Humans MH - Hypoglycemic Agents/adverse effects MH - Network Meta-Analysis MH - Peptides MH - *Sodium-Glucose Transporter 2 Inhibitors/adverse effects OTO - NOTNLM OT - All-cause mortality OT - Dipeptidyl peptide-4 inhibitors OT - Major adverse cardiovascular events OT - Sodium-glucose cotransporter-2 inhibitors OT - Type 2 diabetes mellitus EDAT- 2020/09/06 06:00 MHDA- 2021/10/16 06:00 CRDT- 2020/09/05 12:19 PHST- 2020/07/27 00:00 [received] PHST- 2020/08/18 00:00 [accepted] PHST- 2020/09/06 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2020/09/05 12:19 [entrez] AID - S1751-9918(20)30248-5 [pii] AID - 10.1016/j.pcd.2020.08.012 [doi] PST - ppublish SO - Prim Care Diabetes. 2021 Apr;15(2):227-233. doi: 10.1016/j.pcd.2020.08.012. Epub 2020 Sep 1.